PlainNursing
CMS Nursing Home Compare · March 2026

Gracelen Care Center

10948 S.E. Boise, Portland, OR 97266 · All homes in Portland

Gracelen Care Center, a 80-bed for profit - corporation nursing facility in Portland, OR, holds a 1-star CMS overall rating - below the 3.0-star national average, with nurse staffing above the national norm. 10 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5037601727

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1 / 5
Much below average · CMS overall · nat'l 3.0
4.22
Above average · nurse hrs/day · nat'l 3.89
50
Inspection findings · 10 serious
$0
Federal penalties (0)

Health Inspection

1/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
38E188
Ownership
For profit - Corporation
Provider Type
Medicaid
Beds
80
Residents
64
In Hospital
No
County
Multnomah
Last Inspection
Jul 25, 2025

Staffing Data

How the 4.22 total nursing hours per resident-day are staffed:

RN Hours
0.42 (nat'l avg: 0.68)
LPN Hours
0.72
CNA Hours
3.08
Total Nursing Hours
4.22 (nat'l avg: 3.89)
PT Hours
0.01

What the CMS Record Reveals About Gracelen Care Center

Gracelen Care Center operates 80 certified beds in Portland, OR with approximately 64 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 10 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.42 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicaid" provider, Gracelen Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Oct 20, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2025

D - Isolated - Minimal harm Oct 20, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2025

G - Isolated - Actual harm Aug 28, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 18, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 26, 2025

F - Widespread - Minimal harm Jul 25, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Jul 25, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 26, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Jan 28, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 28, 2025

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 2, 2024

E - Pattern - Minimal harm Apr 8, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: May 14, 2024

E - Pattern - Minimal harm Apr 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 14, 2024

F - Widespread - Minimal harm Apr 8, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 14, 2024

E - Pattern - Minimal harm Apr 8, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: May 14, 2024

E - Pattern - Minimal harm Apr 8, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Apr 8, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: May 14, 2024

D - Isolated - Minimal harm Sep 21, 2023 Tag: 0777

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Nov 10, 2023

G - Isolated - Actual harm Sep 21, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Sep 21, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Sep 21, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

G - Isolated - Actual harm Sep 21, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

G - Isolated - Actual harm Sep 21, 2023 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 10, 2023

G - Isolated - Actual harm Sep 21, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2023

F - Widespread - Minimal harm Jan 19, 2023 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2023

K - Pattern - Jeopardy Jan 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2023

H - Pattern - Actual harm Jan 19, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 10, 2023

G - Isolated - Actual harm Jan 19, 2023 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

F - Widespread - Minimal harm Jan 19, 2023 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2023

E - Pattern - Minimal harm Jan 19, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

G - Isolated - Actual harm Jan 19, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

G - Isolated - Actual harm Jan 19, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

D - Isolated - Minimal harm Jan 19, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 8.3% No
Percentage of long-stay residents who were physically restrained Long Stay 1.7% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.3% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Gracelen Care Center?
Gracelen Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at Gracelen Care Center?
Gracelen Care Center reports 4.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.42 per resident day (national average: 0.68).
How many beds does Gracelen Care Center have?
Gracelen Care Center has 80 certified beds with approximately 64 residents. The facility is located at 10948 S.E. Boise, Portland, OR 97266.
Does Gracelen Care Center have any deficiencies on record?
Yes, Gracelen Care Center has 50 deficiencies on record from recent inspections. Of these, 10 are classified as causing actual harm or jeopardy.
Has Gracelen Care Center received any fines or penalties?
No, Gracelen Care Center has no fines or penalties on record.
Who owns Gracelen Care Center?
Gracelen Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicaid".
When was Gracelen Care Center last inspected?
The most recent health inspection for Gracelen Care Center was on Jul 25, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Gracelen Care Center?
Gracelen Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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