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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 34th out of 92 homes in Oregon. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 54% State avg: 41m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 37m per day | ▼ 82% State avg: 3h 22m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 45m per day | ▲ 8% State avg: 4h 23m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 4m per day | ▼ 85% State avg: 26m per day · National avg: 28m per day |
Higher than the Oregon average: 65.7%East Cascade Retirement Community is administrated by Michael Bell.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 31 | This facility has 32% fewer total deficiencies than a typical Oregon nursing home (21 vs. OR avg 31).↓ 32% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 5.3 | 7.8 | This facility has 32% fewer deficiencies per year than a typical Oregon nursing home (5.3 vs. OR avg 7.8).↓ 32% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.3 | 4.4 | This facility has 20% more deficiencies per inspection than a typical Oregon nursing home (5.3 vs. OR avg 4.4).↑ 20% worse |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 7 | This facility has 43% fewer total inspections than a typical Oregon nursing home (4 vs. OR avg 7).↓ 43% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 18, 2025, included deficiencies related to initial comments and documentation. Earlier inspections showed a pattern of issues involving food sanitation, medication security, staffing and training, wound care, and resident services documentation. Prior reports noted failures in maintaining a safe environment, proper medication management, and timely medical notifications, with some deficiencies corrected over time but others persisting. Complaint investigations were not substantiated, and enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, with some improvement in food sanitation but recurring issues in care coordination and staffing.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOregon average 5.1
Last Health inspection on Oct 2024
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 37 citations resulted from standard inspections; 1 of 37 resulted from complaint investigations; and 14 of 37 came from combined inspections (standard and complaint).
100% better than Oregon averageOregon average: 0.5
150% worse than Oregon averageOregon average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% better than Oregon average
0% compared with Oregon average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,068 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 12 | 19 | 31 | 6,071 | 92 | 100% | 9.9 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,581 | 91 | 99% | 9.2 |
| Registered Nurse | 5 | 0 | 5 | 1,501 | 92 | 100% | 9.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 862 | 79 | 86% | 6.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 473 | 64 | 70% | 7.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 95 | 63 | 68% | 1.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 90 | 12 | 13% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 45 | 24 | 26% | 1.7 |
| Qualified Social Worker | 0 | 2 | 2 | 14 | 12 | 13% | 1.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 6 | 7% | 2.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 9 | 4 | 4% | 2.2 |
| Medical Director | 0 | 1 | 1 | 7 | 14 | 15% | 0.5 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
17% higher than Oregon averageOregon average: $60K
41% fewer fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 30, 2023 · $70K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.1
42% better than Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.4
17% better than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
42% better than Oregon averageOregon average: 16.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
12% worse than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
6.6%
In line with Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
6.8%
229% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
8.2%
55% worse than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
27.3%
106% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
In line with Oregon averageOregon average: 95.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
In line with Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
21% worse than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.5%
11% better than Oregon averageOregon average: 81.2%
Rate of successful return to home or community from a skilled nursing facility.
41.3%
18% worse than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
45% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
16Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for East Cascade Retirement Community based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 88Payroll — State benchmarkedThis home is ranked 78th out of 88 homes in Oregon. Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Madras's city center to East Cascade Retirement Community's address, calculated via Google Maps.
Add your location
East Cascade Retirement Community is located in MADRAS, Oregon.
Here are the financial assistance programs available to residents in Oregon.
East Cascade Retirement Community has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to OR state health department records, East Cascade Retirement Community's license number is 70M212.
East Cascade Retirement Community's occupancy is 74%.
The team at East Cascade Retirement Community can be reached at [email protected].
Michael Bell is the administrator of East Cascade Retirement Community.
East Cascade Retirement Community has 48 beds.
East Cascade Retirement Community has had 21 recently reported deficiencies.
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