Avalon Care Center - Scappoose

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 40 beds and averages 31.2 residents a day — about 78% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.36 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.06 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.89 hrs/resident/day on weekends vs 5.55 on weekdays — 12% thinner on weekends. RN hours go from 0.67 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2024-08-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to provide care in accordance with care planned interventions while pushing a resident in a wheelchair for 1 of 1 sampled resident (#1) reviewed for accidents. This failure resulted in an avoidable fracture to Resident 1's left ankle. Findings include: Resident 1 was admitted to the facility in 2015 with diagnoses including dementia. The 6/2023 Annual MDS revealed Resident 1 had a BIMS of 11 (moderate cognitive impairment). Resident 1's mobility care plan dated 12/9/22 instructed staff to promote Resident 1's independence with locomotion as tolerated without leg rests and revealed Resident 1 needed assistance with leg rests in place for wheelchair mobility when being pushed by staff. A 12/6/23 FRI report revealed on 12/3/23 Resident 1 mobilized her/himself independently while in her/his wheelchair from the dining room toward her/his room. Resident 1 became tired and Staff 11 (CNA) pushed Resident 1 towards her/his room. Staff 11 felt resistance while pushing Resident 1 and immediately stopped while Resident 1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-04-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure appropriate nail care services was provided for 1 of 4 sampled residents (#2) reviewed for nail care. This placed the resident at risk for unmet care needs and potential complications related to diabetes. Findings includeResident was admitted on 9/2024 with diagnosis of diabetes.A Physician's Order dated 1/24/26 directed Resident 2 to receive diabetic nail care every week on Saturdays.Resident 2's 1/19/26 Care Plan indicated licensed nurses were responsible for providing nail care to Resident 2.On 4/2/26 at 2:11 PM, observation revealed Resident 2's left thumb nail was approximately 3/4 inches thick, significantly elevated off nail bed and discolored. Resident 2's left index finger had minimal nail bed remaining. Resident 2 denied pain to her/his left fingers at time of observation.In an interview on 4/2/26 at 11:35 AM, Staff 10 (CNA) stated they do not provide nail care to Resident 2's nails due to Resident 2's diabetic status. Staff 10 reported occasionally cleaning but indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-19 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to provide notice of bed hold policies for 2 of 2 sampled residents (#s 8 and 18) reviewed for hospitalizations. This placed residents at risk for miscommunication of the discharge process. Findings include:1.Resident 8 was readmitted to the facility in 9/2025 with diagnoses including mechanical complications of an indwelling ureteral stent (a tube from the kidney to the bladder to maintain drainage). Resident 8's medical record indicated she/he was transferred to the hospital on 5/18/25, 6/15/25, 7/23/25 and 9/18/25. No evidence was found in Resident 8's clinical record indicating written notice of the facility's bed hold policy was provided to her/his representative when she/he was transferred to the hospital on 6/15/25, 7/23/25 and 9/18/25. On 12/18/25 at 10:43 AM, Staff 9 (RN) stated the nurses, or social services staff completed the bed hold policy. Staff 9 stated she didn't complete the bed hold policy when Resident 8 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined the facility failed to provide a safe and clean homelike environment for 1 of 1 sampled resident (#11) reviewed for environment. This placed residents at risk for an unkept environment. Findings include: Resident 11 was admitted to the facility in 4/2025 with diagnoses including Alzheimer's disease.The 12/8/25 Quarterly MDS indicated Resident 11 had a BIMS score of zero and was not cognitively intact. The 4/15/24 Care Plan indicated, notifying maintenance when the padded mobility bars were damaged or removed. On 12/15/25 through 12/16/2025 from 8:00 AM to 4:00 PM, the padding around the bed rails in Resident 11's room was unkept, the metal was rusty, and parts of the mobility bars were left uncovered, and the metal was exposed. On 12/17/25 at 1:19 PM, Staff 15 (CNA) stated she told maintenance, the nurses and the administrator when equipment was damaged and made sure equipment was safe before she used it. Staff 15 stated she didn't report any damaged equipment in Resident's 11 room. Staff 15 entered Resident 11's room and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to accurately complete MDS assessments for 1 of 1 resident (#19) reviewed for communication and sensory needs. This placed residents at risk for lack of timely assessed care needs. Findings include:The facility's 11/2017 Resident Assessment policy and procedure specified the following:-The facility would address residents' needs and strengths regardless of whether or not the issue was included in the MDS or CAAs.-The facility would use resident observation and communication as the primary source when completing assessments and also review records, communicate with staff and other sources as needed to complete residents' assessments.Resident 19 was admitted to the facility in 5/2025 with diagnoses including metabolic encephalopathy (a change in brain function due to an underlying condition) and hearing loss.A review of Resident 19's 6/5/25 admission MDS and 12/6/25 Quarterly MDS revealed she/he had severe cognitive impairment and she/he did not have hearing aids. The CAA for communication…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure care plans accurately reflect bowel care needs for 1 of 1 resident (#1) reviewed for constipation. The placed residents at risk for constipation and fecal impaction. Findings include.The facility's 11/2017 Comprehensive Care Plans policy and procedure indicated a care plan will be comprehensive and person-centered. It