The Dalles Health and Rehabilitation
1023 W. 25th Street, The Dalles, OR 97058
The Dalles Health and Rehabilitation, a 121-bed for profit - corporation nursing facility in The Dalles, OR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #40 of 127 rated homes in OR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 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: 5412985158
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #40 of 127
- In-state rank among rated OR homes
- 5.06
- Well above average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 3 serious
The verdict
The Dalles Health and Rehabilitation, a 121-bed for profit - corporation nursing facility in The Dalles, OR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #40 of 127 rated homes in OR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #40 of 127
- In-state rank among rated OR homes
- 5.06
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 3 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 128 OR nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 385172
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 121
- Residents
- 37
- In Hospital
- No
- County
- Wasco
- Last Inspection
- Dec 20, 2024
Staffing Data
How the 5.06 total nursing hours per resident-day are staffed:
- RN Hours
- 0.96 (nat'l avg: 0.69)
- LPN Hours
- 0.38
- CNA Hours
- 3.72
- Total Nursing Hours
- 5.06 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 48.1%
- RN Turnover
- 37.5%
What the CMS Record Reveals About The Dalles Health and Rehabilitation
According to CMS Nursing Home Compare, The Dalles Health and Rehabilitation ranks #40 of 127 rated nursing homes in OR on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Dalles Health and Rehabilitation operates 121 certified beds in The Dalles, OR with approximately 37 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★ · quality 4★).
The inspection file contains 21 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $14K levied against this facility. Staffing is reported at 5.06 total nursing hours per resident day (national average 3.86), with RN coverage at 0.96 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, The Dalles Health and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
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: Dec 19, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2025
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 21, 2025
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 3, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: Feb 21, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 10, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 10, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 10, 2023
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
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.
Category: Resident Rights Deficiencies
Corrected: Nov 10, 2023
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: Nov 10, 2023
Provide or obtain dental services for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
Implement 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.
Category: Pharmacy Service Deficiencies
Corrected: Aug 24, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Aug 24, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Aug 24, 2022
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.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 24, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 9.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 87.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 6.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 32.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 59.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 82.3% | No |
Penalty History 1 penalties totaling $14K
| Date | Type | Amount |
|---|---|---|
| Apr 27, 2026 | Fine | $14K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Dalles Health and Rehabilitation, both outside OR so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside OR (121 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside OR (5.29 here).
Nearby Nursing Homes in OR
127 other nursing homes are on record in OR; 6 are shown here.
Aidan Senior Living at Reedsport
Reedsport, OR
Ashland Post Acute
Ashland, OR
Avalon Care Center - Portland
Portland, OR
Avalon Care Center - Scappoose
Scappoose, OR
Avamere at Three Fountains
Medford, OR
Avamere Court at Keizer
Keizer, OR
Understanding Nursing Home Data
What the CMS records show for The Dalles Health and Rehabilitation
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The OR registry aggregates state averages and the highest-rated homes in this cohort. View OR registry
- Peer homes near 121 beds show how CMS stars vary at a similar scale in OR. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for The Dalles Health and Rehabilitation?
Where does The Dalles Health and Rehabilitation rank among nursing homes in OR?
What are the staffing levels at The Dalles Health and Rehabilitation?
How many beds does The Dalles Health and Rehabilitation have?
Does The Dalles Health and Rehabilitation have any deficiencies on record?
Has The Dalles Health and Rehabilitation received any fines or penalties?
Who owns The Dalles Health and Rehabilitation?
When was The Dalles Health and Rehabilitation last inspected?
What quality measures are tracked for The Dalles Health and Rehabilitation?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
