PlainNursing
CMS Nursing Home Compare · March 2026

The Dalles Health & Rehabilitation Center

1023 W. 25th Street, The Dalles, OR 97058

The Dalles Health & Rehabilitation Center, 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, with nurse staffing above the national norm. 2 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
4.30
Above average · nurse hrs/day · nat'l 3.89
20
Inspection findings · 2 serious
$0
Federal penalties (0)

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
385172
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
121
Residents
40
In Hospital
No
County
Wasco
Last Inspection
Dec 20, 2024

Staffing Data

How the 4.30 total nursing hours per resident-day are staffed:

RN Hours
0.76 (nat'l avg: 0.68)
LPN Hours
0.29
CNA Hours
3.25
Total Nursing Hours
4.30 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
48.9%
RN Turnover
55.6%

What the CMS Record Reveals About The Dalles Health & Rehabilitation Center

The Dalles Health & Rehabilitation Center operates 121 certified beds in The Dalles, OR with approximately 40 residents currently in care, and carries a CMS overall rating of 4 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 (4★), staffing levels (4★), 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 20 deficiency records from recent surveys, of which 2 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 4.30 total nursing hours per resident day (national average 3.89), with RN coverage at 0.76 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 "Medicare and Medicaid" provider, The Dalles Health & Rehabilitation 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. Reported nursing turnover at this facility is 48.9%, within a range generally associated with stable care teams. 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 (20 most recent)

D - Isolated - Minimal harm Dec 20, 2024 Tag: 0842

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

E - Pattern - Minimal harm Dec 20, 2024 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 21, 2025

G - Isolated - Actual harm Dec 20, 2024 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 3, 2024

D - Isolated - Minimal harm Dec 20, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 21, 2025

D - Isolated - Minimal harm May 17, 2024 Tag: 0557

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

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0842

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

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Oct 5, 2023 Tag: 0636

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

E - Pattern - Minimal harm Oct 5, 2023 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: Nov 10, 2023

D - Isolated - Minimal harm Oct 5, 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 Oct 5, 2023 Tag: 0578

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

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0758

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

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0756

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

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

G - Isolated - Actual harm Jul 15, 2022 Tag: 0688

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

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

D - Isolated - Minimal harm Jul 15, 2022 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2022

D - Isolated - Minimal harm Jul 15, 2022 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: Aug 24, 2022

E - Pattern - Minimal harm Jul 15, 2022 Tag: 0578

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

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% 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 6.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 28.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 97.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.3% 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 25.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.3% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for The Dalles Health & Rehabilitation Center?
The Dalles Health & Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at The Dalles Health & Rehabilitation Center?
The Dalles Health & Rehabilitation Center reports 4.30 total nursing hours per resident day (national average: 3.89). RN hours are 0.76 per resident day (national average: 0.68). Nursing staff turnover is 48.9%.
How many beds does The Dalles Health & Rehabilitation Center have?
The Dalles Health & Rehabilitation Center has 121 certified beds with approximately 40 residents. The facility is located at 1023 W. 25th Street, The Dalles, OR 97058.
Does The Dalles Health & Rehabilitation Center have any deficiencies on record?
Yes, The Dalles Health & Rehabilitation Center has 20 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has The Dalles Health & Rehabilitation Center received any fines or penalties?
No, The Dalles Health & Rehabilitation Center has no fines or penalties on record.
Who owns The Dalles Health & Rehabilitation Center?
The Dalles Health & Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was The Dalles Health & Rehabilitation Center last inspected?
The most recent health inspection for The Dalles Health & Rehabilitation Center was on Dec 20, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for The Dalles Health & Rehabilitation Center?
The Dalles Health & Rehabilitation 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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