3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operated by Brownor Enterprises Inc. , East Cascade Retirement Community is a nursing home in Madras, Oregon. Its Walk Score of 79 makes it easy for visiting family members to get around the surrounding neighborhood on foot. The 48-bed home has been serving the local community for 27 years, so it has a long track record of serving the community.
It accepts Medicare, Medicaid, and private pay, giving families several ways to cover short-term rehabilitation and longer-term nursing care. The community has an occupancy rate of 74%, and residents stay an average of 111 days.
Nurse staffing averages 5 hours and 16 minutes of nursing care each day. This includes 1 hour and 18 minutes of registered nurse care, 3 hours and 59 minutes of nurse aide support, and 1 hour and 2 minutes of licensed practical nurse care. The staffing structure provides consistent coverage for residents throughout the day.
Rehabilitation services are a major focus of the home. These services support residents recovering from surgery, stroke, illness, or a hospital stay who need therapy and nursing care during recovery. The facility also has 24-hour staffing, so support is available at any time of day or night for immediate needs.
Dining is offered in a family-style setting with home-cooked meals rather than a more institutional dining experience. This creates a comfortable and familiar atmosphere for residents and their families.
State inspections have focused on areas such as food storage, food preparation, sanitation practices, environmental requirements, and facility maintenance. The home has worked on these areas and has improved over time.
The community has emergency call systems, housekeeping, and maintenance services to support daily living. Families considering East Cascade Retirement Community should take a tour to learn more about the home’s culture and daily routines.
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 84 homes in Oregon for nurse hours. 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.
| 1h 18m per day | ▲ 91% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 15% State avg: 54m per day · National avg: 52m 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.
| 3h 59m per day | ▲ 18% 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.
| 5h 18m per day | ▲ 21% 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.
| 4m per day | ▼ 25% 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.
| 48m per day | ▲ 84% State avg: 26m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
East Cascade Retirement Community is administered 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, deficiency, 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.
| 43 | 31 | This facility has 39% more total deficiencies than a typical Oregon nursing home (43 vs. OR avg 31).↑ 39% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 8.6 | 4.4 | This facility has 95% more deficiencies per inspection than a typical Oregon nursing home (8.6 vs. OR avg 4.4).↑ 95% worse |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 7 | This facility has had 29% fewer total inspections than the Oregon average (5 vs. OR avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 29% fewer |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 5.1
Last Health inspection on Oct 2024
State average 34
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).
100% better than State averageState average: 0.5
150% worse than State averageState average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% more staff per resident 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.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
31 total: 12 full-time employees and 19 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
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 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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 from 2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #75 / 80Payroll — State benchmarkedThis home is ranked 75th out of 80 homes in Oregon for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Oregon that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #32 / 80Payroll % — State benchmarkedThis home is ranked 32nd out of 80 homes in Oregon for payroll %. Shows payroll as a percentage of revenue versus the Oregon average. Well-run Oregon facilities typically land around 48–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Oregon that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (45% of admissions), and a typical Medicaid stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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
