Oregon Care Center

501 Monroe · Oregon, MO · 64473 · 6604463355

60 certified beds For profit - Limited Liability company Chain: Prime Healthcare Management

  • No federal fines or payment denials in CMS’s 3-year window.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

77% 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 57
Serious harm & abuse 20% 100
Staffing 20% 46
Federal penalties 15% 100
Trend 10% 60
Context 5% 75

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.073.48 min · 4.1 strong
RN hours / resident-day0.370.55–0.75
Weekend hours / resident-day2.79≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)none

Inspection citations (19 in the current record)

  • Potential for harm · E December 4, 2025

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

    Corrected January 22, 2026 · Resident Rights

  • Potential for harm · E December 4, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected January 22, 2026 · Resident Rights

  • Potential for harm · E December 4, 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 January 22, 2026 · Resident Rights

  • Potential for harm · D December 4, 2025

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

    Corrected January 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 4, 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 January 22, 2026 · Pharmacy Service

  • Potential for harm · D December 4, 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 January 22, 2026 · Pharmacy Service

  • Potential for harm · E December 4, 2025

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

    Corrected January 22, 2026 · Nutrition and Dietary

  • Potential for harm · D February 6, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 21, 2024

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

    Corrected January 8, 2025 · Quality of Life and Care

  • Potential for harm · F November 21, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected January 8, 2025 · Nutrition and Dietary

  • Potential for harm · D November 21, 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 November 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 21, 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 September 16, 2024 · Pharmacy Service

  • Potential for harm · E August 21, 2024 · found via complaint

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

    Corrected September 16, 2024 · Nutrition and Dietary

  • Potential for harm · D August 2, 2024 · 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 August 9, 2024 · Nursing and Physician Services

  • Potential for harm · D September 29, 2022

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected November 11, 2022 · Resident Rights

  • Potential for harm · D September 29, 2022

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected November 11, 2022 · Resident Rights

  • Potential for harm · D September 29, 2022

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected November 11, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 29, 2022

    Ensure each resident receives an accurate assessment.

    Corrected November 11, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 29, 2022

    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 November 11, 2022 · Pharmacy Service

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 265629 · certified since February 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.