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F
Critical

EAST CASCADE RETIREMENT COMMUNITY

175 NE 16TH STREET · MADRAS, OR 97741

5414752273 · For profit - Limited Liability company

20 beds19.2 residents46 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
D
Poor
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

EAST CASCADE RETIREMENT COMMUNITY receives an overall staffing grade of F (Critical). With 0.9425 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3253 HPRD, below the recommended 0.75. It is 2.95 HPRD below the national average.

Weekend staffing drops significantly — dropping 42.93% compared to weekdays. The facility relies heavily on temporary agency staff (68.3% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (5)

🚨Had 23 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 0.9425 HPRD — needs 2.54 more hours per resident per day.
⚠️RN staffing (0.3253 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 42.93% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
⚠️68.3% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
0.9425hrs/resident/day▼ 2.95
CMS benchmark: 3.48
RN HPRD
0.3253hrs/resident/day▼ 0.36
Recommended: 0.75
Weekend Drop-off
42.93%
1.0726 weekday → 0.6121 weekend
⚠ Significant weekend reduction
Agency Staff
68.3%
7.93% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
23days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0.6171hrs/resident/day
Direct care aides
LPN HPRD
0hrs/resident/day
Licensed practical nurses
Consistency
0.5869std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Jefferson County Average+0.00 HPRD
0.94
00.94 HPRD
vs. Oregon State Average-4.02 HPRD
4.97
00.94 HPRD
vs. National Average-2.95 HPRD
3.90
00.94 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
EAST CASCADE RETIREMENT COMMUNITY ★
MADRAS · This facility
—
F
0.94250.3253★★★☆☆
REGENCY PRINEVILLE REHABILITATION & NURSING CENTER
PRINEVILLE
26.6 mi
A
4.60090.8227★★★★☆
REGENCY REDMOND REHABILITATION AND NURSING CENTER
REDMOND
27.2 mi
A
5.70740.8107★★★★☆
BEND TRANSITIONAL CARE
BEND
40.6 mi
A
4.91191.2794★★★★★
PILOT BUTTE REHABILITATION CENTER
BEND
41 mi
A
4.87731.119★★☆☆☆
REGENCY CARE OF CENTRAL OREGON
BEND
41.9 mi
A
5.64130.9933★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
37
Total Deficiencies
$69,901
Fines Assessed
Oct 9, 2024Health
2 deficiencies cited
▼
Jul 11, 2024Health
1 deficiency cited
▼
Jun 30, 2023Health
14 deficiencies cited· Includes actual harm
▼
May 6, 2022Health
20 deficiencies cited· Includes actual harm
▼

Penalty History

Jun 30, 2023Fine
$69,901
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.