Stanley Post Acute
12045 Se Stanley Avenue · Milwaukie, OR · 97222 · 5036592323
96 certified beds For profit - Limited Liability company Chain: Pacs Group
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
65% 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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 4.39 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (32 in the current record)
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Actual harm · G February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D September 5, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · D September 5, 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 October 15, 2025 · Resident Rights
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Potential for harm · D September 5, 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 October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 5, 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 October 15, 2025 · Pharmacy Service
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Potential for harm · D September 5, 2025
Provide or obtain dental services for each resident.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · E September 5, 2025
Provide and implement an infection prevention and control program.
Corrected October 15, 2025 · Infection Control
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Potential for harm · D August 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D February 14, 2025 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected March 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 12, 2025 · Quality of Life and Care
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Potential for harm · D May 20, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 3, 2024 · Resident Rights
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Potential for harm · D May 20, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 25, 2024 · Resident Rights
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Potential for harm · D May 20, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 25, 2024 · Resident Rights
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Potential for harm · E May 20, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D May 20, 2024 · found via complaint
Provide appropriate foot care.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D May 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D May 20, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D May 20, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · E May 20, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected June 25, 2024 · Nursing and Physician Services
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Potential for harm · D May 20, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D May 20, 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 June 25, 2024 · Pharmacy Service
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Potential for harm · D May 20, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2023
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 April 26, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2026 | Fine | $12,735 |
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 385270 · certified since October 18, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.