F56

FRENCH PRAIRIE NURSING & REHABILITATION CENTER

Grade F 56/100 composite score

For profit - Limited Liability companySFF Candidate

CMS Star Ratings

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

Certified Beds

80

Ownership

For profit - Limited Liability company

Total Fines

$102,802

Last Survey

N/A

601 EVERGREEN ROAD, WOODBURN, OR 97071
5039820111

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.46h
LPN
0.89h
CNA
3.21h
Total
4.56h
Facility
State Average

Turnover Rates

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

Ownership

PAC 12 OPCO HOLDCO LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2023

100%

KNOX HEALTHCARE PAC 12 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

PAC 12 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

PAC 12 PINNACLE HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

HAGAR, CHAIM

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

HAGLER, ALEXANDER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

KNOX, DONALD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

SCHWARTZ, ELIEZER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2023

VOLARE HEALTH LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

KNOX, DONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

MORRIS, CHRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

REECE, CURTIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

SCHWARTZ, ELIEZER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

KNOX, DONALD

IndividualCORPORATE OFFICERSince Mar 2023

SMITH, BRIAN

IndividualCORPORATE OFFICERSince Mar 2023

EVERGREEN ESTATES PROPCO LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Mar 2023

Penalties & Fines (2)

$102,802total fines
DateTypeDescriptionAmount
Apr 28, 2025Fine$54,909
Feb 12, 2024Fine$47,893

Health Inspection Deficiencies (55)

November 24, 2025Health6 deficiencies
0835FMinimal harm, Widespread

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Jan 8, 2026
0725FMinimal harm, Widespread

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 Jan 8, 2026
0838FMinimal harm, Widespread

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Administration Deficiencies

Corrected Jan 8, 2026
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jan 8, 2026
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 8, 2026
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 8, 2026
April 28, 2025Health12 deficiencies1 severe
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected May 26, 2025
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected May 26, 2025
0880LImmediate jeopardy, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 26, 2025
0725FMinimal harm, Widespread

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 May 26, 2025
0730FMinimal harm, Widespread

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

Nursing and Physician Services Deficiencies

Corrected May 26, 2025
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected May 26, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 26, 2025
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected May 26, 2025
0727FMinimal harm, Widespread

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 May 26, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected May 26, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected May 26, 2025
0770DMinimal harm, Isolated

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected May 26, 2025
February 20, 2025Health1 deficiency
0559DMinimal harm, Isolated

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Resident Rights Deficiencies

Corrected Mar 11, 2025
October 31, 2024Health3 deficiencies
0600DMinimal harm, Isolated

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 Dec 13, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 13, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 13, 2024
February 23, 2024Health1 deficiency1 severe
0689JImmediate jeopardy, 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 Feb 28, 2024
February 12, 2024Health22 deficiencies1 severe
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 2, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0725FMinimal harm, Widespread

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 Apr 2, 2024
0732EMinimal harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Apr 2, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Apr 2, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 2, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Apr 2, 2024
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 2, 2024
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 Apr 2, 2024
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Apr 2, 2024
0727FMinimal harm, Widespread

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 Apr 2, 2024
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 Apr 2, 2024
0757GActual harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Apr 2, 2024
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 Apr 2, 2024
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 Apr 2, 2024
0770DMinimal harm, Isolated

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Apr 2, 2024
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 2, 2024
0842EMinimal harm, Pattern

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 Apr 2, 2024
September 12, 2023Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 16, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 16, 2023
December 7, 2022Health8 deficiencies
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 Jan 23, 2023
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jan 23, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 23, 2023
0578EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jan 23, 2023
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 Jan 23, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 23, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 23, 2023
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Jan 23, 2023

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Frequently Asked Questions

What is the CareGrader rating for FRENCH PRAIRIE NURSING & REHABILITATION CENTER?

FRENCH PRAIRIE NURSING & REHABILITATION CENTER in WOODBURN, Oregon has a CareGrader grade of F (Poor), with a composite score of 55.8 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 FRENCH PRAIRIE NURSING & REHABILITATION CENTER?

FRENCH PRAIRIE NURSING & REHABILITATION CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FRENCH PRAIRIE NURSING & REHABILITATION CENTER have?

FRENCH PRAIRIE NURSING & REHABILITATION CENTER has 55 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 FRENCH PRAIRIE NURSING & REHABILITATION CENTER been fined?

Yes. FRENCH PRAIRIE NURSING & REHABILITATION CENTER has $102,802 in total fines from CMS enforcement actions across 2 penalties.

How many beds does FRENCH PRAIRIE NURSING & REHABILITATION CENTER have?

FRENCH PRAIRIE NURSING & REHABILITATION CENTER has 80 certified beds with approximately 54 current residents (68% occupancy). The facility is located at 601 EVERGREEN ROAD, WOODBURN, Oregon 97071. 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.