Cascade Terrace Post Acute, Portland, Oregon
- 46
- Citations from health inspectionsOregon average: 34 a home
- 4
- Residents harmed or put in dangerOregon average: 1.5 a home
- $185,923
- Fines from the federal governmentOregon average: $27,522 a home
- 1 out of 5
- Overall rating in starsOregon average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Seven inspection visits produced 46 citations. Residents were in immediate danger in three findings. Residents were found hurt in one case. Federal fines came to $185,923 (two fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 4 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 4.69 hours each dayThe Oregon average is 5.03 hours
- Time from registered nurses
- 0.56 hours each dayThe Oregon average is 0.72 hours
- Nursing staff who left during one year
- 47.1%against the Oregon average of 47.4%
- Beds that are certified
- 105
- Ownership
- Limited Liability company (for profit)
- Chain
- Pacs Group, with 275 homes
- Street address
- 5601 Se 122nd Avenue, Portland, Oregon 97236
- County
- Multnomah
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Three citations dated Feb. 18, 2026
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Dec. 26, 2025
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 6, 2025
- F757 Unnecessary Drugs: residents were harmed, one or a few residents, found on a complaint visit.
17 citations dated April 28, 2025
- F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, widespread.
- F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
Two citations dated Jan. 23, 2025
18 citations dated Jan. 31, 2024
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F847 Right to Refuse Binding Arbitration: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: immediate danger to residents, one or a few residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Dec. 16, 2022
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 28, 2025 | Fine | $149,783 |
| Jan. 31, 2024 | Fine | $36,140 |
Ownership and Management of the Home
- The direct 100% owner is Portland 5601 Realty LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 385187. Other homes in Portland.