Independence Health and Rehabilitation

1525 Monmouth Street · Independence, OR · 97351 · 5038380001

80 certified beds For profit - Limited Liability company Chain: Evergreen Healthcare Group

Why this verdict

  • Federal penalties on record: $45,819 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 94
Staffing 20% 71
Federal penalties 15% 40
Trend 10% 43
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day5.263.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day4.77≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)3 · $69,876

Inspection citations (23 in the current record)

  • Actual harm · G February 18, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · E February 18, 2025

    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 March 21, 2025 · Resident Rights

  • Potential for harm · D February 18, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 18, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 18, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 21, 2025 · Pharmacy Service

  • Potential for harm · D February 18, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 21, 2025 · Pharmacy Service

  • Potential for harm · D February 18, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected March 21, 2025 · Environmental

  • Potential for harm · D February 18, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 18, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 13, 2023 · Resident Rights

  • Potential for harm · D November 17, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 13, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 13, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 13, 2023 · Pharmacy Service

  • Potential for harm · E November 17, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 13, 2023 · Nutrition and Dietary

  • Potential for harm · D November 17, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected December 13, 2023 · Infection Control

  • Potential for harm · D August 3, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 3, 2023 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 24, 2023 · Quality of Life and Care

  • Potential for harm · E October 7, 2022

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected November 4, 2022 · Resident Rights

  • Potential for harm · D October 7, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 4, 2022 · Quality of Life and Care

  • Potential for harm · F October 7, 2022

    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 November 4, 2022 · Nursing and Physician Services

  • Potential for harm · E October 7, 2022

    Observe each nurse aide's job performance and give regular training.

    Corrected November 4, 2022 · Nursing and Physician Services

  • Potential for harm · D October 7, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected November 4, 2022 · Pharmacy Service

  • Potential for harm · E October 7, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 4, 2022 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
February 18, 2025Fine$45,819
January 17, 2024Fine$8,018
January 17, 2024Fine$16,039

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 385188 · certified since March 13, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.