Fairlawn Health And Rehabilitation Of Cascadia
FAIRLAWN HEALTH AND REHABILITATION OF CASCADIA in GRESHAM, OR — inspection on March 27, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
residents at risk for inadequate nutritional intake.
Findings include:
Review of the 12/2025, 1/2026
including hot food served cold.Resident 36 was admitted to the facility in 2/2026 with a diagnoses including sepsis (body's extreme response to an infection damaging tissue and organs) and nutritional deficiency.A 2/12/26 admission MDS assessed Resident 36 as cognitively intact. Resident 69 was admitted to the facility in 3/2026 with a diagnoses including occlusion and stenosis of the left posterior cerebral artery (condition where the main vessel supplies blood to the brain).A 3/9/25 admission MDS assessed Resident 69 as cognitively intact.Resident 90 was admitted to the facility 3/2026 with a diagnoses including a fractured tibia (shinbone).A 3/18/26 admission MDS assessed Resident 90 as cognitively intact.On 3/23/26 at 11:17 AM Resident 36 expressed concerns that her/his food was always served cold.On 3/23/26 at 11:52 AM Resident 69 stated her/his food was delivered cold. On 3/25/26 at 12:54 PM Staff 16 (CNA) stated the resident plates were often served without plate warmers and she usually needed to re-heat the meals for residents.On 3/26/26 at 8:32 AM Resident 90's tray was observed to be delivered to her/his room with no plate warmer.On 3/26/26 at 8:34 AM observation of Resident 36's food was delivered to her/his room with no plate warmer. Resident 36 stated her/his food was cold. Resident 36 was observed to request a CNA to re-heat the food.On 3/26/26 at 8:50 AM Resident 90 stated the meal plate was delivered without a plate warmer and the food was often served cold.On 3/25/26 at 12:54 PM Staff 16 (CNA) stated the residents' food was often cold, plates were often served without plate warmers and she usually needed to re-heat the meals for residents.On 3/26/26 at 10:02 AM Staff 6 (Prep Cook) stated the facility used the plate warmers to ensure residents were served meals at appetizing temperatures in the hallways.
Staff 6 confirmed the kitchen did not have enough plate warmers to serve all the residents in the hallways.On 3/26/26 at 10:07 AM Staff 3 (Dietary Manager) acknowledged the kitchen used plate warmers to keep the residents' meals at an appetizing temperature when served in the hallways.
Staff 3 stated she was unaware the kitchen did not have enough plate warmers to serve all the residents in the hallways. On 3/26/26 at 3:51 PM Staff 1 (Administrator) acknowledged she expected the residents to be served meals at an appetizing temperature and she was unaware the facility did not have enough to provide each resident with plate warmers at meals.
sanitizing dishes and dishware.On 3/27/26 at 10:00 AM, Staff 4 (Assistant Dietary Manager) verified
385133 03/27/2026
Fairlawn Health and Rehab of Cascadia 3457 NE Division Street Gresham, OR 97030
at 1:43 PM facility staff were observed to have provided high contact care to the residents in room
On 3/24/26 at 1:30 PM Staff 11 (CNA) confirmed she had not worn a gown because she did not know
had not noticed it.
On 3/24/26 at 1:46 PM Staff 12 (Restorative Aide) confirmed she had not worn a gown because she did not believe the resident was on EBP.
On 3/24/26 at 3:37 PM Staff 13 (LPN Care Manager) stated PPE would only be needed if the staff was working directly with the gastrostomy tube or wound but after reviewing the CCD EBP sign, she confirmed PPE would be required when providing all high contact care, not just when providing care with the indwelling medical device or wound.
On 3/25/26 at 3:42 PM Staff 9 (Infection Preventionist/LPN) confirmed staff were required to wear PPE as outlined on the signage posted outside of the room when providing high contract cares since the residents in this room had an indwelling medical device and wounds. c. On 3/26/26 at 10:05 AM Staff 15 (CNA) was observed in room [ROOM NUMBER] assisting a resident with compression stocking and sock donning for both lower extremities while wearing only gloves. A sign directly outside room [ROOM NUMBER] indicated enhanced barrier precautions (EBP) were to be followed when direct contact care was provided including dressing.
On 3/26/26 at 10:09 AM Staff 15 stated she provided lower body dressing care for the resident in room [ROOM NUMBER] without a gown.
Staff 15 stated she was instructed to wear a gown only when she cleaned and touched an area near a wound or opening for a resident on EBP.
Staff 15 stated gloves were all that were required when other direct contact care was provided.
On 3/26/26 at 10:22 AM Staff 9 (Infection Preventionist/LPN) confirmed EBP were to be followed when any direct contact care was provided to the resident in room [ROOM NUMBER], including socks and compression stockings donning.
385133 03/27/2026
Fairlawn Health and Rehab of Cascadia 3457 NE Division Street Gresham, OR 97030
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.