Avalon Care Center - Portland
12640 Se Bush · Portland, OR · 97236 · 5037616621
40 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 5.28 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
-
Potential for harm · D April 7, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 16, 2026 · Resident Rights
-
Potential for harm · D April 7, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 19, 2025 · Resident Rights
-
Potential for harm · D April 7, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 7, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 16, 2026 · Resident Rights
-
Potential for harm · D July 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 26, 2025 · Resident Rights
-
Potential for harm · D July 25, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 25, 2025
Provide activities to meet all resident's needs.
Corrected August 26, 2025 · Quality of Life and Care
-
Potential for harm · D July 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 28, 2025 · Quality of Life and Care
-
Potential for harm · D July 25, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 26, 2025 · Pharmacy Service
-
Actual harm · G October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
-
Potential for harm · D June 3, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 15, 2024 · Resident Rights
-
Potential for harm · D June 3, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 15, 2024 · Resident Rights
-
Potential for harm · D June 3, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 15, 2024 · Resident Rights
-
Potential for harm · D June 3, 2024 · found via complaint
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.
Corrected July 15, 2024 · Resident Rights
-
Potential for harm · E June 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 3, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 3, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2024 · Quality of Life and Care
-
Potential for harm · D June 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2024 · Quality of Life and Care
-
Potential for harm · D June 3, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 15, 2024 · Quality of Life and Care
-
Potential for harm · E June 3, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 15, 2024 · Nutrition and Dietary
-
Potential for harm · D June 3, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 14, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 12, 2023 · Resident Rights
-
Potential for harm · D March 14, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected April 12, 2023 · Resident Rights
-
Potential for harm · D March 14, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected April 12, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 38E173 · certified since April 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.