Nursing home
East Cascade Retirement Community
175 Ne 16Th Street, Madras, OR 97741 · Map
For profit - Limited Liability company · 20 certified beds
East Cascade Retirement Community is a Medicare-certified nursing home in Madras, Oregon. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 0.94 hours per resident per day, below the Oregon average of 4.95. Its most recent inspection on Oct 9, 2024 cited 2 deficiencies.
- 1 fine totaling $69,901In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How East Cascade Retirement Community compares
This facility vs. the Oregon and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Oregon avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 0.94 | 4.95 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.68 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 0.62 | 3.37 | 2.34 | below avg |
| Nursing staff turnover | 96.3% | 49.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 10.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 9, 2024 inspection was corrected by November 1, 2024
Penalties in CMS records: 1 fine totaling $69,901, 1 total penalty.
What inspectors found at East Cascade Retirement Community
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 9, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 9, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 11, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Jun 30, 2023 - Potential for harm
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Jun 30, 2023
Show all 12 deficiencies
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Jun 30, 2023 - Potential for harm
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.
Nursing and Physician Services Deficiencies · Jun 30, 2023 - Potential for harm
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies · Jun 30, 2023 - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Jun 30, 2023 - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Jun 30, 2023 - Potential for harm
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 Deficiencies · Jun 30, 2023 - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jun 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 175 Ne 16Th Street
Madras, OR 97741 - CMS certification #
- 385181
- Ownership
- For profit - Limited Liability company
- Certified beds
- 20
- Avg residents/day
- 19.2
- Provider type
- Medicare and Medicaid
- First certified
- 1988-05-19
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around East Cascade Retirement Community using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2016, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 8, 2024: programmed (planned) inspection, complete (safety). Case open. 2 violations cited (1 serious, 1 other). Penalties: $1,729 proposed, $1,729 now. OSHA record. OSHA recorded the employer as 317738395 - East Cascade Retirement Community LLC.
Details
- Serious: Cited rule OAR. Penalty $1,729 proposed, $1,729 now. To be fixed by Apr 14, 2026.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Apr 14, 2026.
- Feb 2, 2017: follow-up inspection, partial (safety). Case closed Feb 2, 2017. No violations cited. OSHA record. OSHA recorded the employer as 317715699 - East Cascade Retirement Community LLC.
- Dec 20, 2016: programmed (planned) inspection, complete (safety). Case closed May 24, 2017. 4 violations cited (1 serious, 3 other). Penalties: $180 proposed, $180 now. OSHA record. OSHA recorded the employer as 317715201 - East Cascade Retirement Community LLC.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(d)(4)(iii)(a)(2)). Penalty $180 proposed, $180 now. To be fixed by Feb 10, 2017.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Feb 10, 2017.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Feb 10, 2017.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Feb 10, 2017.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Charles Madras, Madras. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Regency Prineville Rehabilitation & Nursing Center, Prineville. 26.6 miles away, straight line.
- Nearest home health agency office
- Partners Home Health, Bend. 39.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Bi-Mart. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97741 as small town (small town core).
- Dialysis within 15 miles
- Fmc Madras Dialysis, Madras, 4.2 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 97741.
- Nearest geriatric medicine practice
- Richard Orth, DO, Estacada. 74.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective July 17, 1989), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Madras, OR, risk to homes is greater than 68% of communities in Oregon and 87% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is East Cascade Retirement Community a good nursing home?
CMS gives East Cascade Retirement Community an overall rating of 3 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is East Cascade Retirement Community staffed?
East Cascade Retirement Community reports 0.94 total nurse hours per resident per day, compared with the Oregon average of 4.95.
Has East Cascade Retirement Community had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does East Cascade Retirement Community have?
East Cascade Retirement Community is certified for 20 beds.