Blue Mountain Care Center
112 East Fifth Street · Prairie City, OR · 97869 · 5418203341
40 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.48 | 0.55–0.75 |
| Weekend hours / resident-day | 4.82 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D October 17, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 6, 2025 · Resident Rights
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Potential for harm · D October 17, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected December 6, 2025 · Resident Rights
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Potential for harm · E October 17, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 6, 2025 · Resident Rights
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Potential for harm · D October 17, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 17, 2025
Respond appropriately to all alleged violations.
Corrected December 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 17, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected December 6, 2025 · Nursing and Physician Services
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Potential for harm · F October 17, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 6, 2025 · Nursing and Physician Services
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Potential for harm · F October 17, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 6, 2025 · Nursing and Physician Services
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Potential for harm · F October 17, 2025
Post nurse staffing information every day.
Corrected December 6, 2025 · Nursing and Physician Services
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Potential for harm · D October 17, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 6, 2025 · Pharmacy Service
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Potential for harm · D October 17, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected December 6, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025
Provide or obtain dental services for each resident.
Corrected December 6, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected December 6, 2025 · Quality of Life and Care
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Potential for harm · F October 17, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 6, 2025 · Administration
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Potential for harm · F October 17, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 6, 2025 · Administration
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Potential for harm · F October 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 6, 2025 · Infection Control
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Potential for harm · F October 17, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected December 6, 2025 · Infection Control
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Potential for harm · D October 17, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 6, 2025 · Administration
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Potential for harm · D August 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 3, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · D August 15, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · E August 15, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 3, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 38E040 · certified since September 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.