Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
MILTON FREEWATER HEALTH AND REHABILITATION
MILTON FREEWATER, OR · 70 certified beds · Last Life Safety survey January 15, 2026
CMS Certification Number 385161 · first certified January 1984
Ownership
Operated by EVERGREEN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed August 31, 2023 (change of ownership)to MILTON FREEWATER HEALTH & REHABILITATION CENTER from EVERGREEN OREGON HEALTHCARE ORCHARDS REHABILITATION, L.L.C.
Position within OR
10 citations — more than 40% 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 1 citation; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was January 2026. 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)
1 physical-environment citation 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 10 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 | 10 |
| Median facility in OR | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 7, 2023 | 7 |
| June 28, 2024 | 2 |
| January 15, 2026 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2024-06-28 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-04-07 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2026-01-15 |
| K-0711 | Provide a written emergency evacuation plan. | 1 | 2023-04-07 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2024-06-28 |
| K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | 1 | 2023-04-07 |
| K-0912 | Have power receptacles that are properly grounded. | 1 | 2023-04-07 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-04-07 |
What the citations cover
- Miscellaneous Deficiencies 3
- Smoke Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Services Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 3 |
| Smoke Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 15, 2026 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 10, 2026) |
June 28, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (August 12, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (August 12, 2024) |
April 7, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0711 | Provide a written emergency evacuation plan. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (May 22, 2023) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (May 22, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.