Chehalem Post Acute
1900 E. Fulton Street · Newberg, OR · 97132 · 5035382108
84 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 4.16 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 2 · $54,581 |
Inspection citations (58 in the current record)
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Potential for harm · D January 15, 2026 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 3, 2026 · Resident Rights
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Potential for harm · D January 15, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · E August 13, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected August 26, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected April 29, 2025 · Administration
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Potential for harm · F March 28, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected April 29, 2025 · Administration
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Potential for harm · F March 28, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected April 29, 2025 · Administration
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Potential for harm · D March 28, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 29, 2025 · Infection Control
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Potential for harm · E March 28, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D March 28, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · E March 28, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 28, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 29, 2025 · Quality of Life and Care
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Potential for harm · E March 28, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 29, 2025 · Nursing and Physician Services
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Potential for harm · F March 28, 2025 · found via complaint
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 April 29, 2025 · Nursing and Physician Services
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Potential for harm · E March 28, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected April 29, 2025 · Nursing and Physician Services
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Potential for harm · E March 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 29, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025 · found via complaint
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 April 29, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected April 29, 2025 · Administration
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Potential for harm · E March 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Potential for harm · F March 28, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 29, 2025 · Infection Control
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Potential for harm · D March 28, 2025 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 29, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2025 | Fine | $14,788 |
| December 4, 2023 | Fine | $39,793 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385199 · certified since May 19, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.