Nursing homes › Oregon › Fernwood Supportive Living at Madrona Grove
13505 Se River Road, Portland, OR 97222 · 5036543171 · 16 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 6.29 (Oregon median: 4.96). RN hours: 1.76. Weekend total: 5.59.
All-time on record: 22 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-07 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-09-22 |
| 2025-08-07 | 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. | E | Health | corrected 2025-09-22 |
| 2025-08-07 | Honor 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. | E | Health | corrected 2025-09-22 |
| 2025-08-07 | Educate 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. | E | Health | corrected 2025-09-22 |
| 2025-08-07 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-09-22 |
| 2025-08-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-09-22 |
| 2024-08-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-05-06 |
| 2024-04-19 | Honor 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. | D | Health | corrected 2024-06-08 |
| 2024-04-19 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-06-08 |
| 2023-02-13 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Health | corrected 2023-03-07 |
| 2023-02-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Health | corrected 2023-03-07 |
| 2023-02-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-03-07 |
| 2023-02-13 | Respond appropriately to all alleged violations. | D | Health | corrected 2023-03-07 |
| 2023-02-13 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Health | corrected 2023-03-07 |
| 2023-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2023-03-07 |
| 2023-02-13 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | D | Health | corrected 2023-03-07 |
| 2023-02-13 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Health | corrected 2023-03-07 |
No federal fines or payment denials on record.
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 38A031. Corrections: data@carerecords.org.