Info below is compiled from CMS reports & the OR Dept. of Human Services (ODHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Marquis Forest Grove Post Acute Rehab | NH HOS RC SNF | Forest Grove | 63
Facility
63
OR AVG
67
Rank
#169 / 351 |
64.3%
Facility
64.3%
OR AVG
73.5
Rank
#53 / 70 | -13% | 5.74
Facility
5.74
OR AVG
5.24
Rank
#14 / 84 | +16% | +10% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 85 | 8
Facility
8
OR AVG
34.0
Rank
#2 / 79 | 2.0
Facility
2.0
OR AVG
6.9
Rank
#1 / 79 | - | 41 | - |
85
Facility
85
OR AVG
55
Rank
#53 / 475 | Deborah Dooley | $7.7MFiscal year ending 12/2023
Facility
$7.7MFiscal year ending 12/2023
OR AVG
$12.6M
Rank
#51 / 80 | $4.0MFiscal year ending 12/2023
Facility
$4.0MFiscal year ending 12/2023
OR AVG
$4.5M
Rank
#55 / 80 | 52.3%Fiscal year ending 12/2023
Facility
52.3%Fiscal year ending 12/2023
OR AVG
38%
Rank
#44 / 80 | 385204 | ||||
| Timberline Post Acute | NH HOS PC SNF | Sw Albany | 67
Facility
67
OR AVG
67
Rank
#155 / 351 |
88.1%
Facility
88.1%
OR AVG
73.5
Rank
#13 / 70 | +20% | 4.67
Facility
4.67
OR AVG
5.24
Rank
#65 / 84 | -34% | -11% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 85 | 15
Facility
15
OR AVG
34.0
Rank
#11 / 79 | 5.0
Facility
5.0
OR AVG
6.9
Rank
#28 / 79 | - | 59 | - |
73
Facility
73
OR AVG
55
Rank
#135 / 475 | - | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
OR AVG
$12.6M
Rank
#22 / 80 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
OR AVG
$4.5M
Rank
#33 / 80 | 47.2%Fiscal year ending 12/2023
Facility
47.2%Fiscal year ending 12/2023
OR AVG
38%
Rank
#72 / 80 | 385107 | ||||
| Regency Prineville Rehabilitation and Nursing Center | NH RC SNF | Prineville | 44
Facility
44
OR AVG
67
Rank
#256 / 351 |
65.0%
Facility
65.0%
OR AVG
73.5
Rank
#52 / 70 | -12% | 5.55
Facility
5.55
OR AVG
5.24
Rank
#23 / 84 | -46% | +6% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 85 | 13
Facility
13
OR AVG
34.0
Rank
#9 / 79 | 3.3
Facility
3.3
OR AVG
6.9
Rank
#4 / 79 | - | 29 | - |
64
Facility
64
OR AVG
55
Rank
#193 / 475 | - | $5.9MFiscal year ending 12/2023
Facility
$5.9MFiscal year ending 12/2023
OR AVG
$12.6M
Rank
#75 / 80 | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
OR AVG
$4.5M
Rank
#69 / 80 | 57.3%Fiscal year ending 12/2023
Facility
57.3%Fiscal year ending 12/2023
OR AVG
38%
Rank
#15 / 80 | 385261 | ||||
| Marquis Tualatin Post Acute Rehab | NH HOS RC SNF | Tualatin (Sherwood - Tualatin South) | 54
Facility
54
OR AVG
67
Rank
#212 / 351 |
79.8%
Facility
79.8%
OR AVG
73.5
Rank
#29 / 70 | +9% | 5.28
Facility
5.28
OR AVG
5.24
Rank
#34 / 84 | +105% | +1% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 85 | 12
Facility
12
OR AVG
34.0
Rank
#7 / 79 | 4.0
Facility
4.0
OR AVG
6.9
Rank
#11 / 79 | - | 43 | - |
11
Facility
11
OR AVG
55
Rank
#440 / 475 | - | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
OR AVG
$12.6M
Rank
#10 / 80 | $5.6MFiscal year ending 12/2023
Facility
$5.6MFiscal year ending 12/2023
OR AVG
$4.5M
Rank
#16 / 80 | 41.8%Fiscal year ending 12/2023
Facility
41.8%Fiscal year ending 12/2023
OR AVG
38%
Rank
#74 / 80 | 385279 | ||||
| East Cascade Retirement Community | NH AL IL MC SNF | Madras | 48
Facility
48
OR AVG
67
Rank
#237 / 351 | - | - | 5.26
Facility
5.26
OR AVG
5.24
Rank
#34 / 84 | -1% | 0% | $69.9k
Facility
$69.9k
OR AVG
$62.3k
Rank
#74 / 85 | 37
Facility
37
OR AVG
34.0
Rank
#45 / 79 | 9.3
Facility
9.3
OR AVG
6.9
Rank
#64 / 79 | 3 | 17 | - |
79
Facility
79
OR AVG
55
Rank
#93 / 475 | Brownor Enterprises Inc | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
OR AVG
$12.6M
Rank
#71 / 80 | $3.2MFiscal year ending 12/2023
Facility
$3.2MFiscal year ending 12/2023
OR AVG
$4.5M
Rank
#75 / 80 | 52.2%Fiscal year ending 12/2023
Facility
52.2%Fiscal year ending 12/2023
OR AVG
38%
Rank
#32 / 80 | 385181 |
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 74.0%.
East Cascade Retirement Community has been operating for approximately 27 years, based on available licensing and registration records.
No, East Cascade Retirement Community has a no-pet policy.
The team at East Cascade Retirement Community can be reached at michaelb@eastcascade.com.
East Cascade Retirement Community is registered as a for-profit in OR.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
