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Nursing HomeMedicaid

Milton Freewater Health & Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

120 Elzora Street, Milton Freewater, OR 9786270 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 7 Google reviews

5
4
3
2
1

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What this means for your family

While the facility has a history of providing clean, attentive care, the recent allegations regarding understaffing and administrative transparency are concerning. Before choosing this facility, we strongly recommend asking management directly about their current staffing ratios and their protocol for reporting and investigating resident safety incidents.

Google Reviews

Google Reviews

7 reviews on Google
Milton Freewater Health & Rehabilitation Center receives highly polarized feedback, with long-term praise for staff kindness and facility cleanliness contrasted by recent, serious allegations of understaffing and administrative misconduct. While families of former patients report positive rehab experiences, recent reviewers have raised significant concerns regarding resident safety and management transparency.

Quality Themes

Tap a score for details
Food8.0Staff5.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Kind and attentive nursing staff
  • Clean and odor-free environment
  • Effective rehabilitation therapy programs
  • Supportive communication during patient stays

Concerns

  • Understaffing leading to resident safety incidents (mentioned by 2 reviewers)
  • Difficulty reaching staff via telephone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.72021(3)1.02025(2)3.02026(2)

Distribution · 7 analyzed

5
3
4
1
3
0
2
0
1
3

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations?
  • 2Given that staffing levels are a high priority for your facility, what specific protocols do you have in place to ensure residents are closely monitored throughout the evening and night shifts?
  • 3With your rehabilitation therapy programs being a noted strength, how do you integrate those sessions into a resident's daily schedule to ensure they stay active and engaged?
  • 4We understand that staying connected is important; what is the best way for family members to reach the nursing team directly if they have urgent questions about their loved one's care?
  • 5Could you walk us through your current process for addressing health inspection findings and how you are working to enhance those specific areas of care?
  • 6What measures are in place to ensure that communication between the medical staff and family members remains consistent and proactive?

Personalized based on this facility's data


Key Review Excerpts

I was blown away with how loving and attendant they were with mom! I've never been to a home like this that, is clean and smells are never an issue!!!!

Long-term resident's family · 2026★★★★★

Apparently they were understaffed and a resident was hurt needlessly, and the Executive director and the Director of Nursing tried to cover it up?

Concerned observer · 2025☆☆☆☆

Nurses not always answer us back but kind especial lead nurse. Mom like her the best. Hard to call on phone and leave message.

Rehab patient's family · 2021★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.20hrs
OK
Registered nurses for medical care
Total Nursing
5.90hrs
OK
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
OR
4.9%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
19.5%
OR
12.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.6%
Better than Avg
Here
15.6%
US
19.4%
OR
22.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.5%
OR
14.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
OR
95.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
OR
5.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility60.6%
Worse than Avg
Here
60.6%
US
79.8%
OR
81.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.6%
Better than Avg
Here
88.6%
US
81.8%
OR
85.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OR
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (10.4)
8 complaint-triggered
$8,278 in fines

This facility has faced recurring serious concerns, with 11 complaint-triggered deficiencies indicating families have filed reports about care issues. The most frequent problems involve resident safety and protection from abuse, medication management, and care planning assessment. Issues with abuse protection and inappropriate care have persisted across multiple surveys from 2023 to 2025, suggesting ongoing challenges in fundamental resident safety and quality care delivery.

Jan 15, 2026Routine
4
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jan 15, 2026Complaint
2
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0684Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Aug 7, 2025Complaint
4
0689Actual 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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 28, 2024Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 28, 2024Routine
8
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Apr 7, 2023Routine
16
0111Potential for harm · WidespreadCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0842Potential for harm · PatternCorrected

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.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Federal Penalties

Fine

Aug 7, 2025

$8,278

Ownership & Operations

Who Operates This Facility

Owner / Operator

Milton Freewater Health & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Evergreen Healthcare Group

Chain Size

43 facilities nationwide

Chain avg rating: 2.3/5 · Rank 12 of 41

Ownership & Management

Owners

Milton Freewater Snf Operations, LLC

Owner · Organization

Pacific Northwest 12 Leased Operations Holdings LLC

Owner · Organization

Ch Pnw 12 Holdings LLC

Owner (parent company) · Organization

Couve Financial Services LLC

Owner (parent company) · Organization

Couve Healthcare Consulting LLC

Owner (parent company) · Organization

Freewater Oregon LLC

Owner (parent company) · Organization

Pnw 12 Opco Management LLC

Owner (parent company) · Organization

Pnw 12 Snf Consulting LLC

Owner (parent company) · Organization

Witzcorp Pnw 12 LLC

Owner (parent company) · Organization

Ashby, William

Owner (parent company)

Chambers, Randy

Owner (parent company)

Herzka, Yisroel

Owner (parent company)

Hyde, Deidre

Owner (parent company)

Odenthal, Jason

Owner (parent company)

Spielman, Shimon

Owner (parent company)

Yenowitz, Yitzchok

Owner (parent company)

Key personnel

Odenthal, JasonManaging Control - Governing BodyCouve Financial Services LLCManagerCouve Healthcare Consulting LLCManagerMilton Freewater Snf Operations, LLCManagerPnw 12 Opco Management LLCManager
Source: Medicare provider data

Contact

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References & Resources

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