Milton Freewater Health and RehabilitationCMS ratings, inspections and fines
- Address
- 120 Elzora Street, Milton Freewater, OR 97862
- CCN
- 385161
- Ownership type
- For-profit, corporation
- Certified beds
- 70
- Residents per day
- 32
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Milton Freewater Health and Rehabilitation an overall rating of 5 of 5 stars. The last standard survey was on 15 Jan 2026. The latest survey cycle has 9 health citations. The median for nursing homes in Oregon is 9. CMS lists 1 fine of $8,278 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Umatilla County median | Oregon median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 128 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Oregon median |
|---|---|---|---|
| Cycle 1 (latest) | 15 Jan 2026 | 9 | 9 |
| Cycle 2 | 28 Jun 2024 | 7 | 11 |
| Cycle 3 | No date | 10 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 26 Nov 2025 |
| 15 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Oct 2025 |
| 15 Jan 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Feb 2026 |
| 15 Jan 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 10 Feb 2026 |
| 15 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Feb 2026 |
| 7 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Aug 2025 |
| 7 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Aug 2025 |
| 7 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Aug 2025 |
| 7 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Aug 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Jun 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 12 Aug 2024 |
| 28 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Aug 2024 |
| 28 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Aug 2024 |
| 28 Jun 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 12 Aug 2024 |
| 28 Jun 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 12 Aug 2024 |
| 28 Jun 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 12 Aug 2024 |
| 28 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 12 Aug 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Aug 2024 |
| 7 Apr 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 3 Mar 2023 |
| 7 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Mar 2023 |
| 7 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 22 May 2023 |
| 7 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 22 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Aug 2025 | Fine | $8,278 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Oregon median | Oregon average (CMS) |
|---|---|---|---|
| All nurse staff | 5.34 | 5.00 | 5.03 |
| Registered nurses (RN) | 1.16 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.14 | 0.91 | |
| Nurse aides | 4.04 | 3.40 | |
| All nurse staff, weekends | 4.69 | 4.40 | 4.51 |
- Nurse staff turnover in a year
- 34.1%
- Nurse staff turnover, Oregon median
- 45.9%
- RN turnover in a year
- 45.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.6% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.7% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Milton Freewater SNF Operations, LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Milton Freewater SNF Operations, LLC | Direct ownership interest | 31 Aug 2023 | |
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct ownership interest | 31 Aug 2023 | |
| CH PNW 12 Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Indirect ownership interest | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Indirect ownership interest | 31 Aug 2023 | |
| Freewater Oregon LLC | Indirect ownership interest | 31 Aug 2023 | |
| PNW 12 Opco Management LLC | Indirect ownership interest | 31 Aug 2023 | |
| PNW 12 SNF Consulting LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp PNW 12 LLC | Indirect ownership interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Milton Freewater SNF Operations, LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 2 Jun 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 2 Jun 2025 | |
| Freewater Oregon LLC | Adp of the snf | 2 Jun 2025 | |
| PNW 12 Opco Management LLC | Adp of the snf | 2 Jun 2025 | |
| PNW 12 SNF Consulting LLC | Adp of the snf | 2 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Umatilla County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Willowbrook Post Acute | Pendleton | 1 of 5 | 18 | $80,796 | 22 Aug 2025 | |
| Regency Hermiston Nursing & Rehab Center | Hermiston | 3 of 5 | 6 | $46,907 | 11 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Milton Freewater Health and Rehabilitation (CCN 385161). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/milton-freewater-health-and-rehabilitation-milton-freewater-or-385161/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Milton Freewater Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 15 Jan 2026. It was a standard survey and a complaint investigation. It gave 5 citations. The standard survey before the last one was on 28 Jun 2024.
- Who operates Milton Freewater Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Milton Freewater Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Oregon as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.