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Nursing homes / skilled nursing facilities

Fernwood Supportive Living At Madrona Grove

Portland, OR, 97222

13505 Se River Road

Telephone 5036543171

CMS certification number (CCN) 38A031

Ownership, as reported by CMS: Non profit - Corporation

Last verified: 2026-09-30

Audience

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Professional snapshot

What am I walking into if I work here? CareRecon shows the evidence. You make the decision.

Facility scale

Certified beds
16
Average number of residents per day
15.4

Measurement period: 2026-01-01 through 2026-03-31

Workforce hours

Reported total nurse staffing hours per resident per day
6.29064

Measurement period: 2026-01-01 through 2026-03-31

Reported RN hours per resident per day
1.75975

Measurement period: 2026-01-01 through 2026-03-31

Reported LPN hours per resident per day
0.65733

Measurement period: 2026-01-01 through 2026-03-31

Reported nurse aide hours per resident per day
3.87355

Measurement period: 2026-01-01 through 2026-03-31

Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.

Stability

Total nursing staff turnover
Not reported in this source
RN turnover
Not reported in this source
Administrators who left
Not reported in this source

CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.

Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.

Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Workforce snapshot

These are reported hours per resident per day, not nurse-to-patient ratios.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Census

Certified beds
16

Why this may matter

Bed count reported for this nursing home on the CMS snapshot.

Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Average number of residents per day
15.4

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Resident census CMS used with the staffing hours for this period.

CMS census for the staffing measurement period. This is not current occupancy and not available beds.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported hours

Reported total nurse staffing hours per resident per day
6.29064

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for total nurse staffing during this period.

CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported RN hours per resident per day
1.75975

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for registered-nurse staffing during this period.

CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported LPN hours per resident per day
0.65733

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for LPN staffing during this period.

CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported nurse aide hours per resident per day
3.87355

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for nurse aide staffing during this period.

CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported RN hours per resident per day on the weekend
1.27827

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for registered-nurse staffing during this period.

CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Reported total nurse staff hours per resident per day on the weekend
5.59171

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for total nurse staffing during this period.

CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-30; CMS processing date 2026-08-01

Workforce stability

Historical measures give context and do not predict an individual’s experience.

Administrators who left is a count, not a turnover rate.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Total nursing staff turnover
Not reported in this source
RN turnover
Not reported in this source
Administrators who left
Not reported in this source

Regulatory history

Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.

A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.

Inspections

Survey dates and survey types reported by CMS. An inspection date is not a deficiency.

  • Fire Safety Standard · 2026-06-04

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2026-06-04

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2025-08-07

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2025-08-07

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Complaint · 2024-08-06

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2024-04-19

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2024-04-19

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

Health deficiencies

Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.

  • Tag 0578 · 2026-06-04

    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.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0756 · 2026-06-04

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0868 · 2026-06-04

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0880 · 2026-06-04

    Provide and implement an infection prevention and control program.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0882 · 2026-06-04

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

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0584 · 2025-08-07

    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.

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0585 · 2025-08-07

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0605 · 2025-08-07

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 19 rows are indexed.

Fire-safety findings

Fire-safety citations. These are not health deficiencies.

  • Tag 0001 · 2026-06-04

    Establish an Emergency Preparedness Program (EP).

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0006 · 2026-06-04

    Conduct risk assessment and an All-Hazards approach.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0013 · 2026-06-04

    Develop Emergency Preparedness policies and procedures.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0321 · 2026-06-04

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0923 · 2026-06-04

    Have proper medical gas storage and administration areas.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-07-24

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0013 · 2025-08-07

    Develop Emergency Preparedness policies and procedures.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0015 · 2025-08-07

    Address subsistence needs for staff and patients.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0018 · 2025-08-07

    Establish procedures for tracking staff and patients during an emergency.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-22

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 13 rows are indexed.

Survey summary

Category totals from the CMS survey summary. These counts are not the citation list.

  • Inspection cycle 1

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2026-06-04
    • Fire-safety survey date: 2026-06-04
    • Health deficiencies in this survey summary: 5
    • Fire-safety deficiencies in this survey summary: 5
    • Infection-control deficiencies in this survey summary: 2

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 2

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2025-08-07
    • Fire-safety survey date: 2025-08-07
    • Health deficiencies in this survey summary: 12
    • Fire-safety deficiencies in this survey summary: 6
    • Infection-control deficiencies in this survey summary: 4

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 3

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2024-04-19
    • Fire-safety survey date: 2024-04-19
    • Health deficiencies in this survey summary: 2
    • Fire-safety deficiencies in this survey summary: 2
    • Infection-control deficiencies in this survey summary: 1

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.

Capacity and workload

Cost-report capacity and historical utilization are not currently available. A cost-report period is not a current census.

Pay and market context

Facility pay is not currently available. A BLS wage, when shown, is local market context and is not what this facility pays.

Contract labor / agencies

Contract labor is not currently available. Dollars, when shown, do not identify an agency.

Workplace safety

No OSHA inspection or severe-injury report is attached. An inspection would not mean the workplace is unsafe.

Legal matters

No federal docket is attached. A filed lawsuit would be an allegation, not a finding that the facility violated the law.

Ownership

CMS source-backed
Non profit - Corporation
Care Compare ownership category. Not the enrolled legal name.

Community reviews

Community reviews are not currently available.

Community-added information

Community-added factual information is not currently available.

Photos and video

User-submitted media is not currently available.

Sources

No additional professional sources are attached beyond the CMS facility record.

Where this data came from

Source
CMS
Dataset
Provider Information
Last verified
2026-09-30
CMS dataset modified
2026-08-01

Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”

About the data

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