Village Health Care
3955 Se 182nd Avenue · Gresham, OR · 97030 · 5036650183
106 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 4.73 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $4,225 |
Inspection citations (40 in the current record)
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Potential for harm · D February 4, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 1, 2025 · Quality of Life and Care
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Actual harm · G May 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Give residents a notice of rights, rules, services and charges.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Ensure each resident receives an accurate assessment.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 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
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Potential for harm · D February 3, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 3, 2025
Provide activities to meet all resident's needs.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 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
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Potential for harm · D February 3, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · E February 3, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 21, 2025 · Nursing and Physician Services
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Potential for harm · E February 3, 2025
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 March 21, 2025 · Nursing and Physician Services
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Potential for harm · D February 3, 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
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Potential for harm · D February 3, 2025
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 March 21, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 21, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $4,225 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385068 · certified since April 3, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.