Provider Details - Portland Health And Rehabilitation
Portland Health And Rehabilitation
(503) 255-7040
duffy.dezember@portlandhc.com
12441 SE STARK STREET
Portland, OR 97233
(503) 255-7040
duffy.dezember@portlandhc.com
- Administrator name
- Duffy Dezember
- ID
- 385228
- Status
- Open
- Type
- Nursing Facility
- Licensed beds
- 105
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Yisroel Herzka
1168 Evergreen Avenue
Lakewood, 08701
na
- Owner since
- 5/1/2023
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
Licensing inspections evaluate a provider’s compliance with rules and laws.
Licensing surveyors look at a variety of factors, including quality of care and services provided, as
well as the condition of the provider’s physical structure, equipment, staffing levels, policies,
procedures and finances. Under federal requirements, nursing facilities receive recertification inspections
and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s
compliance with regulatory requirements at the time the inspection took place.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Event ID | Inspection type(s) Inspection type(s) | Deficiencies cited | Actions | |
|---|---|---|---|---|---|
| 6/9/2026 | 2340DD | Complaint, Re-Licensure | 0 | ||
| 2/27/2026 | 1E46FC | Complaint, Re-Licensure, Recertification | 21 | ||
| 7/11/2025 | UNHU | Complaint, Licensure Complaint, State Licensure | 3 | ||
| 5/28/2025 | F3R1 | Complaint, Licensure Complaint, State Licensure | 0 | ||
| 4/15/2025 | YXIZ | Complaint, Licensure Complaint, State Licensure | 0 | ||
| 12/26/2024 | 200X | Complaint, Licensure Complaint, State Licensure | 0 | ||
| 10/29/2024 | BH8N | Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure | 16 | ||
| 9/26/2024 | H8JK | Complaint, Licensure Complaint, State Licensure | 0 | ||
| 3/21/2024 | HC26 | Complaint, Licensure Complaint, State Licensure | 2 | ||
| 2/20/2024 | 23L1 | Focused Infection Control, Other-Fed | 1 |
17
records found
| Page
1 of 2
The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes.
If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.
This list shows confirmed (substantiated) instances of abuse from 2010 onward.
Open investigations and complaints that are being appealed by the provider are not listed.
To learn more about abuse definitions, see:
Definitions of Abuse
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 10/5/2023 | OR0004542501 | Failed to provide service | 3 | Abuse: Neglect | ||
| 7/3/2019 | OR0001978200 | Failed to provide safe environment | 3 | Abuse: Physical Abuse | ||
| 1/8/2019 | OR0001704500 | Failed to provide oversight and monitoring of change of condition | 4 | Abuse: Neglect | ||
| 1/8/2019 | OR0001704501 | Failed to provide service | 4 | Abuse: Neglect | ||
| 10/29/2018 | OR0001615900 | Failed to assure food safety | 3 | Abuse: Neglect | ||
| 10/12/2018 | BC191408 | Failed to administer medication as ordered | 2 | Abuse: Neglect | ||
| 6/1/2018 | BC189247 | Failed to provide rehabilitative services | 3 | Abuse: Neglect | ||
| 11/17/2017 | OR0001401404 | Failed to investigate injury of unknown origin to rule out abuse | 2 | Abuse: Neglect | ||
| 7/5/2017 | OR0001322202 | Failed to provide oversight and monitoring of change of condition | 2 | Abuse: Neglect | ||
| 5/12/2017 | OR0001296100 | Failed to provide safe environment | 3 | Abuse: Neglect |
15
records found
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1 of 2
This list shows confirmed (substantiated) licensing violations from 2010 onward.
Open investigations and complaints that are being appealed by the provider are not listed.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 1/5/2026 | 2708946 - 4465135 | Failed to provide safe environment | 2 | Licensing Violation | ||
| 10/22/2025 | 2649655 - 4374057 | Failed to provide safe environment | 2 | Licensing Violation | ||
| 9/25/2025 | 2628507 - 4337252 | Failed to assure resident rights | 2 | Licensing Violation | ||
| 8/6/2025 | 2579874 - 4261385 | Failed to assure resident rights | 2 | Licensing Violation | ||
| 3/11/2025 | 957938 - 1409312 | Failed to answer call light in a timely manner | 2 | Licensing Violation | ||
| 10/25/2024 | 957942 - 1409308 | Failed to answer call light in a timely manner | 2 | Licensing Violation | ||
| 6/4/2024 | OR0005093506 | Failed to provide service | 2 | Licensing Violation | ||
| 4/15/2024 | CALMS - 00054948 | Failed to submit timely or adequate staffing documentation | 2 | Licensing Violation | ||
| 3/6/2024 | 957940 - 1409309 | Failed to answer call light in a timely manner | 2 | Licensing Violation | ||
| 3/4/2024 | OR0004874800 | Failed to provide service | 2 | Licensing Violation |
64
records found
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1 of 7
Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice
to revoke a license. This section of the website currently displays only license conditions dating back to
2010 and no other types of regulatory action. Additional records will be added over time as resources allow.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| NFCD18-006 | Failed to provide appropriate staffing | Condition | 6/11/2018 | 6/29/2018 |
1
record found