Holladay Park Plaza
1300 NE 16th Avenue, Portland, OR 97232 · Multnomah County · 51 certified beds · avg 38 residents/day · certified since Aug 14, 1998
Part of chain: PACIFIC RETIREMENT SERVICES (10 facilities, chain avg rating 4.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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.
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 |
|---|---|---|
| Jun 30, 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 |
| Sep 5, 2025 | 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. |
| Sep 5, 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. |
| Jun 13, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 13, 2024 | 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. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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. |
| Mar 13, 2023 | 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). |
| Mar 13, 2023 | D · Potential for harm, one-off | 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. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 2 | 0 | D |
| 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) | 5.11 | 5.42 | 3.95 | bottom 30% in Oregon; top 12% in the U.S. |
| Registered Nurse hours | 1.01 | 0.78 | 0.69 | top 16% in Oregon; top 15% in the U.S. |
| Weekend total nurse staffing | 4.76 | 4.85 | 3.50 | bottom 45% in Oregon; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.48 | 0.48 | top 12% in Oregon; top 13% in the U.S. |
| Total nursing staff turnover (%) | 32.7 | 47.4 | 45.8 | top 12% in Oregon; top 19% in the U.S. |
| RN turnover (%) | 30.0 | 51.6 | 42.9 | top 17% in Oregon; top 29% 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 5.00, RN 0.99, weekend 4.65. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hawkins, Richard | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Jensen, Chris | Individual | Corporate Director | NOT APPLICABLE | 07/18/2023 |
| Johnson, Lynn | Individual | Corporate Director | NOT APPLICABLE | 04/18/2017 |
| Johnson, Lynn | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Kalin, Leah | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2023 |
| Kalin, Leah | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Kiernan, Janet | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/16/2023 |
| Kiernan, Janet | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2023 |
| McLaughlin, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 07/17/2018 |
| McLaughlin, Kathleen | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2023 |
| Pacific Retirement Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Platte, Susan | Individual | Corporate Officer | NOT APPLICABLE | 07/18/2016 |
| Platte, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/18/2016 |
| Platte, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2016 |
| Sabatini, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/28/2025 |
| Sabatini, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 10/17/2024 |
| Samuelson, Katelynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/21/2019 |
| Samuelson, Katelynn | Individual | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "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 |
|---|---|---|---|---|---|
| Laurelhurst Post Acute & Rehabilitation | 1.3 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Providence Child Center | 1.9 mi | Portland, OR | ★★★★★ | 5/5 | |
| Belmont Care and Rehabilitation | 2.2 mi | Portland, OR | ★☆☆☆☆ | 2/5 | |
| Fernhill Rehabilitation and Care | 2.4 mi | Portland, OR | ★★☆☆☆ | 2/5 | abuse |
| Porthaven Post Acute | 2.5 mi | Portland, OR | ★★★☆☆ | 2/5 | |
| Mirabella Portland | 2.6 mi | Portland, OR | ★★★★★ | 5/5 | |
| Mt. Tabor Health & Rehabilitation | 2.6 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Reedwood Post Acute | 2.7 mi | Portland, OR | ★★★★★ | 5/5 | |
| The Creston Health & Rehabilitation | 3.0 mi | Portland, OR | ★☆☆☆☆ | 1/5 | |
| Marquis Piedmont Post Acute Rehab | 3.2 mi | Portland, OR | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385259.