Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E4 | 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 | |
|---|---|---|---|---|---|---|
| Apr 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Dec 19, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Aug 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 16, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 16, 2024 | Health | Health Complaint, Health Standard | 4 | Actual harm | — | Open → |
| Dec 13, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 13, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E4 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 3, 2026 | 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 Apr 14, 2026 | Complaint |
| Dec 19, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 23, 2026 | |
| Dec 19, 2025 |
“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.
16 facilities in 5 states. CMS chain ID 57.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon Holding Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon Holding Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2024 |
| Hyrum Kirton | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Dec 31, 2025 |
| David Dangerfield | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Byron Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Saint Helens Post Acute 75 Shore Drive, Saint Helens, OR 97051 CCN 385222Abuse icon | 12.2 km | 92 | Apr 27, 2026 | 1031 IJ1 harm | $15k | |
| Woodland Convalescent Center 310 Fourth Street, Woodland, WA 98674 CCN 505232 | 18.4 km | 62 | Aug 6, 2026 | 671 IJ1 harm | $27k | |
| Bridge Crest Post Acute 5220 Northeast Hazel Dell Avenue, Vancouver, WA 98663 CCN 505341 | 18.9 km | 89 | Aug 12, 2026 | 1003 IJ6 harm | $206k | |
| The Oaks at Timberline 400 East 33rd Street, Vancouver, WA 98663 CCN 505206 | 19.9 km | 85 | Mar 5, 2026 | 37 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385283 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385283 | 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
| E-0013 |
| Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Jan 23, 2026 |
| Dec 19, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 23, 2026 |
| Dec 19, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2026 |
| Dec 19, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2026 |
| Dec 19, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 2025 | 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 | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 23, 2026 |
| Dec 19, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 2025 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 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 Jan 23, 2026 |
| Dec 19, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Dec 19, 2025 | 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 Jan 23, 2026 |
| Dec 19, 2025 | F-0688 | 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 · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2026 |
| Aug 26, 2025 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 12, 2025 | Complaint |
| Aug 16, 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 Dec 6, 2023 | Complaint |
| Aug 16, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 24, 2024 |
| Aug 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 24, 2024 |
| Aug 16, 2024 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Sep 24, 2024 |
| Aug 16, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 24, 2024 |
| Aug 16, 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 Sep 24, 2024 |
| Dec 13, 2019 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 23, 2020 |
| Dec 13, 2019 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 13, 2019 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 13, 2019 | 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 Jan 23, 2020 |
| Dec 13, 2019 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 23, 2020 |
| Dec 13, 2019 | F-0656 | 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 · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.26 (case-mix index 1.39).
| Hyrum Kirton |
| Individual |
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Aug 27, 2024 |
| Spencer Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Avalon Health Care Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Avalon Health Care Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Maria Borisevich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 8, 2024 |
| Arash Fathizadeh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2024 |
| Alan Hash | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Jonathan Hutchinson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2025 |
| Hyrum Kirton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Richard Moberly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Ryan Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Nicole Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| David Dangerfield | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Byron Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Maria Borisevich | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 8, 2024 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Nicole Smith | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Avalon Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Avalon Health Care Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 11, 2025 |
| Avalon Holding Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Avalon Real Estate LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Avalon Realty - Scappoose LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Hyrum a Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| K-Team LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Spencer K Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| The Byron a Kirton Individual Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Maria Borisevich | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2024 |
| Arash Fathizadeh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2024 |
| Alan Hash | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Jonathan Hutchinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Spencer Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Richard Moberly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Ryan Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Nicole Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |