Avalon Care Center - Scappoose
33910 E. Columbia Avenue, Scappoose, OR 97056 · Columbia County · 40 certified beds · avg 31 residents/day · certified since Oct 1, 2018
Part of chain: AVALON HEALTH CARE (16 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 16, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 6, 2023 (Past Non-Compliance)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 3, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 19, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 19, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Aug 26, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Aug 16, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 16, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Aug 16, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 13, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 13, 2019 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Dec 13, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 10 | 0 | E |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oregon avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.27 | 5.42 | 3.95 | bottom 42% in Oregon; top 10% in the U.S. |
| Registered Nurse hours | 0.59 | 0.78 | 0.69 | bottom 38% in Oregon; top 49% in the U.S. |
| Weekend total nurse staffing | 4.81 | 4.85 | 3.50 | top 49% in Oregon; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.48 | 0.48 | top 37% in Oregon; top 40% in the U.S. |
| Total nursing staff turnover (%) | 43.6 | 47.4 | 45.8 | top 41% in Oregon; top 46% in the U.S. |
| RN turnover (%) | 85.7 | 51.6 | 42.9 | bottom 7% in Oregon; bottom 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.36, RN 0.60, weekend 4.89. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avalon Holding INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2024 |
| Avalon Health Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Avalon Health Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Avalon Health Care Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Avalon Health Care Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Avalon Holding INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Avalon Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Avalon Realty - Scappoose LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Borisevich, Maria | Individual | Corporate Officer | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/08/2024 |
| Borisevich, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2024 |
| Dangerfield, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Dangerfield, David | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Fathizadeh, Arash | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2024 |
| Fathizadeh, Arash | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2024 |
| Hash, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Hash, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Hutchinson, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hutchinson, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Hyrum a Kirton Individual Tr | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Saint Helens Post Acute | 7.6 mi | Saint Helens, OR | ★★☆☆☆ | 1/5 | abuseSFF |
| Salmon Creek Post Acute & Rehabilitation | 11.3 mi | Vancouver, WA | ★★★☆☆ | 3/5 | |
| Woodland Convalescent Center | 11.4 mi | Woodland, WA | ★★☆☆☆ | 3/5 | |
| Bridge Crest Post Acute | 11.7 mi | Vancouver, WA | ★★☆☆☆ | 2/5 | |
| The Oaks at Timberline | 12.3 mi | Vancouver, WA | ★★★★★ | 5/5 | |
| Marquis Piedmont Post Acute Rehab | 16.0 mi | Portland, OR | ★★★★☆ | 4/5 | |
| Brookfield Health and Rehab of Cascadia | 16.0 mi | Battle Ground, WA | ★★★☆☆ | 3/5 | |
| Vancouver Specialty and Rehab Care | 16.2 mi | Vancouver, WA | ★★★★☆ | 4/5 | |
| Hillsboro Health and Rehabilitation | 16.2 mi | Hillsboro, OR | ★★★★☆ | 4/5 | |
| Hudson Bay Health and Rehabilitation | 16.2 mi | Vancouver, WA | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385283.