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Nursing HomeMedicaid Investigative

Portland Health & Rehabilitation Center

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

12441 Se Stark Street, Southeast Portland · Portland, OR 97233105 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 42 Google reviews

5
4
3
2
1
Portland Health & Rehabilitation Center Nursing Home in Portland, OR — Street View
Street View

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3/ 10
moderate 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)
  • Above-median deficiencies (17 vs median 9.0)

Below average in OR · Meets national RN staffing standard · Above recommended total nurse staffing · $24,827 in fines

Source: Medicare data

What this means for your family

While the facility has a dedicated activities team and some highly compassionate individual staff members, the recurring reports of severe understaffing and safety failures are concerning. If you consider this facility, you must be physically present to monitor care, as multiple families reported that call lights go unanswered and basic hygiene needs are frequently neglected.

Google Reviews

Google Reviews

42 reviews on Google
Portland Health & Rehabilitation Center receives highly polarized feedback, with some families praising the compassionate care and dedicated staff, while others report severe neglect and systemic issues. Common criticisms include significant understaffing, long wait times for call lights, poor communication, and concerns regarding basic hygiene and medical oversight. Prospective families should be aware that experiences appear highly inconsistent, ranging from excellent rehab support to distressing reports of patient safety failures.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean3.0Activities8.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Dedicated and compassionate individual staff members
  • Effective physical and occupational therapy services
  • Strong activities programming
  • Supportive environment for some long-term residents

Concerns

  • Severe understaffing leading to long response times for call lights (mentioned by 7 reviewers)
  • Poor communication and disorganization during shift changes (mentioned by 3 reviewers)
  • Inadequate hygiene and failure to assist with basic needs (e.g., changing briefs) (mentioned by 4 reviewers)
  • Lack of medical oversight and slow response to urgent health issues (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(2)'18(3)'20(1)'22(5)'24(6)'26(4)

Distribution · 46 analyzed

5
15
4
6
3
3
2
3
1
19

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very active calendar; could you walk me through how you encourage residents to participate in the daily activities?
  • 2With the current staffing levels, what is the standard protocol for responding to call lights, and how do you ensure timely assistance for basic hygiene needs?
  • 3I see that you are active in responding to feedback online; how do you use that input to improve communication between families and the nursing team during shift changes?
  • 4Given the recent health inspection reports, what specific steps is the facility taking to improve oversight and address the identified areas for improvement?
  • 5How is the medical team structured to ensure that urgent health concerns are identified and addressed quickly, especially during nights and weekends?
  • 6Could you explain how your team coordinates medication management to ensure accuracy and consistency for residents?

Personalized based on this facility's data


Key Review Excerpts

My father had to physically call 911 for help because no one came to check on him when he had fallen on the floor with the door closed to his room and no attendant to check on him for hours.

Long-term resident's family · 2024☆☆☆☆

The professional staff at Portland Health and Rehab is excellent — both skilled nursing and physical/occupational/speech therapy. A special shout out to the activities director, Dakota, as well.

Long-term resident's family · 2021★★★★

They have the normal issues with the call light, but not because people are sitting around, its because they are understaffed. They call me all the time if anything at all happens.

Long-term resident's family · 2025★★★★★
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.86hrs
OK
Registered nurses for medical care
Total Nursing
4.54hrs
OK
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
47%
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 · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
15.5%
OR
14.0%
Multnomah
14.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.7%
Mixed vs Avgs
Here
4.7%
US
12.1%
OR
4.9%
Multnomah
4.2%

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 Facility12.6%
Mixed vs Avgs
Here
12.6%
US
19.5%
OR
12.5%
Multnomah
12.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Multnomah
94.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
14.4%
OR
15.3%
Multnomah
15.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility16.3%
Mixed vs Avgs
Here
16.3%
US
15.3%
OR
22.5%
Multnomah
21.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Better than Avg
Here
91.3%
US
81.8%
OR
85.5%
Multnomah
84.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.7%
Better than Avg
Here
85.7%
US
79.8%
OR
81.2%
Multnomah
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OR
1.5%
Multnomah
2.0%
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)
19 complaint-triggered
$24,827 in fines

Families have filed multiple complaints triggering inspections, indicating ongoing concerns that warrant careful consideration. The facility shows recurring issues with nursing staffing, care plan development, and safety oversight spanning multiple surveys. While all deficiencies appear corrected, the pattern of repeated problems in essential care areas like treatment delivery, accident prevention, and nursing supervision suggests systemic challenges that families should investigate thoroughly before choosing this facility.

Feb 27, 2026Routine
16
0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0576Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Feb 27, 2026Complaint
5
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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.

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.

Jul 11, 2025Complaint
2
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

Oct 29, 2024Routine
11
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 29, 2024Complaint
5
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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.

Mar 21, 2024Complaint
1
0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Federal Penalties

Fine

Oct 29, 2024

$24,827

Ownership & Operations

Who Operates This Facility

Owner / Operator

Portland 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 29 of 41

Ownership & Management

Owners

Pacific Northwest Snf Operations Holdings (or) LLC

Owner · Organization

Portland Snf Operations LLC

Owner · Organization

Ch Pacific Northwest Holdings LLC

Owner (parent company) · Organization

Pacific Northwest Snf Operations Holdings LLC

Owner (parent company) · Organization

Witzcorp Global LLC

Owner (parent company) · Organization

Herzka, Yisroel

Owner (parent company)

Yenowitz, Yitzchok

Owner (parent company)

Key personnel

Cepeda, MyleneManaging Control - Governing BodyOdenthal, JasonManaging Control - Governing BodyCouve Financial Services LLCManagerCouve Healthcare Consulting LLCManagerOregon Snf Consulting LLC (de)Manager
Source: Medicare provider data

Contact

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References & Resources

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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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