PRESTIGE POST-ACUTE & REHAB CENTER - MILWAUKIE

πŸ“ 12045 SE STANLEY AVENUE, milwaukie, OR 97222 πŸ“ž 5036592323 πŸ›οΈ 96 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

132
Total Violations
9 years of data
$44,616
Total Fines
4 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0661 D Feb 14, 2025

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Mar 12, 2025
Tag 0684 D Feb 14, 2025

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

βœ“ Corrected: Mar 12, 2025

2024 14 violations

Tag 0550 D May 20, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 20, 2024
Tag 0554 D May 20, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jun 25, 2024
Tag 0557 D May 20, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Jun 25, 2024
Tag 0636 E May 20, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Jun 25, 2024
Tag 0655 D May 20, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jun 25, 2024
Tag 0684 D May 20, 2024

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

βœ“ Corrected: Jun 25, 2024
Tag 0687 D May 20, 2024

Provide appropriate foot care.

βœ“ Corrected: Jun 25, 2024
Tag 0689 D May 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 25, 2024
Tag 0695 D May 20, 2024

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jun 25, 2024
Tag 0697 D May 20, 2024

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jun 25, 2024
Tag 0730 E May 20, 2024

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

βœ“ Corrected: Jun 25, 2024
Tag 0742 D May 20, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

βœ“ Corrected: Jun 25, 2024
Tag 0761 D May 20, 2024

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.

βœ“ Corrected: Jun 25, 2024
Tag 0842 D May 20, 2024

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

βœ“ Corrected: Jun 25, 2024

2023 8 violations

Tag 0578 D Mar 27, 2023

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.

βœ“ Corrected: Apr 26, 2023
Tag 0637 D Mar 27, 2023

Assess the resident when there is a significant change in condition

βœ“ Corrected: Apr 26, 2023
Tag 0645 D Mar 27, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Apr 26, 2023
Tag 0656 D Mar 27, 2023

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

βœ“ Corrected: Apr 26, 2023
Tag 0740 D Mar 27, 2023

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

βœ“ Corrected: Apr 26, 2023
Tag 0760 D Mar 27, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 26, 2023
Tag 0801 D Mar 27, 2023

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.

βœ“ Corrected: Apr 26, 2023
Tag 0812 D Mar 27, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 26, 2023

2022 25 violations

Tag 0554 D Nov 9, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

Tag 0600 D Nov 9, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 14, 2022
Tag 0610 D Nov 9, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Dec 14, 2022
Tag 0636 D Nov 9, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Dec 14, 2022
Tag 0686 D Nov 9, 2022

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

βœ“ Corrected: Dec 14, 2022
Tag 0760 D Nov 9, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Dec 14, 2022
Tag 0550 D Feb 23, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 6, 2022
Tag 0558 D Feb 23, 2022

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Apr 6, 2022
Tag 0565 E Feb 23, 2022

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Apr 6, 2022
Tag 0636 D Feb 23, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Apr 6, 2022
Tag 0658 D Feb 23, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 6, 2022
Tag 0677 E Feb 23, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 6, 2022
Tag 0679 E Feb 23, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Apr 6, 2022
Tag 0684 J Feb 23, 2022

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

βœ“ Corrected: Apr 27, 2022
Tag 0686 D Feb 23, 2022

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

βœ“ Corrected: Apr 6, 2022
Tag 0688 D Feb 23, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Apr 6, 2022
Tag 0689 D Feb 23, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 6, 2022
Tag 0692 D Feb 23, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Apr 6, 2022
Tag 0725 E Feb 23, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Apr 6, 2022
Tag 0727 E Feb 23, 2022

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.

βœ“ Corrected: Apr 6, 2022

2021 10 violations

Tag 0550 D Jul 9, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Aug 24, 2021
Tag 0551 D Jul 9, 2021

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Aug 24, 2021
Tag 0552 D Jul 9, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Aug 24, 2021
Tag 0580 D Jul 9, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Aug 24, 2021
Tag 0585 E Jul 9, 2021

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.

βœ“ Corrected: Aug 24, 2021
Tag 0600 E Jul 9, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Aug 24, 2021
Tag 0677 E Jul 9, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 24, 2021
Tag 0725 E Jul 9, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Aug 24, 2021
Tag 0600 D Jan 28, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 26, 2021
Tag 0610 D Jan 28, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 26, 2021

2020 2 violations

Tag 0684 D Oct 1, 2020

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

βœ“ Corrected: Oct 30, 2020
Tag 0689 D Oct 1, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 30, 2020

2019 36 violations

Tag 0550 D Dec 16, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 20, 2020
Tag 0558 D Dec 16, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jan 20, 2020
Tag 0584 D Dec 16, 2019

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.

