Federal inspection record · CMS data as of October 1, 2026

Avalon Care Center - Scappoose

33910 E. Columbia Avenue, Scappoose, OR · (503) 543-7131

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
40
Residents per day
32
Ownership
For-Profit
Chain
Avalon Health Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 2018

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Oregon homes

Avalon Care Center - Scappoose carries 44 inspection points. That is fewer than 63% of Oregon's 126 rated homes.

5★4★3★2★1★+4 homes above 169.2505102550100inspection points → fewer is better on the leftThis home · 44 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–14 pts
  • 4★ 14–41 pts
  • 3★ 41–65 pts
  • 2★ 65–95.25 pts
  • 1★ over 95.25 pts

Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

18 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 3 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 16, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 6, 2023

Everything else, by area of care

Quality of Life and Care6D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 3, 2026 · Complaint · F684 · Corrected April 14, 2026

  2. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    December 19, 2025 · Standard · F676 · Corrected January 23, 2026

  3. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 19, 2025 · Standard · F677 · Corrected January 23, 2026

  4. D

    Provide activities to meet all resident's needs.

    December 19, 2025 · Standard · F679 · Corrected January 23, 2026

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    December 19, 2025 · Standard · F686 · Corrected January 23, 2026

  6. D

    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.

    December 19, 2025 · Standard · F688 · Corrected January 23, 2026

Resident Rights4E
  1. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    December 19, 2025 · Standard · F628 · Corrected January 23, 2026

  2. D

    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.

    December 19, 2025 · Standard · F584 · Corrected January 23, 2026

  3. D

    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.

    August 26, 2025 · Complaint · F585 · Corrected September 12, 2025

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 13, 2019 · Standard · F550 · Corrected January 23, 2020

Resident Assessment and Care Planning4D
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    December 19, 2025 · Standard · F636 · Corrected January 23, 2026

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 19, 2025 · Standard · F656 · Corrected January 23, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 16, 2024 · Standard · F656 · Corrected September 24, 2024

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 13, 2019 · Standard · F656 · Corrected January 23, 2020

Nutrition and Dietary2E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 16, 2024 · Standard · F804 · Corrected September 24, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 16, 2024 · Standard · F812 · Corrected September 24, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 13, 2019 · Standard · F600 · Corrected January 23, 2020

Inspection history

  1. 2025-12-19

    10 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2024-08-16

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2019-12-13

    3 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 5 h 13 min of nursing staff time a day, 45 min of it from a registered nurse.

This home

5 h 13 min

Oregon average

5 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 38% of nursing staff and 57% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better100.0%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better100.0%94.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse2.8%2.4%3.2%
Percentage of long-stay residents who have depressive symptoms5.9 pts worse10.8%4.9%13.5%
Percentage of long-stay residents who lose too much weight2.6 pts better2.0%4.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better7.6%12.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.9 pts better12.4%14.3%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened15.8 pts better2.8%18.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse14.4%14.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.4%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts better0.0%2.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse22.4%20.8%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better5.1%5.6%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better87.1%85.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts worse19.2%16.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse2.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.9 pts better97.8%80.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse23.8%21.9%23.4%

·

Who owns and runs it

42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Avalon Holding Inc5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Avalon Health Care IncOperational/Managerial Control · Organization0%14 facilities
Avalon Health Care IncAdp Of The SNF · Organization0%14 facilities
Avalon Health Care Management IncOperational/Managerial Control · Organization0%16 facilities
Avalon Health Care Management IncAdp Of The SNF · Organization0%16 facilities
Avalon Holding IncAdp Of The SNF · Organization0%4 facilities
Avalon Real Estate LLCAdp Of The SNF · Organization0%2 facilities
Avalon Realty - Scappoose LLCAdp Of The SNF · Organization0%1 facilities
Borisevich, MariaCorporate Officer · Individual0%12 facilities
Borisevich, MariaOperational/Managerial Control · Individual0%12 facilities
Borisevich, MariaAdp Of The SNF · Individual0%12 facilities
Dangerfield, DavidManaging Control - Governing Body · Individual0%15 facilities
Dangerfield, DavidCorporate Director · Individual0%15 facilities
Fathizadeh, ArashOperational/Managerial Control · Individual0%1 facilities
Fathizadeh, ArashAdp Of The SNF · Individual0%1 facilities
Hash, AlanOperational/Managerial Control · Individual0%17 facilities
Hash, AlanAdp Of The SNF · Individual0%17 facilities
Hutchinson, JonathanOperational/Managerial Control · Individual0%2 facilities
Hutchinson, JonathanAdp Of The SNF · Individual0%2 facilities
Hyrum A Kirton Individual TrAdp Of The SNF · Organization0%3 facilities
K-Team LLCAdp Of The SNF · Organization0%3 facilities
Kirton, ByronManaging Control - Governing Body · Individual0%15 facilities
Kirton, ByronCorporate Director · Individual0%15 facilities
Kirton, HyrumManaging Control - Governing Body · Individual0%15 facilities
Kirton, HyrumCorporate Director · Individual0%15 facilities
Kirton, HyrumCorporate Officer · Individual0%15 facilities
Kirton, HyrumOperational/Managerial Control · Individual0%15 facilities
Kirton, HyrumIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%15 facilities
Kirton, SpencerManaging Control - Governing Body · Individual0%15 facilities
Kirton, SpencerCorporate Director · Individual0%15 facilities
Kirton, SpencerAdp Of The SNF · Individual0%15 facilities
Moberly, RichardOperational/Managerial Control · Individual0%1 facilities
Moberly, RichardAdp Of The SNF · Individual0%1 facilities
Nelson, RyanOperational/Managerial Control · Individual0%2 facilities
Nelson, RyanAdp Of The SNF · Individual0%2 facilities
Smith, NicoleCorporate Officer · Individual0%16 facilities
Smith, NicoleOperational/Managerial Control · Individual0%16 facilities
Smith, NicoleAdp Of The SNF · Individual0%16 facilities
Spencer K Kirton Individual TrAdp Of The SNF · Organization0%3 facilities
The Byron A Kirton Individual TrAdp Of The SNF · Organization0%3 facilities
Woltil, RobertManaging Control - Governing Body · Individual0%15 facilities
Woltil, RobertCorporate Director · Individual0%15 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Emergency Preparedness5F
  1. F

    Develop Emergency Preparedness policies and procedures.

    December 19, 2025 · E13 · Corrected January 23, 2026

  2. F

    Conduct testing and exercise requirements.

    December 19, 2025 · E39 · Corrected January 23, 2026

  3. F

    Address patient/client population and determine types of services needed.

    December 19, 2025 · E7 · Corrected January 23, 2026

  4. F

    Conduct risk assessment and an All-Hazards approach.

    December 13, 2019 · E6 · Corrected January 23, 2020

  5. D

    Establish roles under a Waiver declared by secretary.

    December 13, 2019 · E26 · Corrected January 23, 2020

Egress2F
  1. F

    Have exits that are accessible at all times.

    December 19, 2025 · K271 · Corrected January 23, 2026

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 16, 2024 · K211 · Corrected September 24, 2024

Gas, Vacuum, and Electrical Systems2D
  1. D

    Ensure proper usage of power strips and extension cords.

    December 19, 2025 · K920 · Corrected January 23, 2026

  2. D

    Have proper medical gas storage and administration areas.

    December 13, 2019 · K923 · Corrected January 23, 2020

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    December 19, 2025 · K712 · Corrected January 23, 2026

Smoke1F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 16, 2024 · K353 · Corrected September 24, 2024

·

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