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Cascade Terrace

Nursing Home Facility

5601 Se 122nd Avenue, Portland, OR 97236

Nursing Home Care Senior Living

Cascade Terrace is a senior care community located in Portland, OR. It provides nursing home care and senior living for older adults in the Portland area. To learn more or schedule a tour, call (503) 761-3181.

Operated by PACS Group, which runs 226 communities in our directory.

Employer rating 3.2 out of 5 52 reviews from their own employees on Indeed. See what they say.

With 105 beds, Cascade Terrace is one of the larger communities in the area, senior care communities in Portland average about 64 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 83% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Portland average about 2.9 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in April 2025 and recorded 22 deficiencies.

Residents receive about 4.7 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 47%.

The community is located in Multnomah County, OR.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 46 problems at Cascade Terrace. 4 findings involved harm to a resident, including 3 that put residents in immediate danger. 25 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $185,923.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

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

    Inspected April 2025, after a complaint. Corrected by April 28, 2025.

  • Caused harm to a resident, one or a few residents Pharmacy Service

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

    Inspected November 2025, after a complaint.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Inspected February 2026, after a complaint. Corrected by March 16, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected February 2026, after a complaint. Corrected by March 16, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected February 2026, after a complaint. Corrected by March 16, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025, after a complaint. Corrected by January 14, 2026.

  • Could cause more than minimal harm, widespread Administration

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, widespread Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Inspected April 2025. Corrected by May 29, 2025.

Show 14 more
  • Could cause more than minimal harm, a pattern Nursing and 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.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected April 2025. Corrected by May 29, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected April 2025. Corrected by May 29, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Cascade Terrace offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 105
  • Occupancy 83%
  • Nursing hours per resident/day 4.7
  • Annual staff turnover 47%
  • Last health inspection April 2025

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