Mt. Tabor Health & Rehabilitation
6040 Se Belmont Street · Portland, OR · 97215 · 5032317166
120 certified beds For profit - Corporation Chain: Hill Valley Healthcare
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 4.56 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
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Potential for harm · D February 24, 2026 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D November 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · D November 20, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 2, 2026 · Quality of Life and Care
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Potential for harm · E November 20, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 2, 2026 · Nursing and Physician Services
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Potential for harm · D November 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 2, 2026 · Infection Control
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Potential for harm · E June 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D June 6, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 6, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D June 6, 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 July 21, 2025 · Resident Rights
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Potential for harm · E June 6, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 6, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2025
Ensure each resident receives an accurate assessment.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 21, 2025 · Nutrition and Dietary
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Potential for harm · D June 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 23, 2024
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 13, 2024 · Resident Rights
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Potential for harm · D February 23, 2024
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 April 13, 2024 · Quality of Life and Care
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Potential for harm · D February 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 13, 2024 · Quality of Life and Care
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Potential for harm · E February 23, 2024
Observe each nurse aide's job performance and give regular training.
Corrected April 13, 2024 · Nursing and Physician Services
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Potential for harm · D February 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 13, 2024 · Pharmacy Service
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Potential for harm · E February 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 13, 2024 · Nutrition and Dietary
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Potential for harm · E February 23, 2024 · 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 13, 2024 · Nursing and Physician Services
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Potential for harm · E February 23, 2024 · 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 13, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 385141 · certified since October 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.