Elder Care Record

Oregon › Clackamas County › Portland

Fernwood Supportive Living At Madrona Grove

13505 Se River Road, Portland, OR 97222

CCN 38A031 · Non-profit, corporation · 16 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Fernwood Supportive Living At Madrona Grove is a Non-profit, corporation nursing home in Portland, Oregon, certified for 16 beds and caring for about 15 residents a day.

CMS gives it 4 of 5 stars overall, above the Oregon median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 12, 2 by cycle, most recent first), none at the actual-harm level. That is 118.8 per 100 beds, more than the state median of 40.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 6.3 hours per resident per day (1.8 RN), above the Oregon median of 5.0.

19health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
6.3nurse hours per resident per daystate median 5.0
96%occupancy (residents ÷ beds)15 residents a day

Compared with county, state and nation

MeasureThis facilityClackamas Co. medianOregon medianUS average
Overall star rating4433.0
Health citations, 3 cycles19163228.7
Citations per 100 beds118.829.740.026.8
Total nurse hours per resident day6.35.15.03.9
RN hours per resident day1.80.60.60.7
Nursing staff turnover—52.6%45.9%45.8%
Fines listed$0$0$4,194—

County and state figures are medians across facilities (13 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 212
Cycle 32

Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 7 Aug 2025.

Severity mix: D ×13 E ×3 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey24 Jul 2026
4 Jun 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey24 Jul 2026
4 Jun 2026F0578Honor 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.DStandard survey24 Jul 2026
4 Jun 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 Jul 2026
4 Jun 2026F0880Provide and implement an infection prevention and control program.DStandard survey24 Jul 2026
7 Aug 2025F0880Provide and implement an infection prevention and control program.FStandard survey22 Sep 2025
7 Aug 2025F0584Honor 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.EStandard survey22 Sep 2025
7 Aug 2025F0585Honor 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.EStandard survey22 Sep 2025
7 Aug 2025F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard survey22 Sep 2025
7 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey22 Sep 2025
7 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Sep 2025
7 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey22 Sep 2025
7 Aug 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey22 Sep 2025
7 Aug 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey22 Sep 2025
7 Aug 2025F0881Implement a program that monitors antibiotic use.DStandard survey22 Sep 2025
7 Aug 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey22 Sep 2025
6 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 May 2024
19 Apr 2024F0578Honor 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.DStandard survey8 Jun 2024
19 Apr 2024F0881Implement a program that monitors antibiotic use.DStandard survey8 Jun 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing6.29 h
Nurse aides3.87 h
LPN0.66 h
RN1.76 h
Weekend total5.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOregon medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.3%14.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.0%19.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.2%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Clackamas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Marquis Oregon City Post Acute RehabOregon City1025451312.7—27 Feb 2026
Marquis Tualatin Post Acute RehabTualatin545451120.4—22 May 2026
Marquis Wilsonville Post Acute RehabWilsonville505541020.0—10 Apr 2026
Willamette View Health CenterMilwaukie6555583.3—17 Jun 2026
Avamere Rehabilitation of ClackamasGladstone874351618.4$176K4 Dec 2025
Marquis Hope VillageCanby504441428.0—23 May 2025
The Pearl At Kruse WayLake Oswego744442229.7—21 Nov 2025
Rose Linn Care CenterWest Linn713411419.7—24 Apr 2026

All 13 facilities in Clackamas County

Questions and answers

How many deficiencies has Fernwood Supportive Living At Madrona Grove been cited for?

19 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.

Has Fernwood Supportive Living At Madrona Grove been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Fernwood Supportive Living At Madrona Grove compare?

Reported total nurse staffing is 6.3 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.

Who operates Fernwood Supportive Living At Madrona Grove?

Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.

When was Fernwood Supportive Living At Madrona Grove last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.