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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E7 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 24, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Apr 5, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 5, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jan 27, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 27, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E7 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 24, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 16, 2025 | |
| Apr 24, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2025 | |
| Apr 24, 2025 | K-0372 |
“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.
10 facilities in 5 states. CMS chain ID 391.
Chain average overall rating (CMS): 4.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sydney Amundsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2024 |
| David Keaton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 26, 2022 |
| Janet Kiernan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2023 |
| Melissa Preston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 26, 2023 |
| Michele Rushton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Anthony Sabatini | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Holladay Park Plaza 1300 NE 16th Avenue, Portland, OR 97232 CCN 385259 | 51 | Jun 30, 2026 | 26 | — | |
| Mirabella Portland 3550 S Bond Ave, Portland, OR 97239 CCN 385274 | 44 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hearthstone Nursing & Rehabilitation Center 2901 E. Barnett Road, Medford, OR 97504 CCN 385091SFF CandidateAbuse icon | 1.4 km | 87 | Mar 4, 2026 | 794 IJ2 harm | $231k | |
| Avamere at Three Fountains 835 Crater Lake Avenue, Medford, OR 97504 CCN 385126 | 3.8 km | 117 | Jul 9, 2026 | 372 harm | — | |
| Avamere Health Services of Rogue Valley 625 Stevens Street, Medford, OR 97504 CCN 385024 | 4 km | 91 | Aug 22, 2025 | 55 | — | |
| Ashland Post Acute 135 Maple Street, Ashland, OR 97520 CCN 385197 | 14.9 km | 87 | Aug 7, 2026 | 721 harm19 open | $31k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385250 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385250 | 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
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected May 16, 2025 |
| Apr 24, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2025 |
| Apr 24, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2025 |
| Apr 24, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2025 |
| Apr 24, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2025 |
| Apr 24, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 21, 2025 |
| Apr 5, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Apr 5, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Apr 5, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2024 |
| Apr 5, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 29, 2024 |
| Jan 27, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2023 |
| Jan 27, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 20, 2023 |
| Jan 27, 2023 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 26, 2023 |
| Jan 27, 2023 | F-0584 | 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 · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 24, 2023 |
| Jan 27, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 24, 2023 |
| Jan 27, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 24, 2023 |
| Jan 27, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 24, 2023 |
| Jan 27, 2023 | F-0756 | 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 · Medication management | D · Potential harm Isolated | Corrected Feb 24, 2023 |
| Jan 27, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 24, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.54 (case-mix index 1.36).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Dec 20, 2024 |
| Julie Beattie | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 6, 2021 |
| Kristi Blackhurst | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2020 |
| Timothy Brophy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 12, 2021 |
| Robert Mayers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 15, 2013 |
| April Sevick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 15, 2013 |
| Stan Solmonson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 13, 2020 |
| Kristi Blackhurst | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2020 |
| David Keaton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 26, 2022 |
| Melissa Preston | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 26, 2023 |
| Stan Solmonson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2023 |
| Pacific Retirement Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 27, 2026 |
| Sydney Amundsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2024 |
| David Keaton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 26, 2022 |
| Janet Kiernan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2023 |
| Melissa Preston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2023 |
| Michele Rushton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Anthony Sabatini | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 20, 2024 |
| Mar 27, 2026 |
16 |
| — |
| Cascade Manor 65 West 30th Avenue, Eugene, OR 97405 CCN 385276 | 32 | Apr 23, 2026 | 202 harm | $10k |