βœ“ Corrected: Jan 20, 2020
Tag 0602 E Dec 16, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

βœ“ Corrected: Jan 20, 2020
Tag 0610 E Dec 16, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Jan 20, 2020
Tag 0658 E Dec 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 20, 2020
Tag 0684 E Dec 16, 2019

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

βœ“ Corrected: Feb 24, 2020
Tag 0686 G Dec 16, 2019

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

βœ“ Corrected: Jan 20, 2020
Tag 0695 D Dec 16, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 20, 2020
Tag 0697 G Dec 16, 2019

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 20, 2020
Tag 0698 D Dec 16, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jan 20, 2020
Tag 0725 F Dec 16, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jan 20, 2020
Tag 0730 F Dec 16, 2019

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

βœ“ Corrected: Jan 20, 2020
Tag 0732 C Dec 16, 2019

Post nurse staffing information every day.

βœ“ Corrected: Jan 20, 2020
Tag 0755 E Dec 16, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 20, 2020
Tag 0759 D Dec 16, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jan 20, 2020
Tag 0761 E Dec 16, 2019

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.

βœ“ Corrected: Jan 20, 2020
Tag 0773 D Dec 16, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Jan 20, 2020
Tag 0835 E Dec 16, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Jan 20, 2020
Tag 0867 E Dec 16, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Feb 24, 2020

2018 17 violations

Tag 0559 D Sep 13, 2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

βœ“ Corrected: Oct 24, 2018
Tag 0660 D Sep 13, 2018

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Oct 24, 2018
Tag 0661 D Sep 13, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

βœ“ Corrected: Oct 24, 2018
Tag 0689 E Sep 13, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 24, 2018
Tag 0743 G Sep 13, 2018

Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.

βœ“ Corrected: Oct 24, 2018
Tag 0842 D Sep 13, 2018

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

βœ“ Corrected: Oct 24, 2018
Tag 0582 D Apr 13, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: May 23, 2018
Tag 0636 D Apr 13, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: May 23, 2018
Tag 0655 D Apr 13, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: May 23, 2018
Tag 0695 D Apr 13, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: May 23, 2018
Tag 0732 D Apr 13, 2018

Post nurse staffing information every day.

βœ“ Corrected: May 23, 2018
Tag 0758 D Apr 13, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 23, 2018
Tag 0880 D Apr 13, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 23, 2018
Tag 0580 D Jan 25, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 23, 2018
Tag 0610 D Jan 25, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 23, 2018
Tag 0676 D Jan 25, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Feb 23, 2018
Tag 0689 D Jan 25, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 23, 2018

2017 18 violations

Tag 0314 D Jul 21, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Aug 14, 2017
Tag 0154 D Feb 27, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Apr 10, 2017
Tag 0155 D Feb 27, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

βœ“ Corrected: Apr 10, 2017
Tag 0157 D Feb 27, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 10, 2017
Tag 0248 E Feb 27, 2017

Provide activities to meet the interests and needs of each resident.

βœ“ Corrected: Apr 10, 2017
Tag 0252 D Feb 27, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

βœ“ Corrected: Apr 10, 2017
Tag 0272 D Feb 27, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Apr 10, 2017
Tag 0273 D Feb 27, 2017

Assess in a timely manner the resident when the resident enters the nursing home.

βœ“ Corrected: Apr 10, 2017
Tag 0278 D Feb 27, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Apr 10, 2017
Tag 0279 D Feb 27, 2017

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

βœ“ Corrected: Apr 10, 2017
Tag 0280 D Feb 27, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Apr 10, 2017
Tag 0309 D Feb 27, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Apr 10, 2017
Tag 0312 D Feb 27, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Apr 10, 2017
Tag 0325 D Feb 27, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Apr 10, 2017
Tag 0329 D Feb 27, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Apr 10, 2017
Tag 0354 F Feb 27, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

βœ“ Corrected: Apr 10, 2017
Tag 0464 E Feb 27, 2017

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

βœ“ Corrected: Apr 10, 2017
Tag 0516 F Feb 27, 2017

Keep clinical record information safe.

βœ“ Corrected: Apr 10, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $26,241

$26,241
Fine
February 23, 2022
Average: $26,241 | Range: $26,241 - $26,241

2021 1 penalties totaling $650

$650
Fine
December 6, 2021
Average: $650 | Range: $650 - $650

2019 1 penalties totaling $11,225

$11,225
Fine
December 16, 2019
Average: $11,225 | Range: $11,225 - $11,225

2018 1 penalties totaling $6,500

$6,500
Fine
September 13, 2018
Average: $6,500 | Range: $6,500 - $6,500

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 20, 2024
0.00

Health

March 27, 2023
0.00

Health

November 9, 2022
0.00

Health

February 23, 2022
0.00

Health

July 9, 2021
0.00

Health

January 28, 2021
0.00

Health

December 16, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
385270
385270
5036592323
Clackamas

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual