Milton Freewater Health and Rehabilitation
120 Elzora Street, Milton Freewater, OR 97862
Milton Freewater Health and Rehabilitation is a nursing home in Milton Freewater, Oregon. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJanuary 15, 2026 (9 months ago)
- Health citations since April 7, 202326 (Oregon average 34)
- Fines in the past three years1, $8,278 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of June 24, 2026
Name
CMS lists a new name for this home. It was MILTON FREEWATER HEALTH & REHABILITATION CENTER.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of March 25, 2026
Ownership
CMS lists this home under a new chain.
Health inspection on January 15, 2026
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 26, 2025.
CMS has cited this home for F0602 2 times since 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on October 6, 2025.
CMS has cited this home for F0684 3 times since 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on February 10, 2026.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on February 10, 2026.
CMS has cited this home for F0725 2 times since 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on February 10, 2026.
CMS has cited this home for F0757 2 times since 2023.
Fire safety inspection on January 15, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 10, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS added its abuse icon to this home.
Staffing
Total nurse staffing reported to CMS went from 5.4 to 4.6 hours per resident per day.
Health inspection on August 7, 2025
4 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
23 of 128 Oregon homes (18%) got a citation at the actual harm level in 2025.
CMS fine of $8,278 on August 7, 2025.
Show the 4 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 28, 2025.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 28, 2025.
CMS has cited this home for F0600 2 times since 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 28, 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 28, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of September 26, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
Name
CMS lists a new legal business name for this home.
CMS update of July 31, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
Health inspection on June 28, 2024
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 8 citations
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on August 12, 2024.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on August 12, 2024.
CMS has cited this home for F0553 2 times since 2023.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 12, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 12, 2024.
CMS has cited this home for F0641 2 times since 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on August 12, 2024.
CMS has cited this home for F0655 2 times since 2023.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on August 12, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 12, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 12, 2024.
CMS has cited this home for F0842 2 times since 2023.
Fire safety inspection on June 28, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 12, 2024.
CMS has cited this home for K0712 2 times since 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on August 12, 2024.
CMS update of April 25, 2024
Ownership
CMS lists this home under a new chain.
CMS update of March 28, 2024
Ownership
CMS lists this home under a new chain.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.9 to 4.4 hours per resident per day.
Health inspection on April 7, 2023
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on May 22, 2023.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on May 22, 2023.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on March 3, 2023.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on May 22, 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on May 22, 2023.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 22, 2023.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on March 3, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on May 22, 2023.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on May 22, 2023.
Fire safety inspection on April 7, 2023
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation K0111. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
CMS lists it as corrected on May 22, 2023.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on May 22, 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 22, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 22, 2023.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 22, 2023.
Citation K0912. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on May 22, 2023.
Citation K0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on May 22, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (541) 938-3318
- Last standard health inspection
- January 15, 2026 (9 months ago)
- Certified beds
- 70
- Residents per day, on average
- 28.7
- Ownership type
- For profit - Corporation
- Legal business name
- Milton Freewater SNF Operations, LLC
- Chain
- Evergreen Healthcare Group
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Oregon average (26 vs 34).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MILTON FREEWATER SNF OPERATIONS, LLCDirect ownership interest · not applicable · since 08/31/2023
- PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLCDirect ownership interest · not applicable · since 08/31/2023
- CH PNW 12 HOLDINGS LLCIndirect ownership interest · not applicable · since 08/31/2023
- COUVE FINANCIAL SERVICES LLCIndirect ownership interest · not applicable · since 08/31/2023
- COUVE HEALTHCARE CONSULTING LLCIndirect ownership interest · not applicable · since 08/31/2023
Show 22 more
- FREEWATER OREGON LLCIndirect ownership interest · not applicable · since 08/31/2023
- PNW 12 OPCO MANAGEMENT LLCIndirect ownership interest · not applicable · since 08/31/2023
- PNW 12 SNF CONSULTING LLCIndirect ownership interest · not applicable · since 08/31/2023
- WITZCORP PNW 12 LLCIndirect ownership interest · not applicable · since 08/31/2023
- ASHBY, WILLIAMIndirect ownership interest · not applicable · since 08/31/2023
- CHAMBERS, RANDYIndirect ownership interest · not applicable · since 08/31/2023
- HERZKA, YISROELIndirect ownership interest · not applicable · since 08/31/2023
- HYDE, DEIDREIndirect ownership interest · not applicable · since 08/31/2023
- ODENTHAL, JASONIndirect ownership interest · not applicable · since 08/31/2023
- SPIELMAN, SHIMONIndirect ownership interest · not applicable · since 08/31/2023
- YENOWITZ, YITZCHOKIndirect ownership interest · not applicable · since 08/31/2023
- COUVE FINANCIAL SERVICES LLCOperational/managerial control · not applicable · since 08/31/2023
- COUVE HEALTHCARE CONSULTING LLCOperational/managerial control · not applicable · since 08/31/2023
- MILTON FREEWATER SNF OPERATIONS, LLCOperational/managerial control · not applicable · since 08/31/2023
- PNW 12 OPCO MANAGEMENT LLCOperational/managerial control · not applicable · since 08/31/2023
- PNW 12 SNF CONSULTING LLCOperational/managerial control · not applicable · since 08/31/2023
- ASHBY, WILLIAMOperational/managerial control · not applicable · since 08/31/2023
- CHAMBERS, RANDYOperational/managerial control · not applicable · since 08/31/2023
- HYDE, DEIDREOperational/managerial control · not applicable · since 08/31/2023
- ODENTHAL, JASONOperational/managerial control · not applicable · since 08/31/2023
- SPIELMAN, SHIMONOperational/managerial control · not applicable · since 08/31/2023
- YENOWITZ, YITZCHOKOperational/managerial control · not applicable · since 08/31/2023
Questions
When was Milton Freewater Health and Rehabilitation last inspected?
CMS lists January 15, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Milton Freewater Health and Rehabilitation have?
CMS lists 26 health citations since April 7, 2023. CMS also calls these deficiencies.
Has Milton Freewater Health and Rehabilitation been fined?
CMS lists 1 fine in the past three years, $8,278 in total.
What is the CMS star rating of Milton Freewater Health and Rehabilitation?
Its CMS overall star rating is 2 of 5.
Is Milton Freewater Health and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.