Clackamas County, Oregon · Nursing home
Fernwood Supportive Living at Madrona Grove
4 of 5 overall from CMS
13505 SE River Road, Portland, OR 97222
At a glance
- Overall rating 4 of 5 Above the state average of 3.1
- Nurse time per resident, per day 6.29 hours Above the state average of 5.03
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 19 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 96.2% of 16 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Fernwood Supportive Living at Madrona Grove is a 16-bed nursing home in Portland, Oregon (Clackamas County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 6.29 nurse staffing hours per resident per day, above the Oregon average of 5.03. CMS lists no fines in the past three years.
- Certified beds
- 16
- Residents per day (average)
- 15.4
- Certified since
- 2012 (14 yrs)
Non profit - Corporation Participates in Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Fernwood Supportive Living at Madrona Grove
Chosen from this home's public data.
- Reported nurse staffing is 5.59 hours per resident on weekends against 6.29 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 96.2% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Oregon average 3.1
- Health inspections 3 of 5 Oregon average 2.8
- Staffing 4 of 5 Oregon average 3.9
- Quality measures 5 of 5 Oregon average 3.5
The vertical line marks the Oregon average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 6.29 h Oregon average 5.03
- Nurse aides 3.87 h Oregon average 3.40
- Licensed practical nurses 0.66 h Oregon average 0.91
- Registered nurses 1.76 h Oregon average 0.72
- All staff, weekends 5.59 h Oregon average 4.51
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Oregon average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Oregon average47.4%
- Registered nurse turnoverNot reported
- Oregon average51.6%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oregon and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.2% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 4.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% | 95.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 0.0% | 20.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.4% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 95.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.0% | 5.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.9% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 19.2% | 13.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.48 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.35 | 1.78 |
Short-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 85.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 81.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Data missing or not submitted | 21.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Data missing or not submitted | 16.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 19 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 4, 2026 | 5 | 5 |
| Aug 7, 2025 | 11 | 6 |
| Apr 19, 2024 | 3 | 2 |
Oregon homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (19)
-
FPotential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Jul 24, 2026)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Jul 24, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jul 24, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jul 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 24, 2026)
Show 14 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Sep 22, 2025)
-
EPotential for more than minimal harm, pattern
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Sep 22, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (May 6, 2024)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jun 8, 2024)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Jun 8, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Oregon homes averaged 0.8 fines and $27,522 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oregon
Common questions
What is the CMS star rating for Fernwood Supportive Living at Madrona Grove?
Fernwood Supportive Living at Madrona Grove has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 5.
How many beds does Fernwood Supportive Living at Madrona Grove have?
Fernwood Supportive Living at Madrona Grove has 16 certified beds. It averages 15.4 residents per day, about 96.2% of its certified beds.
How much nursing care do residents get at Fernwood Supportive Living at Madrona Grove?
The home reports 6.29 hours of nurse staffing per resident per day, including 1.76 hours from registered nurses. The Oregon average is 5.03 hours and 0.72 hours from registered nurses.
Has Fernwood Supportive Living at Madrona Grove been fined?
CMS lists no fines for this home in the past three years.
Does Fernwood Supportive Living at Madrona Grove accept Medicare or Medicaid?
CMS lists its participation as "Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Willamette View Health Center 6beds 96.7%in use 10.13nurse hours a day
- 3 of 5 Stanley Post Acute 96beds 92.0%in use 4.65nurse hours a day
- 4 of 5 The PEARL AT KRUSE WAY 74beds 54.9%in use 5.64nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clackamas County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 38A031. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.