Occupancy rate
74%
In line with Oregon averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living in Oregon
CMS overall rating
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.
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.
East Cascade Retirement Community
Assisted Living in Oregon
CMS overall rating
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.
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.
East Cascade Retirement Community
East Cascade Retirement Community is located in Madras, Oregon. It offers Independent Living, Assisted Living, Dementia & Memory Care, and Skilled Nursing. The community provides a home-like environment with meals, housekeeping, and maintenance included.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
48
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74%
Residents per day (avg)
18
Occupancy rate
74%
Residents per day (avg)
18
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
25% of new residents, often for short stays.
Typical stay
4 years
Medicaid
45% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.8M
Profit
$136.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.8M
Profit
$136.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.7M
48-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
27 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Oregon averageOccupied beds
36 / 48
Average residents
55 per day
Facility TypeAssisted Living Facility
StatusActive
IssuanceApril 6, 1999
CountyJefferson
License Number70M212
CMS Certification Number385181
AccreditationsAHCA/NCAL National Quality Award at the Bronze Level
East Cascade Retirement Community is administrated by Michael Bell.
Owner NameEast Cascade Retirement Community, LLC
Emergency SystemsYes
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Email
[email protected]
Emergency Call System
Family Style Dining
Housekeeping
Maintenance
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Skilled Nursing
Operating HoursMonday – Friday 8:00am – 5:00pm
Food DescriptionDining room featuring family style dining with home cooked meals.
Inspection History
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.
4 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
January 6, 2025
21 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Oregon average: 27 citations
43 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Oregon average: 31 deficiencies
Inspection Report Summary for East Cascade Retirement Community
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.
Health Inspection History
Inspections
Total health inspections
4
State average 5.1
Last Health inspection on Oct 2024
Total health citations
37
State average 34
Citations per inspection
9.25
State 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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than State averageState average: 0.5
Serious Health citations
3
3
150% worse than State averageState average: 1.2
0 critical citations
3 serious citations
34 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 09, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 09, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 09, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 09, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 11, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jun 30, 2023
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Jun 30, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Oregon The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
Filter by care type
| Brookdale Forest Grove |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Forest Grove (Forest Grove) | 110 | Yes | 74 | - | 46 | - | - | 10 | 51 | Brookdale Senior Living Communities, Inc | Victor Lanna |
| East Cascade Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Madras | 96 | No | - | - | 27 | 74.0% | - | 4 | 43 | - | Michael Bell |
| Brookdale Rose Valley Scappoose |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Scappoose (Scappoose) | 79 | No | 46 | - | 48 | - | A+ | 10 | 35 | Emeritus Corporation | Nina Claussen |
| Brookdale McMinnville Town Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Mcminnville | 15 | No | 54 | - | 27 | - | - | 4 | 13 | - | April Reinhart |
| Nightingale Care Homes |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | The Dalles | 5 Residents | No | 0 | Private Rooms | - | - | - | 0 | 0 | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
73
Employees
35
Contractors
38
Staff to resident ratio
4.56:1
56% better than Oregon averageOregon average ratio: 2.92:1
Avg staff/day
16
Average shift
7.9 hours
0% compared with Oregon averageOregon average: 7.8 hours
Total staff hours (quarter)
11,465
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
38
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11%
1,257 contractor hours this quarter
Certified Nursing Assistant: 21
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 4
Licensed Practical Nurse: 3
Occupational Therapy Aide: 1
Medical Director: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 17 | 21 | 38 | 5,109 | 91 | 100% | 10.3 |
| Licensed Practical Nurse | 5 | 3 | 8 | 1,511 | 87 | 96% | 8.3 |
| Registered Nurse | 5 | 0 | 5 | 1,296 | 91 | 100% | 9.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 954 | 85 | 93% | 9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 890 | 77 | 85% | 7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 420 | 60 | 66% | 7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 93 | 62 | 68% | 1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 80 | 23 | 25% | 3.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 45 | 31 | 34% | 1.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 8 | 9% | 1.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 7 | 2 | 2% | 3.7 |
| Medical Director | 0 | 1 | 1 | 7 | 13 | 14% | 0.5 |
38 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
96%
5 Registered Nurse
% of Days
100%
2 Nurse Aide in Training
% of Days
93%
2 Other Dietary Services Staff
% of Days
85%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
68%
1 Dental Services Staff
% of Days
66%
6 Respiratory Therapy Technician
% of Days
68%
1 Occupational Therapy Aide
% of Days
25%
4 Physical Therapy Assistant
% of Days
34%
1 Clinical Nurse Specialist
% of Days
3%
1 Occupational Therapy Assistant
% of Days
9%
1 Speech Language Pathologist
% of Days
2%
1 Medical Director
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
16
Medicare
1
6.3% of residents
Medicaid
14
87.5% of residents
Private pay or other
1
6.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.1
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.4
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
42% better than Oregon averageOregon average: 16.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Oregon averageOregon average: 2.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
In line with Oregon averageOregon average: 6.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.8%
Percent of long-stay residents with a urinary tract infection
6.8%
229% worse than Oregon averageOregon average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
55% worse than Oregon averageOregon average: 5.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oregon averageOregon average: 4.6%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.3%
Percent of long-stay residents who received an antipsychotic medication
27.3%
106% worse than Oregon averageOregon average: 13.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
In line with Oregon averageOregon average: 95.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.1%
In line with Oregon averageOregon average: 86.2%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
21% worse than Oregon averageOregon average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.5%
11% better than Oregon averageOregon average: 81.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$70K
17% higher than Oregon averageOregon average: $60K
Number of fines
1
41% fewer fines than Oregon averageOregon average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$70K
Oregon average
$60K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2023
$70K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for East Cascade Retirement Community based on CMS SNF Cost Reports.
Occupancy Rate
74.0%
Net Income
$136.8K
Total Payroll
$3.2M
Profit Margin
2.2%
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