The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MT ANGEL HEALTH AND REHABILITATION
MOUNT ANGEL, OR · Medicare-certified · 93 beds
Needs attention
Non-profitChain member
4 of 5 overall
MT ANGEL HEALTH AND REHABILITATION has an overall rating of 4 out of 5 stars, with 4-star health inspection, staffing, and quality ratings. It reports nurse staffing above the federal benchmark (5.31 vs. 4.1 hours per resident per day), but it also has $10,033 in fines over the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.3117 hrs/resident/day
Quality measures
Last inspection: June 20, 2025Penalties, last 24 months: $10,033recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3117.
Staffing detail
- Registered nurses
- 0.84
- Licensed practical nurses
- 0.92
- Nurse aides
- 3.55
- Weekend nursing
- 4.79
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 81%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.2%Improving
Residents with a fall causing major injury
0.9%Worsening
Residents with pressure ulcers (bedsores)
5%Improving
Residents with a urinary tract infection
2.1%Improving
Residents who lost too much weight
2.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18%Improving
Residents whose ability to walk got worse
20.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.8%Steady
Short-stay residents newly given an antipsychotic
1.7%Worsening
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
18.8%Worsening
Residents with depressive symptoms
14.1%Improving
Long-stay residents given the seasonal flu vaccine
90.3%Steady
Long-stay residents given the pneumonia vaccine
77%Improving
Short-stay residents given the seasonal flu vaccine
72.4%Steady
Short-stay residents given the pneumonia vaccine
60%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2022 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,033 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $27,967 in total fines.
- $10,033
Federal fine
Sep 19, 2024
- $17,934
Federal fine
Mar 22, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 71.9 residents on an average day (77% of 93 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.