Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LA GRANDE POST ACUTE REHAB
LA GRANDE, OR · 76 certified beds · Last Life Safety survey February 13, 2025
CMS Certification Number 385211 · first certified November 1989
Ownership
Operated by EVERGREEN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed August 31, 2023 (change of ownership)to LA GRANDE POST ACUTE REHABILITATION from EVERGREEN OREGON HEALTHCARE MOUNTAIN VISTA LLC
Position within OR
9 citations — more than 32% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten OR facilities have been surveyed. This facility’s last Life Safety survey was February 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index
- F-0584 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.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in OR | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 21, 2022 | 2 |
| October 6, 2023 | 3 |
| February 13, 2025 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0271 | Have exits that are accessible at all times. | 2 | 2023-10-06 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2025-02-13 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2022-10-21 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2023-10-06 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2025-02-13 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-02-13 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2025-02-13 |
What the citations cover
- Miscellaneous Deficiencies 3
- Egress Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
February 13, 2025 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (February 26, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 28, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 14, 2025) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (February 26, 2025) |
October 6, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (November 17, 2023) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (November 17, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (November 17, 2023) |
October 21, 2022 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (November 18, 2022) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 18, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.