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Nursing HomeMedicaid Investigative

Cascade Terrace Post Acute

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

5601 Se 122nd Avenue, Southeast Portland · Portland, OR 97236105 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 56 Google reviews

5
4
3
2
1
Cascade Terrace Post Acute Nursing Home in Portland, OR — Street View
Street View

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (19 vs median 9.0)
  • High staff turnover (52%)
  • High RN turnover (67%)

Bottom 25% in OR · Below recommended RN staffing · Above recommended total nurse staffing · Worst in PACS GROUP chain · $185,923 in fines

Source: Medicare data

What this means for your family

Cascade Terrace has a highly regarded therapy department that can be excellent for post-surgical recovery. However, families should be aware of significant, recurring complaints regarding facility cleanliness, food quality, and responsiveness to call lights. We strongly recommend an unannounced visit to tour the facility and observe the environment firsthand before making a decision.

Google Reviews

Google Reviews

56 reviews on Google
Cascade Terrace Post Acute receives highly polarized feedback, with many families praising the dedicated therapy team and compassionate nursing staff, while others report severe concerns regarding cleanliness, food quality, and communication. Recent reviews suggest a divide between those who had successful rehabilitation stays and those who experienced significant neglect or administrative failures. Prospective families should be aware that while the therapy department is frequently highlighted as a strength, there are recurring reports of poor facility hygiene and inconsistent responsiveness.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean3.0ActivitiesN/AMeds4.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly effective and encouraging physical therapy team
  • Compassionate and attentive nursing/CNA staff
  • Recent management and program improvements
  • Successful post-surgery rehabilitation outcomes

Concerns

  • Poor food quality and temperature (mentioned by 8 reviewers)
  • Slow or non-existent response to call lights (mentioned by 4 reviewers)
  • Lack of cleanliness and unsanitary conditions (mentioned by 4 reviewers)
  • Poor communication and administrative follow-through (mentioned by 5 reviewers)
  • Understaffing leading to delayed care (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(2)'17(4)'19(8)'21(2)'23(6)'25(46)'26(7)

Distribution · 114 analyzed

5
63
4
8
3
4
2
7
1
32

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about your physical therapy team; how do you tailor their rehabilitation programs to help residents recover after surgery?
  • 2What specific steps has the new management team taken recently to improve the dining experience and ensure meals are served at the right temperature?
  • 3How does the nursing staff ensure that call lights are answered promptly, especially during busy shifts or when the facility is at full capacity?
  • 4Could you walk me through your protocols for medication management and how you ensure there are no lapses in care?
  • 5What is your process for maintaining cleanliness in the resident rooms and common areas to ensure a sanitary environment?
  • 6How does the administration keep families updated on a loved one's progress, and what is the best way for us to reach you with questions?

Personalized based on this facility's data


Key Review Excerpts

The therapy team here is amazing. Working with Jenny was great I’m only a week and a half post knee replacement surgery and they’re helping me so much and they’re so positive and so patient.

Rehab patient · 2025★★★★★

My Dad was here for 2 months post surgery. His care was top notch. The members of the therapy staff were responsible for the success of his rehab.

Long-term resident's family · 2025★★★★★

I was admitted on a Friday and wasn't seen by PT until the following Monday for a PT evaluation. I was discharged by Emanuel hospital with my limitations and safety needs. I was left over the weekend without a walker.

Rehab patient · 2025☆☆☆☆
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
74%
Registered nurses for medical care
Total Nursing
4.65hrs
OK
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
14.4%
OR
15.3%
Multnomah
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Multnomah
93.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.5%
Mixed vs Avgs
Here
13.5%
US
19.5%
OR
12.5%
Multnomah
11.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
5.3%
OR
5.0%
Multnomah
5.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.7%
Mixed vs Avgs
Here
19.7%
US
15.3%
OR
22.5%
Multnomah
21.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.2%
Mixed vs Avgs
Here
8.2%
US
12.1%
OR
4.9%
Multnomah
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
OR
85.5%
Multnomah
83.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
79.7%
OR
81.2%
Multnomah
80.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
OR
1.5%
Multnomah
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
2penalties
Well above state avg (10.4)
25 complaint-triggered
$185,923 in fines

This facility has a concerning pattern with 22 complaint-triggered deficiencies, indicating families have filed multiple reports about care issues. Recurring problems include safety hazards, medication management, and nursing staff adequacy that persist across surveys from 2022 through 2025. While the facility corrects violations when cited, the repeated nature of safety and staffing concerns suggests ongoing challenges with consistent quality care.

Feb 18, 2026Complaint
3
0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Dec 26, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 6, 2025Complaint
1
0757Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

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

Apr 28, 2025Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 28, 2025Routine
21
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0944Potential for harm · WidespreadCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jan 23, 2025Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Apr 28, 2025

$149,783

Fine

Jan 31, 2024

$36,140

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cascade Terrace Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 249 of 260 (Worst)

Ownership & Management

Owners

Portland 5601 Realty LLC

Owner · Organization

100%

Key personnel

Apt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / DirectorApt, FrederickManagerEpp, BlakeManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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