Nursing homes › Oregon › Stanley Post Acute
12045 Se Stanley Avenue, Milwaukie, OR 97222 · 5036592323 · 96 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.65 (Oregon median: 4.96). RN hours: 0.21. Weekend total: 4.31. Nursing staff turnover: 58%.
All-time on record: 32 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-02-23 |
| 2025-09-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-10-15 |
| 2025-09-05 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-10-15 |
| 2025-09-05 | 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 2025-10-15 |
| 2025-09-05 | 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 | Health | corrected 2025-10-15 |
| 2025-09-05 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2025-10-15 |
| 2025-09-05 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-10-15 |
| 2025-08-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-10-15 |
| 2025-02-14 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2025-03-12 |
| 2025-02-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-12 |
| 2024-05-20 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | complaint | corrected 2024-06-25 |
| 2024-05-20 | Observe each nurse aide's job performance and give regular training. | E | complaint | corrected 2024-06-25 |
| 2024-05-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-03-03 |
| 2024-05-20 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Provide appropriate foot care. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | corrected 2024-06-25 |
| 2024-05-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-06-25 |
| 2023-03-27 | 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 2023-04-26 |
| 2023-03-27 | Assess the resident when there is a significant change in condition | D | Health | corrected 2023-04-26 |
| 2023-03-27 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-04-26 |
| 2023-03-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-04-26 |
| 2023-03-27 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2023-04-26 |
| 2023-03-27 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-04-26 |
| 2023-03-27 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Health | corrected 2023-04-26 |
| 2023-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2023-04-26 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-20 | Fine | $12,735 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| CANO, PILO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
| JERGENSEN, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| KEMPFER, GRETCHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/16/2024 |
| MITCHELL, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/10/2024 |
| MORRIS, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385270. Corrections: data@carerecords.org.