Independence Health And Rehabilitation

Name: Independence Health And Rehabilitation: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Independence, Polk County, Oregon · CCN 385188 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Independence Health And Rehabilitation 2 of 5 overall as of August 2026. 80 certified beds, 35 residents a day on average. 31 citations on record from the current inspection cycles, 1 involving actual harm; 3 fines totalling $69,876.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★☆☆☆ 2 of 5
Health inspections	★★☆☆☆ 2 of 5
Staffing	★★★★☆ 4 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	4 / 1 of 5

Staffing

Total nurse staffing	5.29174 hours per resident per day
Registered nurses	0.54395 hours per resident per day
Weekend total	4.69898 hours per resident per day
Nursing staff turnover	65.1%
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-11	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	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 No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-06-12
2026-05-11	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2026-06-12
2025-02-18 complaint survey	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 that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-03-21
2025-02-18	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18	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 No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18	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 · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2025-02-18	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-21
2023-11-17	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-12-13
2023-11-17	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-13
2023-11-17	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-13
2023-11-17	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-13
2023-11-17	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-13
2023-11-17	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-12-13
2023-08-03 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance 2023-03-24
2023-08-03 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Past Non-Compliance 2023-03-24

Fines and payment denials

Date	Penalty	Amount
2025-02-18	Fine	$45,819
2024-01-17	Fine	$16,039
2024-01-17	Fine	$8,018

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Ch Pacific Northwest Holdings LLC Organization	adp of the snf	—	2023-08-31
Couve Financial Services LLC Organization	adp of the snf	—	2025-06-20
Couve Healthcare Consulting LLC Organization	adp of the snf	—	2025-03-27
Independence Snf Operations LLC Organization	adp of the snf	—	2025-06-12
Oregon Snf Consulting LLC (De) Organization	adp of the snf	—	2025-03-28
Pacific Northwest Opco Management LLC Organization	adp of the snf	—	2025-03-28
Witzcorp Global LLC Organization	adp of the snf	—	2023-08-31
Pacific Northwest Snf Operations Holdings (Or) LLC Organization	direct ownership interest	—	2023-08-31
Ch Pacific Northwest Holdings LLC Organization	indirect ownership interest	—	2023-08-31
Couve Financial Services LLC Organization	indirect ownership interest	—	2023-08-31
Independence Snf Operations LLC Organization	indirect ownership interest	—	2023-08-31
Pacific Northwest Snf Operations Holdings LLC Organization	indirect ownership interest	—	2023-08-31
Witzcorp Global LLC Organization	indirect ownership interest	—	2023-08-31
Couve Financial Services LLC Organization	operational/managerial control	—	2023-08-31
Couve Healthcare Consulting LLC Organization	operational/managerial control	—	2023-08-31
Independence Snf Operations LLC Organization	operational/managerial control	—	2023-08-31
Oregon Snf Consulting LLC (De) Organization	operational/managerial control	—	2023-08-31
Pacific Northwest Opco Management LLC Organization	operational/managerial control	—	2023-08-31
Cepeda, Mylene Individual	adp of the snf	—	2023-08-31
Durst, Julie Individual	adp of the snf	—	2023-08-31
Heiman, Jacob Individual	adp of the snf	—	2023-08-31
Herzka, Yisroel Individual	adp of the snf	—	2023-08-31
Morris, Christopher Individual	adp of the snf	—	2023-08-31
Odenthal, Jason Individual	adp of the snf	—	2023-08-31
Spielman, Shimon Individual	adp of the snf	—	2023-08-31
Yenowitz, Yitzchok Individual	adp of the snf	—	2023-08-31
Odenthal, Jason Individual	corporate officer	—	2023-08-31
Herzka, Yisroel Individual	indirect ownership interest	—	2023-08-31
Yenowitz, Yitzchok Individual	indirect ownership interest	—	2023-08-31
Cepeda, Mylene Individual	managing control - governing body	—	2023-08-31
Odenthal, Jason Individual	managing control - governing body	—	2023-08-31
Durst, Julie Individual	operational/managerial control	—	2023-08-31
Heiman, Jacob Individual	operational/managerial control	—	2023-08-31
Morris, Christopher Individual	operational/managerial control	—	2023-08-31
Odenthal, Jason Individual	operational/managerial control	—	2023-08-31
Spielman, Shimon Individual	operational/managerial control	—	2023-08-31
Yenowitz, Yitzchok Individual	operational/managerial control	—	2023-08-31

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Independence Health And Rehabilitation.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Polk County.