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The Dalles Health and RehabilitationCMS ratings, inspections and fines

Address
1023 W. 25th Street, The Dalles, OR 97058
CCN
385172
Ownership type
For-profit, corporation
Certified beds
121
Residents per day
37
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating3 of 5
Staffing rating5 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

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 The Dalles Health and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 20 Dec 2024. The latest survey cycle has 5 health citations. The median for nursing homes in Oregon is 9. CMS lists 1 fine of $14,380 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.

CMS star ratings of The Dalles Health and Rehabilitation, with medians
Rating (1 to 5 stars)This homeWasco County medianOregon medianUS average (CMS)
Overall rating43.03.03.0
Health inspection rating32.03.02.8
Staffing rating55.04.02.9
Quality measure rating44.03.03.6

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.

Health citations of The Dalles Health and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsOregon median
Cycle 1 (latest)20 Dec 202459
Cycle 25 Oct 2023611
Cycle 3No date1010

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.

Scope and severity of the 21 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 5 citations

Standard survey of this cycle: .

Health citations of The Dalles Health and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
27 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Dec 2025
20 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation21 Jan 2025
20 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation3 Aug 2024
20 Dec 2024F0730Observe each nurse aide's job performance and give regular training.EComplaint investigation21 Jan 2025
20 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation21 Jan 2025

Survey cycle 2: 6 citations

Standard survey of this cycle: .

Health citations of The Dalles Health and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
5 Oct 2023F0578Honor 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.DComplaint investigation10 Nov 2023
5 Oct 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation10 Nov 2023
5 Oct 2023F0584Honor 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.EComplaint investigation10 Nov 2023
5 Oct 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint investigation10 Nov 2023
5 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation10 Nov 2023
5 Oct 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Nov 2023

Survey cycle 3: 10 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of The Dalles Health and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 May 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation21 Feb 2024
15 Jul 2022F0578Honor 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.EStandard survey24 Aug 2022
15 Jul 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Aug 2022
15 Jul 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 Aug 2022
15 Jul 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey24 Aug 2022
15 Jul 2022F0688Provide 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.GStandard survey24 Aug 2022
15 Jul 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey24 Aug 2022
15 Jul 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey24 Aug 2022
15 Jul 2022F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey24 Aug 2022
15 Jul 2022F0791Provide or obtain dental services for each resident.DStandard survey24 Aug 2022

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.

Penalties of The Dalles Health and Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
27 Apr 2026Fine$14,380

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.

Nurse staffing hours per resident per day at The Dalles Health and Rehabilitation
StaffThis homeOregon medianOregon average (CMS)
All nurse staff5.065.005.03
Registered nurses (RN)0.960.600.72
Licensed practical nurses (LPN)0.380.91
Nurse aides3.723.40
All nurse staff, weekends4.404.404.51
Nurse staff turnover in a year
48.1%
Nurse staff turnover, Oregon median
45.9%
RN turnover in a year
37.5%
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.

Quality measures of The Dalles Health and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeOregon medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.4%14.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%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 Stay6.7%2.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.1%19.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.7%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
The Dalles SNF Operations LLC
Chain
Evergreen Healthcare Group (44 homes in the CMS chain file)
Organisations in the CMS ownership record of The Dalles Health and Rehabilitation
OrganisationRole in the CMS recordInterestSince
Pacific Northwest 12 Leased Operations Holdings LLCDirect ownership interest31 Aug 2023
The Dalles SNF Operations LLCDirect ownership interest31 Aug 2023
CH PNW 12 Holdings LLCIndirect ownership interest31 Aug 2023
Couve Financial Services LLCIndirect ownership interest31 Aug 2023
Couve Healthcare Consulting LLCIndirect ownership interest31 Aug 2023
PNW 12 Opco Management LLCIndirect ownership interest31 Aug 2023
PNW 12 SNF Consulting LLCIndirect ownership interest31 Aug 2023
Washington-Oregon Associates LLCIndirect ownership interest31 Aug 2023
Witzcorp PNW 12 LLCIndirect ownership interest31 Aug 2023
Couve Financial Services LLCOperational/managerial control31 Aug 2023
Couve Healthcare Consulting LLCOperational/managerial control31 Aug 2023
PNW 12 Opco Management LLCOperational/managerial control31 Aug 2023
PNW 12 SNF Consulting LLCOperational/managerial control31 Aug 2023
The Dalles SNF Operations LLCOperational/managerial control31 Aug 2023
Couve Financial Services LLCAdp of the snf11 Jun 2025
Couve Healthcare Consulting LLCAdp of the snf9 Jun 2025
PNW 12 Opco Management LLCAdp of the snf11 Jun 2025
PNW 12 SNF Consulting LLCAdp of the snf9 Jun 2025
The Dalles SNF Operations LLCAdp of the snf9 Jun 2025
Washington-Oregon Associates LLCAdp of the snf31 Aug 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Wasco County

The 2 nearest other nursing homes in Wasco County, Oregon
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Columbia Basin Care FacilityThe Dalles1 of 58$52,0302 Feb 2026
Oregon Veterans HomeThe Dalles3 of 56$13,06514 Mar 2025

All 3 nursing homes in Wasco County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of The Dalles Health and Rehabilitation (CCN 385172). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-dalles-health-and-rehabilitation-the-dalles-or-385172/

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 The Dalles Health and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 27 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 5 Oct 2023.
Who operates The Dalles 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 The Dalles 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.