The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
VILLAGE HEALTH CARE
GRESHAM, OR · Medicare-certified · 106 beds
Needs attention
For-profitChain member
1 of 5 overall
Village Health Care in Gresham, OR has a 1-out-of-5 overall rating, with a 1-star health inspection rating and a recent federal penalty. Staffing is 3 stars, and reported nurse staffing is 5.08 hours per resident per day, above the 4.1-hour federal benchmark; it also had $4,225 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.0797 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $4,225recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0797.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.89
- Nurse aides
- 3.62
- Weekend nursing
- 4.73
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%11.5%Worsening
Residents with a fall causing major injury
3.4%2%Improving
Residents with pressure ulcers (bedsores)
0%5.3%Worsening
Residents with a urinary tract infection
7.4%6.4%Improving
Residents who lost too much weight
11.5%11.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.6%16.3%Improving
Residents whose ability to walk got worse
—42.8%—
Long-stay residents on antianxiety or sleep medication
3.6%13%Worsening
Short-stay residents newly given an antipsychotic
1.6%1%Improving
Residents with a long-term catheter
4.8%0%Improving
Residents with new or worsening incontinence
35.6%13.2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—71.4%—
Long-stay residents given the pneumonia vaccine
58.6%38.8%Worsening
Short-stay residents given the seasonal flu vaccine
—35.5%—
Short-stay residents given the pneumonia vaccine
47.2%24%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to give residents clear notice of their rights, rules, services, and charges. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 572 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — 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 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $4,225 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,225 in total fines.
- $4,225
Federal fine
May 22, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 66.6 residents on an average day (63% of 106 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.