| Milton Freewater Health and Rehabilitation | |
| 120 Elzora Street, Milton Freewater, Oregon 97862 | |
| (541) 938-3318 | |
| Name | Milton Freewater Health and Rehabilitation |
|---|---|
| Location | 120 Elzora Street, Milton Freewater, Oregon |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 70 |
| Occupancy Rate | 45.43% |
| Medicare ID (CCN) | 385161 |
| Legal Business Name | Milton Freewater SNF Operations, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Evergreen Healthcare Group (44 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1861106155 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Milton Freewater SNF Operations, LLC |
| Doing Business As | Milton Freewater Health & Rehabilitation |
| Address | 120 Elzora St, Milton Freewater, OR 97862 |
| Phone Number | 541-938-3318 |
| NPI Number | 1407804198 |
| Match | Possible same name, address or phone number |
| Organization Name | Evergreen Oregon Healthcare Orchards Rehabilitation, L.L.C. |
| Doing Business As | Milton Freewater Health and Rehabilitation Center |
| Address | 120 Elzora St, Milton Freewater, OR 97862 |
| Phone Number | 541-938-3318 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.16 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.14 | 0.86 |
| Nurse aide hours per resident per day | 4.04 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.69 | 3.42 |
| RN hours per resident per day on the weekend | 0.79 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 34.1% | 45.8% |
| Registered nurse turnover | 45.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,278 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 15, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jan 15, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jan 15, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 10, 2026 |
| Jan 15, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Feb 10, 2026 |
| Jan 15, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 10, 2026 |
| Aug 7, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Aug 28, 2025 |
| Aug 7, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 7, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 7, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Jun 28, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jun 28, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Apr 7, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 22, 2023 |
| Apr 7, 2023 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Apr 7, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Apr 7, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Apr 7, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Apr 7, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Apr 7, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Apr 7, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Apr 7, 2023 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 22, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.64 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.16 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.84 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5.56 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.38 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.02 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.98 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.91 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.3 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.61 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.72 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.62 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.67 | 15.38 |