The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
VILLAGE HEALTH CARE
GRESHAM, OR · Medicare-certified · 106 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Village Health Care (Gresham, OR) has an overall rating of 2 out of 5 stars, with 2-star health inspections and 3-star staffing and quality measures. It has reported nurse staffing above the federal benchmark (4.96 vs. 4.1 hours per resident day) but also has $21,890 in fines in the last 24 months and a recent federal penalty, with recent inspection citations for accident hazards, medication errors, and drug storage/labelling issues.
Facility ratings
Health inspections
Staffing
4.956 hrs/resident/day
Quality measures
Last inspection: June 5, 2026Penalties, last 24 months: $21,890recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.956.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.80
- Nurse aides
- 3.64
- Weekend nursing
- 4.44
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%12.8%Worsening
Residents with a fall causing major injury
2.6%1.9%Improving
Residents with pressure ulcers (bedsores)
4.6%3.2%Improving
Residents with a urinary tract infection
10.3%1.9%Improving
Residents who lost too much weight
7.9%10.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.4%21.3%Worsening
Residents whose ability to walk got worse
—39.1%—
Long-stay residents on antianxiety or sleep medication
13.2%10.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
5.6%1.4%Improving
Residents with new or worsening incontinence
10.5%20.7%Worsening
Residents with depressive symptoms
0%2.1%Worsening
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
61.5%64.2%Improving
Short-stay residents given the seasonal flu vaccine
—35.5%—
Short-stay residents given the pneumonia vaccine
16.8%43.4%Improving
What the inspectors found
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
The home failed to properly label and securely store medications and biologicals. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
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
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $17,665 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- 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: 2 fines · $21,890 in total fines.
- $17,665
Federal fine
Jun 5, 2026
- $4,225
Federal fine
May 22, 2025
Operator & ownership
Recent ownership change · Dec 1, 2024
Now operated by Village Snf Operations LLC, previously Village Health Care I, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 70.8 residents on an average day (67% 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.