nursing home in Milton Freewater, OR
Milton Freewater Health and Rehabilitation
120 Elzora Street, Milton Freewater, OR 97862 · (541) 938-3318
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★2
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Milton Freewater Health and Rehabilitation at a glance
Milton Freewater Health and Rehabilitation is a 70-bed for-profit nursing home in Milton Freewater, Oregon (Umatilla County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Oregon average of 3.1.
Residents receive about 5.3 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 5 hours.
Its most recent standard health inspection (January 15, 2026) found 5 health citations. The Oregon average is 9.2.
Federal regulators fined it 1 time in the past three years, totaling $8,278.
Nursing staff turnover is 34.1% per year (state average 47.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 70
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Evergreen Healthcare Group
- Medicare-certified since
- January 20, 1984
- Resident/family council
- Resident
- County
- Umatilla County
- CMS Certification Number
- 385161
Ratings
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.34 hrs | 5.03 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.16 hrs | 0.72 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 4.04 hrs | 3.40 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.69 hrs | 4.51 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 34.1% | 47.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 45.5% | 51.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 71.8 | 80.6 | Better |
Penalties
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,278 | $27,522 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 70 | 83 | 107 | |
| Average residents per day | 32 | 58 | 86 | |
| Occupancy | 45.4% | 71.9% | 80.9% |
Long-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 2.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 5.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.7% | 13.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.6% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.8% | 1.4% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.6% | 14.9% | 13.9% | Average |
| Long-stay residents who lose too much weight (lower is better) | 1.2% | 4.7% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 4.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.7% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.6% | 21.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 91.3% | 95.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 95.2% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Oregon avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 60.6% | 81.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.9% | 85.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 15, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 10, 2026 |
| January 15, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 6, 2025 |
| January 15, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected February 10, 2026 |
| January 15, 2026 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected February 10, 2026 |
| January 15, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 10, 2026 |
| January 15, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected November 26, 2025 |
| August 7, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 28, 2025 |
| August 7, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 28, 2025 |
| August 7, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 28, 2025 |
| August 7, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 28, 2025 |
| June 28, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 12, 2024 |
| June 28, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 12, 2024 |
| June 28, 2024 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 12, 2024 |
| June 28, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 12, 2024 |
| April 7, 2023 Fire safety | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Tag K0111 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | F Potential harm, widespread | Corrected May 22, 2023 |
| April 7, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected May 22, 2023 |
| April 7, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 3, 2023 |
| April 7, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 3, 2023 |
| April 7, 2023 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected May 22, 2023 |
| April 7, 2023 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected May 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,278 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 7, 2025 | Fine | $8,278 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ASHBY, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| CHAMBERS, RANDY Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| FREEWATER OREGON LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| HYDE, DEIDRE Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| PNW 12 SNF CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| MILTON FREEWATER SNF OPERATIONS, LLC Organization | direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| ASHBY, WILLIAM Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| CHAMBERS, RANDY Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| CH PNW 12 HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| FREEWATER OREGON LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| HERZKA, YISROEL Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| HYDE, DEIDRE Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| PNW 12 SNF CONSULTING LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| WITZCORP PNW 12 LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| ASHBY, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| CHAMBERS, RANDY Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| HYDE, DEIDRE Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| MILTON FREEWATER SNF OPERATIONS, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| ODENTHAL, JASON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PNW 12 SNF CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
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Willowbrook Post Acute
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Frequently asked questions
What is Milton Freewater Health and Rehabilitation's rating?
Milton Freewater Health and Rehabilitation has 3 out of 5 stars on the CMS overall star rating. The average for Oregon nursing homes is 3.1 stars.
How many inspection citations did Milton Freewater Health and Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.
Does Milton Freewater Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Milton Freewater Health and Rehabilitation?
It is for profit - corporation and part of Evergreen Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Milton Freewater Health and Rehabilitation and how do I contact it?
Milton Freewater Health and Rehabilitation is at 120 Elzora Street, Milton Freewater, OR 97862. Phone: (541) 938-3318.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.