Secora Rehabilitation of Cascadia

Secora Rehabilitation of Cascadia is located in the large metropolitan area of Portland, Oregon. With an overall grade of C, this looks like a solid nursing home. Portland received a city grade of B+, so there are other options in the city worth looking at. The best part of this facility's profile was its exemplary nursing rating. We discuss nursing in the next section.

In addition to receiving a great overall score, this facility really excelled in the category of nursing, where it received an A+. The nursing score considers many datapoints. The most heavily weighted variable is the quantity of hours nurses spend with patients. This facility provided 4.2 hours of nursing care per resident daily. Approximately one quarter of this care was provided by registered nurses, which are among the most highly skilled nurses. Both of these figures exceed the national average. Finally, this place also performed even better in most of the quality-based metrics we assessed. For example, it had a low percentage of patients sustaining pressure ulcers and major falls. We consider these areas to be reliable indicators of the quality of nursing care.

This facility also performed favorably in the area of short-term care, where we awarded it a grade of A-. Few facilities performed better in this area. In the category of short-term care, we attempt to qualify indicators of a facility's rehabilitation services. We assess a nursing home's skilled nursing services, including the ones performed by registered nurses and physical, occupational and other therapists. One of this facility's strengths is it offers more than seven hours of care per week from registered nurses per patient. This is really the gold standard for this metric, as it's approximately 50% higher than a typical nursing home's level of registered nurse staffing. Lastly, we considered the number of residents who were able to return to the community from this nursing home. We found that 0 percent of this nursing home's residents returned home.

This facility's next highest category was its long-term care score, where it received a grade of B-. For residents seeking a permanent place to live as opposed to rehabilitation, long-term care grades are very important. Once we looked at the volume of care provided by nurses and other staff, we then looked at the facility's vaccination records. We were pleased to learn that this nursing home vaccinated 99.31973 percent of its residents for pneumonia. Finally, this facility was also able to limit hospitalizations. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is an impressively low figure.

The final category we assessed was inspections. This nursing home did not receive favorable government inspection reports in recent years. We gave it an F in this category. This dragged down this facility's overall grade quite a bit. When a nursing home has this bad of an inspection rating, you should look for severe deficiencies on its inspection report. Severe deficiencies indicate a risk to patient safety. This facility was hit with 7 deficiencies by CMS. The only positive thing we found is that none of the deficiencies were in the categories that suggest that they posed a threat to patient health or safety. Finally, we also want to draw your attention to the fact that this facility was assessed significant government fines in recent years of more than $100,000. This typically means that a poor track record has been an issue for several years.