Willamette View Health Center
Milwaukie · 0.2 mi · 6 beds
Citations0Substantiated0
Fernwood Supportive Living at Madrona Grove
13505 SE RIVER ROAD, Portland, OR, 97222
Nursing home16 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Fernwood Supportive Living at Madrona Grove in Portland, Oregon at its most recent standard inspection on 2025-08-07. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
16certified beds
11deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.20
Potential for minimal harmThe least serious band.0
Most recentFEEEDDDDDDDDDDKJDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · F0887 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · F0699 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-08-07 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-08-06 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2024-04-19 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2024-04-19 · standard survey · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2023-02-13 · standard survey · Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2023-02-13 · standard survey · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-02-13 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-02-13 · standard survey · No actual harm, potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · F0727 · 2023-02-13 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-02-13 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS6.29064
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Stanley Post Acute
Milwaukie · 2.5 mi · 96 beds
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Avamere Rehabilitation of Clackamas
Gladstone · 4.1 mi · 87 beds
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Pearl at Kruse Way, the
Lake Oswego · 4.5 mi · 74 beds
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The Creston Health & Rehabilitation
Portland · 4.6 mi · 100 beds
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Reedwood Post Acute
Portland · 4.9 mi · 64 beds
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Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 38A031.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction