Senior Care Records.

Gracelen Care Center

10948 S.E. BOISE, Portland, OR, 97266

Nursing home80 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 13 deficiencies against Gracelen Care Center in Portland, Oregon at its most recent standard inspection on 2025-07-25, 5 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
80certified beds
13deficiencies at the last inspection
1immediate-jeopardy findings on record
9actual-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.1
Actual harmA resident was harmed, but not placed in immediate danger.9
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.48
Potential for minimal harmThe least serious band.0
Most recent

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.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · F0842 · 2026-05-13 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · 2026-03-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-10-20 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2025-10-20 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · 2025-08-28 · from a complaint · Actual harm to a resident

G

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 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

F

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 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

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 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · F0761 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-07-25 · standard survey · No actual harm, potential for more than minimal harm

D

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 · 2024-12-19 · from a complaint · No actual harm, potential for more than minimal harm

D

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies · F0622 · 2024-12-19 · from a complaint · No actual harm, potential for more than minimal harm

D

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies · F0801 · 2024-04-08 · standard survey · No actual harm, potential for more than minimal harm

F

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies · F0726 · 2024-04-08 · standard survey · No actual harm, potential for more than minimal harm

E

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies · F0730 · 2024-04-08 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-04-08 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies · F0947 · 2024-04-08 · standard survey · No actual harm, potential for more than minimal harm

E
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 below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS4.51671
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Gracelen Care Center a question

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What is needed

Gracelen Care Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 5037601727 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 38E188.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction