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Complaint Investigation

Gracelen Care Center

August 28, 2025 · Portland, OR · 10948 S.e. Boise
Citations 1
CMS Rating 1/5
Beds 80
Provider ID 38E188
Healthcare Facility
Gracelen Care Center
Portland, OR  ·  View full profile →
Inspection Summary

GRACELEN CARE CENTER in PORTLAND, OR — inspection on August 28, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

resident was sent to the hospital and had surgery for a hip fracture. On 8/28/25 at 11:09 AM Staff 4 (Maintenance Director) stated the shower gurney used in Resident 1's 1/11/25 fall was a new piece of equipment and was different from the other shower chairs used in the facility. He stated he inspected the shower gurney after the incident and observed the medal pin was not locked in the pin bar which was necessary for safety.

Staff 4 immediately removed the shower gurney from the facility, education was provided, and he was unaware of any other falls from equipment in disrepair or misused.

Observations were made of the facility's shower chairs and gurneys on 8/28/25 at 11:14 AM with Staff 4.

Staff 4 demonstrated the shower equipment movements and how to place them in locked position. No shower equipment was found in disrepair. On 8/28/25 at 11:40 AM Staff 2 (DNS) confirmed Resident 1's 1/11/25 fall in the shower resulted in hospitalization and hip surgery.

Staff 2 confirmed she completed the 1/17/25 investigation which concluded the fall was due to staff not properly securing the shower gurney.

She expected all staff to use the shower equipment properly and all parts should be locked while providing a shower. On 1/17/25, the Past Noncompliance was corrected when the facility completed a root cause analysis of the incident and determined staff was not trained for the proper use of the new shower gurney.

The Plan of Correction included: 1.

Staff educated on shower equipment use. 2.

The new shower gurney was removed from the facility until staff were trained and competency was demonstrated. 3.

The Maintenance Director inspected all the shower equipment to ensure safety. 4. If new shower equipment was purchased, which was different than current shower equipment used, the Maintenance Director would conduct training prior to the use of the new equipment. 5.

The Maintenance Director conducts monthly inspection of all shower equipment.

The facility's implementation of corrective actions was verified through the survey process.

Observations conducted throughout the facility on 8/28/25 revealed no concerns with use of shower equipment.

Facility ID:

38E188

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PORTLAND, OR, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRACELEN CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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