The Dalles Health and Rehabilitation

1023 W. 25th Street · The Dalles, OR · 97058 · 5412985158

121 certified beds For profit - Corporation Chain: Evergreen Healthcare Group

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 82
Staffing 20% 89
Federal penalties 15% 100
Trend 10% 39
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: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.913.48 min · 4.1 strong
RN hours / resident-day0.960.55–0.75
Weekend hours / resident-day4.36≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Actual harm · G April 27, 2026 · found via complaint

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

    Past Non-Compliance · Quality of Life and Care

  • Actual harm · G December 20, 2024 · found via complaint

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

    Corrected August 3, 2024 · Quality of Life and Care

  • Potential for harm · D December 20, 2024 · found via complaint

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

    Corrected January 21, 2025 · Quality of Life and Care

  • Potential for harm · E December 20, 2024 · found via complaint

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

    Corrected January 21, 2025 · Nursing and Physician Services

  • Potential for harm · D December 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 January 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 17, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected February 21, 2024 · Resident Rights

  • Potential for harm · D October 5, 2023 · found via complaint

    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 November 10, 2023 · Resident Rights

  • Potential for harm · D October 5, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected November 10, 2023 · Resident Rights

  • Potential for harm · E October 5, 2023 · 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 November 10, 2023 · Resident Rights

  • Potential for harm · D October 5, 2023 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected November 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 5, 2023 · found via complaint

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

    Corrected November 10, 2023 · Quality of Life and Care

  • Potential for harm · D October 5, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 10, 2023 · Resident Assessment and Care Planning

  • Actual harm · G July 15, 2022

    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 August 24, 2022 · Quality of Life and Care

  • Potential for harm · E July 15, 2022

    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 August 24, 2022 · Resident Rights

  • Potential for harm · D July 15, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 24, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

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

    Corrected August 24, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 24, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

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

    Corrected August 24, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

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

    Corrected August 24, 2022 · Pharmacy Service

  • Potential for harm · D July 15, 2022

    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 August 24, 2022 · Pharmacy Service

  • Potential for harm · D July 15, 2022

    Provide or obtain dental services for each resident.

    Corrected August 24, 2022 · Quality of Life and Care

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385172 · certified since July 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.