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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D15 | E1 | F7 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 24, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 24, 2026 | Health | Health Complaint, Health Standard | 1 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 11, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 11, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jan 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 18, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 18, 2023 | Health | Health Complaint, Health Standard | 9 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 18, 2023 | Civil money penalty (fine) | $107,136 | — | 385166|Fine|46350 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D15 | E1 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 24, 2026 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 10, 2026 | |
| Jul 24, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 10, 2026 | |
| Jul 24, 2026 | K-0324 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Mary of Oregon Ministries Oregon | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Mary of Oregon Ministries Oregon | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2006 |
| St Mary of Oregon Ministries Oregon | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2006 |
| Adele Altenhofen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2006 |
| Bret Cope | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 25, 2021 |
| Kathleen Parry | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Beaverton Post Acute Care of Cascadia 11850 SW Allen Blvd., Beaverton, OR 97005 CCN 385195 | 2.6 km | 104 | Jun 17, 2026 | 28 | — | |
| Robison Jewish Health Center 6125 SW Boundary Street, Portland, OR 97221 CCN 385145 | 7 km | 92 | Aug 21, 2026 | 543 harm | $49k | |
| Marquis Autumn Hills Memory Care 6630 SW Beaverton-Hillsdale Hwy, Portland, OR 97225 CCN 38A026 | 7 km | 39 | Feb 27, 2026 | 291 harm | $145k | |
| Marquis Vermont Hills 6010 SW Shattuck Road, Portland, OR 97221 CCN 385218 | 7 km | 73 | May 22, 2026 | 27 | — | |
| West Hills Health & Rehabilitation 5701 SW Multnomah Blvd, Portland, OR 97219 CCN 385112 | 7.3 km | 180 | Apr 25, 2025 | 341 harm | $13k | |
| Tigard Rehabilitation and Care 14145 SW 105th Avenue, Tigard, OR 97224 CCN 385272SFF Candidate | 8.1 km | 112 | May 11, 2026 | 643 IJ | $58k | |
| Avamere Crestview of Portland 6530 SW 30th Avenue, Portland, OR 97239 CCN 385031 | 9.4 km | 127 | Feb 13, 2026 | 601 IJ2 harm | — | |
| Avamere Rehabilitation of King City 16485 SW Pacific Highway, Tigard, OR 97224 CCN 385132 | 9.8 km | 148 | Aug 13, 2026 | 47 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385166 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385166 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 10, 2026 |
| Jul 24, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 10, 2026 |
| Jul 24, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 10, 2026 |
| Jul 24, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 10, 2026 |
| Jul 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Dec 1, 2025 | Complaint |
| Apr 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 22, 2026 | Complaint |
| Apr 11, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 28, 2025 |
| Apr 11, 2025 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 28, 2025 |
| Apr 11, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 28, 2025 |
| Apr 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 28, 2025 |
| Jan 3, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 7, 2025 | Complaint |
| Mar 20, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Jan 3, 2024 | Complaint |
| Dec 18, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 18, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 18, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 2, 2024 |
| Dec 18, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0690 | 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 · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
| Dec 18, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 2, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.76 (case-mix index 1.32).
| Jul 6, 2004 |
| Laureli Rodlun | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2008 |
| Adele Altenhofen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2006 |
| Thomas Baertlein | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Eric Barger | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2016 |
| Jeff Brecht | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Kathy Calcagno | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| James Dolan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Francine Duncan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 25, 2020 |
| Kelley Fox | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Stephanie Gilbert | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Thomas Rask | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2017 |
| Bryan Stewart | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2022 |
| Leonard Vuylsteke | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Kathleen Parry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 6, 2004 |
| St Mary of Oregon Ministries Oregon | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2026 |
| Adele Altenhofen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2006 |
| Kathleen Parry | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2025 |