Laurelhurst Post Acute & Rehabilitation
LAURELHURST POST ACUTE & REHABILITATION in PORTLAND, OR — inspection on November 4, 2025.
Found 2 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
involving Resident 303 occurred.
Staff 2 stated it was her expectation Resident 303's needs and preferences were honored.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/04/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Laurelhurst Post Acute & Rehabilitation
3060 SE Stark Street Portland, OR 97214
SUMMARY STATEMENT OF DEFICIENCIES
10/24/25 but was not approved until 10/27/25.On 10/30/25 at 9:40 AM Staff 23 (Dietary Manager) stated she was responsible for ordering Medpass 2.0 and confirmed there was a delay in administrative approval for the order she submitted on 10/24/25.
She stated this delay resulted in the supplement being unavailable for Resident 305 on 10/25/25, 10/26/25 and 10/27/27.On 10/31/25 at 10:29 AM Staff 27 (LPN) stated the Medpass 2.0 supplement was unavailable just about every day since the transition of ownership.
Staff 27 stated she checked throughout the facility to locate a supply, but it is usually not available. On 11/3/25 at 2:02 PM Staff 2 (DNS) stated the 9 notation on the MAR indicated the Medpass 2.0 supplement was not available.
Staff 2 confirmed Resident 305 did not receive Medpass 2.0 as ordered on 10/25/25, 10/26/25 and 10/27/25.4. Resident 308 was admitted to the facility in 9/2014 with diagnoses including dysphagia (difficulty swallowing) and hemiplegia (loss of motor function on one side of the body).A physician order from 8/15/23 included 118 ml of Medpass 2.0, a nutritional supplement, to be provided to Resident 308 three times a day between meals.A 10/1/15 cognitive assessment determined Resident 308 had normal cognitive function.
Review of the 10/2025 MAR revealed 9, which indicated the medication was unavailable, was entered on 10/24/25, 10/25/25, 10/26/25 and 10/27/25 for Medpass 2.0.On 10/30/25 at 9:40 AM Staff 23 (Dietary Manager) stated she was responsible for ordering Medpass 2.0 and confirmed there was a delay in administrative approval for the order she submitted on 10/24/25.
She stated this delay resulted in the supplement being unavailable for Resident 305 on 10/24/25, 10/25/25, 10/26/25 and 10/27/27.On 10/31/25 at 10:29 AM Staff 27 (LPN) stated the Medpass 2.0 supplement was unavailable just about every day since the transition of ownership.
Staff 27 stated she checked throughout the facility to locate a supply, but it is usually not available. On 11/3/25 at 1:53 PM Resident 308 stated she/he did not recall receiving a nutritional supplement on 10/24/25, 10/25/25, 10/26/25 and 10/27/25.On 11/3/25 at 2:02 PM Staff 2 (DNS) stated the 9 notation on the MAR indicated the Medpass 2.0 supplement was not available.
Staff 2 confirmed Resident 308 did not receive Medpass 2.0 as ordered on 10/24/25, 10/25/25, 10/26/25 and 10/27/25.
Facility ID:
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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.