Deficiency timeline
GRACELEN CARE CENTER
Dated inspection findings, penalties, and correction notes for this nursing home in Portland, OR. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jun 2, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 8, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 25, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 25, 2025
- Class IIActual harm (G)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 18, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0727: Nursing and Physician Services
Nursing & physician services
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.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jan 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0622: Resident Rights
Resident rights
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.
Corrected Jan 28, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0801: Nutrition and Dietary
Nutrition & dietary
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.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0726: Nursing and Physician Services
Nursing & physician services
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.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0552: Resident Rights
Resident rights
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jul 2, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0604: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0661: Resident Assessment and Care Planning
Assessment & care planning
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0584: Resident Rights
Resident rights
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.
Corrected May 14, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 14, 2024
- Class IIActual harm (G)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Nov 10, 2023
- Class IIActual harm (G)Complaint-relatedcms
F0604: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Nov 10, 2023
- Class IIActual harm (G)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 10, 2023
- Class IIActual harm (G)Complaint-relatedcms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Nov 10, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 10, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 10, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0777: Administration
Administration
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected Nov 10, 2023
- Class IImmediate jeopardy (K)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 10, 2023
- Class IIActual harm (H)cms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Mar 10, 2023
- Class IIActual harm (G)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 10, 2023
- Class IIActual harm (G)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 10, 2023
- Class IIActual harm (G)cms
F0825: Quality of Life and Care
Quality of life & care
Provide or get specialized rehabilitative services as required for a resident.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0801: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (F)cms
F0882: Infection Control
Infection control
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0727: Nursing and Physician Services
Nursing & physician services
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.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
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.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0604: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Mar 10, 2023
- Class IIIPotential for more than minimal harm (D)cms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Mar 10, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile