Avamere Rehabilitation of Hillsboro
650 SE Oak Street, Hillsboro, OR 97123 · Washington County · 87 certified beds · avg 70 residents/day · certified since Apr 19, 1996
Part of chain: AVAMERE (27 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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)
▲ Immediate jeopardy, one-off · May 11, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 2, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · May 11, 2026 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Mar 15, 2026 (Past Non-Compliance)
▲ Actual harm, one-off · May 15, 2025 · 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: May 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 31, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Aug 31, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (40)
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 |
|---|---|---|
| May 11, 2026 | ▲ J · Immediate jeopardy, 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 |
| May 11, 2026 | ▲ G · Actual 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. · from a complaint |
| May 11, 2026 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 11, 2026 | 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. |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| May 11, 2026 | D · Potential for harm, one-off | 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). |
| May 11, 2026 | 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. |
| May 11, 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. |
| May 11, 2026 | 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. |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 11, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| May 11, 2026 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jan 8, 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 |
| May 15, 2025 | ▲ 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 |
| Jan 21, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 21, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 21, 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. |
| Jan 21, 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. |
| Jan 21, 2025 | D · Potential for 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. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Jan 21, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Jan 21, 2025 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility. · from a complaint |
| Sep 10, 2024 | D · Potential for 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 |
| Jul 31, 2023 | ▲ G · Actual 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. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 31, 2023 | 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. |
| Jul 31, 2023 | 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jul 31, 2023 | D · Potential for harm, one-off | 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 1 | G ▲ |
| 2024 | 2 | 0 | D |
| 2025 | 13 | 1 | G ▲ |
| 2026 | 14 | 2 | J ▲ |
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)
2 fines totaling $22,116.
| Date | Type | Amount / length |
|---|---|---|
| May 11, 2026 | Fine | $8,492 |
| May 11, 2026 | Fine | $13,624 |
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) | 5.28 | 5.42 | 3.95 | bottom 45% in Oregon; top 9% in the U.S. |
| Registered Nurse hours | 0.73 | 0.78 | 0.69 | top 44% in Oregon; top 34% in the U.S. |
| Weekend total nurse staffing | 4.62 | 4.85 | 3.50 | bottom 38% in Oregon; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.48 | 0.48 | top 26% in Oregon; top 28% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 47.4 | 45.8 | top 13% in Oregon; top 20% in the U.S. |
| RN turnover (%) | 22.2 | 51.6 | 42.9 | top 9% in Oregon; top 17% 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 4.97, RN 0.68, weekend 4.34. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Karl Rickard Miller Jr Revocable Trust | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/11/2011 |
| Miller, Karl | Individual | 5% or Greater Direct Ownership Interest | — | 05/01/1996 |
| Avamere Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2005 |
| Avamere Health Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Avamere Skilled Advisors LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2005 |
| Avamere Skilled Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Cavallo, Glen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Cowgill, Stacia | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
| Cowgill, Stacia | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Dana, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Dana, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Davis, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Doepker, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/28/2023 |
| Doepker, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2023 |
| Feakin, Cody | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Feakin, Cody | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2025 |
| Feakin, Cody | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Funderberg, Michelle | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Funderberg, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Games, Kim | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2024 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "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 |
|---|---|---|---|---|---|
| Hillsboro Health and Rehabilitation | 1.3 mi | Hillsboro, OR | ★★★★☆ | 4/5 | |
| Forest Grove Post Acute | 4.8 mi | Forest Grove, OR | ★★★★☆ | 4/5 | |
| Marquis Forest Grove Post Acute Rehab | 5.3 mi | Forest Grove, OR | ★★★★★ | 4/5 | |
| Maryville | 7.6 mi | Beaverton, OR | ★★★★☆ | 3/5 | |
| Beaverton Post Acute Care of Cascadia | 9.2 mi | Beaverton, OR | ★★★★★ | 4/5 | |
| Tigard Rehabilitation and Care | 11.5 mi | Tigard, OR | ★☆☆☆☆ | 1/5 | SFF |
| Marquis Autumn Hills Memory Care | 11.8 mi | Portland, OR | ★★★★★ | 4/5 | |
| Robison Jewish Health Center | 11.8 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Marquis Vermont Hills | 11.9 mi | Portland, OR | ★★★★★ | 5/5 | |
| Avamere Rehabilitation of King City | 12.0 mi | Tigard, OR | ★★★★☆ | 3/5 | |
| West Hills Health & Rehabilitation | 12.2 mi | Portland, OR | ★★★★☆ | 3/5 | |
| Avamere Crestview of Portland | 13.4 mi | Portland, OR | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385251.