D70

EAST CASCADE RETIREMENT COMMUNITY

Grade D 70/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

20

Ownership

For profit - Limited Liability company

Total Fines

$69,901

Last Survey

N/A

175 NE 16TH STREET, MADRAS, OR 97741
5414752273

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.30h
LPN
0.00h
CNA
0.57h
Total
0.87h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BROWNOR ENTERPRISES INC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

6%

CDK, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

32%

GILL FAMILY TRUST

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

9%

BRAAKSMA, JUDY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2022

7%

BROWN, JANA

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

BUNZA, GEOFFREY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

6%

JUDY, RONALD

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2022

7%

MASON, CHRISTIAN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

9%

NG, KELVIN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

5%

NG, PETER

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2007

8%

AIDAN HEALTH SERVICES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2020

REMLEY, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2020

REMLEY, MARK

IndividualCONTRACTED MANAGING EMPLOYEESince Nov 2020

Penalties & Fines (1)

$69,901total fines
DateTypeDescriptionAmount
Jun 30, 2023Fine$69,901

Health Inspection Deficiencies (37)

October 9, 2024Health2 deficiencies
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Nov 1, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Nov 1, 2024
July 11, 2024Health1 deficiency
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 2, 2024
June 30, 2023Health14 deficiencies1 severe
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 10, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 10, 2023
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jul 19, 2023
0727EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Aug 10, 2023
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Aug 10, 2023
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Sep 27, 2022
0924EMinimal harm, Pattern

Put firmly secured handrails on each side of hallways.

Environmental Deficiencies

Corrected Aug 10, 2023
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 10, 2023
0691DMinimal harm, Isolated

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 10, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 10, 2023
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 10, 2023
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Aug 10, 2023
0803DMinimal harm, Isolated

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Aug 10, 2023
0808DMinimal harm, Isolated

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Nutrition and Dietary Deficiencies

Corrected Aug 10, 2023
May 6, 2022Health20 deficiencies2 severe
0600EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 25, 2022
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 25, 2022
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0686GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2022
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jun 25, 2022
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Jun 25, 2022
0888EMinimal harm, Pattern

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Jun 25, 2022
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Jun 25, 2022
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 25, 2022
0636DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 25, 2022
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0710DMinimal harm, Isolated

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies

Corrected Jun 25, 2022
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jun 25, 2022
0825DMinimal harm, Isolated

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies

Corrected Jun 25, 2022
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 25, 2022
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Jun 25, 2022

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Frequently Asked Questions

What is the CareGrader rating for EAST CASCADE RETIREMENT COMMUNITY?

EAST CASCADE RETIREMENT COMMUNITY in MADRAS, Oregon has a CareGrader grade of D (Below Average), with a composite score of 69.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for EAST CASCADE RETIREMENT COMMUNITY?

EAST CASCADE RETIREMENT COMMUNITY has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does EAST CASCADE RETIREMENT COMMUNITY have?

EAST CASCADE RETIREMENT COMMUNITY has 37 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has EAST CASCADE RETIREMENT COMMUNITY been fined?

Yes. EAST CASCADE RETIREMENT COMMUNITY has $69,901 in total fines from CMS enforcement actions across 1 penalty.

How many beds does EAST CASCADE RETIREMENT COMMUNITY have?

EAST CASCADE RETIREMENT COMMUNITY has 20 certified beds with approximately 19 current residents (95% occupancy). The facility is located at 175 NE 16TH STREET, MADRAS, Oregon 97741. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.