will drive the type of care and services that a resident receives and will describe the resident's medical and nursing needs as well as how the facility will assist in meeting those needs.Resident was admitted to the facility in 7/2019 with diagnoses including quadriplegia (a form of paralysis that affects all four limbs and torso).A Care Plan revised 9/6/25 stated Resident 1 was at risk of constipation as result of bowel incontinence and was to have one bowel movement every three days. No information was included regarding Resident 1's normal bowel movement consistency.On 12/18/25 at 4:58 PM Staff 9 (RN) stated Resident 1 was at risk for constipation due to quadriplegia and she/he was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure staff assisted a resident with wearing hearing aids for 1 of 1 sampled resident (#19) reviewed for hearing. This placed residents at risk for a decline in communication. Findings include:Resident 19 was admitted to the facility in 5/2025 with diagnoses including metabolic encephalopathy (a change in brain function due to an underlying condition) and hearing loss.A review of Resident 19's 6/5/25 admission MDS revealed she/he had severe cognitive impairment, functional limitation in range of motion of both sides of her/his upper body, was dependent on staff for completion of ADLs and she/he did not have hearing aids. The CAA for communication indicated she/he was hard of hearing without hearing aids and staff were to elevate their voices when speaking to her/him.A review of Resident 19's care plan revealed she/he had a communication deficit related to being hard of hearing without hearing aids. No evidence was found in the care plan for staff to provide Resident 19 with assistance to use…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to provide the necessary care and assistance to maintain good grooming and hygiene for 1 of 2 sampled residents (#11) reviewed for ADLs. This placed residents at risk for poor grooming. Findings include:Resident 11 was admitted to the facility in 2024 with diagnoses including Alzheimer's disease. The 4/15/24 Care Plan indicated Resident 11 required one person substantial to dependent assistance completing personal hygiene and directed staff to offer and encourage nail care twice per week on shower days. The 12/8/25 Quarterly MDS, revealed Resident 11 had a BIMS score of zero which indicated the resident was not cognitively intact and required maximum assistance to complete personal hygiene. The 12/2025 Documentation Survey Report indicated Staff 15 (CNA) completed a shower for Resident 11 on 12/16/25 and didn't provide nail care. On 12/15/25 through 12/17/25 from 8:00 AM to 4:00 PM, Resident 11 had untrimmed nails. The left hand had uneven trimmed fingernails. Two nails had a brown substance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activities program for 1 of 1 sampled resident (#13) reviewed for activities. This placed the resident at risk for a decline in psychosocial well-being and diminished quality of life. Findings include:The 11/2017 Quality of life: Activities Policy indicated the following:-The facility activities will be meaningful to the residents. -Activities will enhance the physical, cognitive and emotional health of the residents.-Activities are scheduled daily, and residents are given an opportunity to contribute to the planning, preparation and conducting of the program as able and as appropriate.-The activity program consists of individual, small and large activities which are designed to meet the assessed needs and interest of each resident.Resident 13 was admitted in 9/2025 with diagnoses including chronic pain and muscle weakness. The 9/29/25 Care Plan indicated the following:-Resident 13 wishes to attend spiritual activities. -Staff to post calendar in room and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to provide pressure ulcer care consistent with professional standards of practice for 1 of 2 sampled residents (#1) reviewed for pressure ulcer. This placed residents at risk for new and worsening pressure ulcers. Findings include: The 8/2018 Quality of Care Skin Integrity Policy indicated the following:A weekly evaluation of the PU/PI (Pressure Ulcer/Pressure Injury) will include:-Evaluation of the PU/PI, if no dressing is present.-Evaluation of the status of the dressing, is present.-Status of the area surrounding the PU/PI (without removing existing dressing).-If pain is present, is it being controlled. PU/PI documentation will include:-The type of injury (pressure versus non-pressure)-The stage-A description of the PU/PI's characteristics-Progress toward healing and identification of potential complications-If infection is present. Resident 13 admitted to the facility in 9/2025 with diagnoses including quadriplegia (paralysis or significant weakness in both arms and legs).A 2024 Care Plan…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-19 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined the facility failed to manage contractures and provide continued treatment and services to prevent decrease in ROM and mobility for 2 of 4 residents (#s 1 and 3) reviewed for contracture and mobility. This placed residents at risk for contractures and decreased mobility. Findings include:The facility's 11/2017 Quality of Life ADLs/Maintain Abilities Policy indicated the facility provided necessary care and services to prevent avoidable decline in ADLs, ensured residents received treatment to maintain or improve ADL abilities, including mobility, and staff avoided using clinical diagnoses as the sole justification for decline. 1. Resident 3 was admitted to the facility in 3/2023 with diagnoses including Alzheimer's disease, generalized weakness, and pain. Random observations from 12/15/25 through 12/19/25 from 8:50 AM to 2:47 PM revealed Resident 3 was seated in a recliner with her/his left foot and ankle resting on a footrest, and the left foot and ankle were rotated towards the midline of the body. Resident 3 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVALON HEALTH CARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 42 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in OR