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Nursing HomeMedicaid Investigative

Evan Terrace Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

421 Se Evans Street, Mcminnville, OR 9712896 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 22 Google reviews

5
4
3
2
1
Evan Terrace Post Acute Nursing Home in Mcminnville, OR — Street View
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6/ 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 (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (21 vs median 9.0)
  • High staff turnover (61%)
  • High RN turnover (90%)

Below average in OR · Critically understaffed (RN) · Above recommended total nurse staffing · Below chain average · $25,116 in fines

Source: Medicare data

What this means for your family

While the activities department and facility cleanliness are clear highlights, the recurring reports of medication delays and neglect are critical red flags. If you consider this facility, perform unannounced visits during meal times and weekends to verify that staff are providing timely assistance with basic needs and pain management.

Google Reviews

Google Reviews

22 reviews on Google
Evan Terrace Post Acute receives highly polarized feedback, with some residents praising the activities department and staff friendliness, while others report severe neglect and safety concerns. Families frequently express frustration over delayed pain medication, poor responsiveness to call lights, and inconsistent assistance with basic needs like feeding and hygiene.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean7.0Activities9.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Engaging and active activities department
  • Convenient location with community atmosphere
  • Some staff members noted as compassionate and professional

Concerns

  • Delayed or missed pain medication administration (mentioned by 4 reviewers)
  • Slow response times to call lights and requests for assistance (mentioned by 3 reviewers)
  • Inadequate assistance with meals and basic daily living needs (mentioned by 3 reviewers)
  • Poor communication and dismissive attitude from staff toward families (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02024(2)3.32025(11)2.92026(17)

Distribution · 30 analyzed

5
14
4
2
3
1
2
1
1
12

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your activities department; could you tell us more about the types of engaging programs available for residents?
  • 2What specific protocols do you have in place to ensure that medications are administered accurately and on a strict schedule?
  • 3How does the nursing team manage call lights and response times during the night shifts to ensure residents aren't waiting long for assistance?
  • 4Could you describe the process for communicating daily updates or changes in health status to family members?
  • 5How does the staff assist residents during meal times to ensure everyone is getting the help they need with eating?
  • 6In the event of a sudden medical emergency, what is the immediate procedure for coordinating care between the facility and outside doctors?

Personalized based on this facility's data


Key Review Excerpts

The nurses and caregivers are not only professional but truly compassionate—they treated my loved one with dignity and kindness every step of the way.

Family member · 2025★★★★★

We have shown up during her meal times and the staff have not cut up her meat or assisted her in any way. In fact, she is in bed every time we show up at various times of the day.

Family member · 2026☆☆☆☆

My mom is located in this rehab and has been waiting on her nurse so use the bathroom for and hour and a half . Im on the phone with her and you can hear the nurses yelling at the patients.

Family member · 2025☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
4.65hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
67%
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
3/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility81.0%
Worse than Avg
Here
81.0%
US
93.4%
OR
95.3%
Yamhill
97.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility4.6%
Better than Avg
Here
4.6%
US
19.5%
OR
12.5%
Yamhill
12.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.0%
Worse than Avg
Here
30.0%
US
19.4%
OR
22.1%
Yamhill
23.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.1%
Worse than Avg
Here
89.1%
US
95.5%
OR
95.2%
Yamhill
96.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.5%
OR
14.0%
Yamhill
15.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.1%
Mixed vs Avgs
Here
11.1%
US
12.1%
OR
4.9%
Yamhill
6.0%

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 Facility53.7%
Worse than Avg
Here
53.7%
US
81.8%
OR
85.5%
Yamhill
74.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.2%
Mixed vs Avgs
Here
77.2%
US
79.8%
OR
81.2%
Yamhill
71.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
OR
1.5%
Yamhill
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
1penalties
Well above state avg (10.4)
37 complaint-triggered
$25,116 in fines

Evan Terrace Post Acute has significant care concerns, with 36 complaints filed by families triggering investigations across multiple areas. Recurring issues include treatment and care quality, care planning problems, medication management, and wound care deficiencies. While all violations show correction dates, the persistent pattern of complaints and repeated deficiencies in critical care areas suggests ongoing quality concerns that warrant careful consideration.

Mar 16, 2026Complaint
1
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 18, 2025Complaint
1
0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Jun 16, 2025Complaint
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Jun 9, 2025Routine
15
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jun 9, 2025Complaint
3
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · 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.

Mar 4, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jun 9, 2025

$25,116

Ownership & Operations

Who Operates This Facility

Owner / Operator

Evan Terrace Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

280 facilities nationwide

Chain avg rating: 2.9/5 · Rank 151 of 260

Ownership & Management

Key personnel

Truist Bank5% or Greater Security InterestApt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / DirectorProvidence Administrative Consulting Services INCManager
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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