Cascade Terrace Post Acute
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 56 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 114 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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
10
measures
3
measures
4
measures
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint3
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nov 6, 2025Complaint1
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Apr 28, 2025Complaint1
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, 2025Routine21
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Jan 23, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
Cascade Terrace Post Acute
for profit
Chain Affiliation
Pacs Group
279 facilities nationwide
Chain avg rating: 2.9/5 · Rank 249 of 260 (Worst)
Ownership & Management
Owners
Portland 5601 Realty LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
56 reviews from families & visitors
Official Website
Visit cascadeterracepa.com
Medicare data downloads
Original nursing home datasets
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