Federal inspection record · CMS data as of October 1, 2026
Avamere Rehabilitation Of King City
16485 Sw Pacific Highway, Tigard, OR · (503) 620-5141
- Certified beds
- 148
- Residents per day
- 61
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1976
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Avamere Rehabilitation Of King City carries 67 inspection points. That is fewer than 40% of Oregon's 126 rated homes.
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
37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide activities to meet all resident's needs.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide activities to meet all resident's needs.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- 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.
Resident Rights7E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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.
- 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.
Resident Assessment and Care Planning7D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services4F
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2025-12-05
14 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-07-19
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-04-10
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 40 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
4 h 40 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 39% of registered nurses left in the past year.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 97.5% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 100.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 3.5% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts worse | 10.4% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 5.0% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 11.2% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.6 pts better | 7.7% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11 pts better | 7.6% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.4 pts better | 3.8% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 3.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.6 pts better | 10.2% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 4.1% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts better | 87.9% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts better | 11.5% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts worse | 74.0% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better | 20.7% | 21.9% | 23.4% |
·
Who owns and runs it
69 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adams, Nancy | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Adams, Nancy | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ari Operations, LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ariso LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Avamere Group LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Avamere Health Services LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Avamere Health Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Avamere Skilled Advisors LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Avamere Skilled Advisors LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Cavallo, Glen | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Cavallo, Glen | Adp Of The SNF · Individual | 0% | 17 facilities |
| Dana, Jennifer | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Dana, Jennifer | Adp Of The SNF · Individual | 0% | 7 facilities |
| Davis, Julie | Adp Of The SNF · Individual | 0% | 4 facilities |
| Doepker, Andrea | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Doepker, Andrea | Adp Of The SNF · Individual | 0% | 4 facilities |
| Feakin, Cody | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Feakin, Cody | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Feakin, Cody | Adp Of The SNF · Individual | 0% | 17 facilities |
| Freeman, Shannon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Freeman, Shannon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Funderberg, Michelle | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Funderberg, Michelle | Adp Of The SNF · Individual | 0% | 17 facilities |
| Games, Kim | Adp Of The SNF · Individual | 0% | 17 facilities |
| Giles, Heatherann | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Giles, Heatherann | Adp Of The SNF · Individual | 0% | 2 facilities |
| Goettel, Tashina | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Goettel, Tashina | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hereford, Brett | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hill, Kevin | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Hill, Kevin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Hoskins, Tonia | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Hoskins, Tonia | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Inskeep, Todd | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Inskeep, Todd | Adp Of The SNF · Individual | 0% | 17 facilities |
| Kofstad, Mary | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Kofstad, Mary | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Kofstad, Mary | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 22 facilities |
| Kofstad, Mary | Adp Of The SNF · Individual | 0% | 22 facilities |
| Larson, David | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Larson, David | Adp Of The SNF · Individual | 0% | 14 facilities |
| Midcap Finco LLC | 5% Or Greater Security Interest · Organization | 0% | 19 facilities |
| Midcap Finco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Miller, Karl | Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Munro, Jolynn | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Munro, Jolynn | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Munro, Jolynn | Adp Of The SNF · Individual | 0% | 9 facilities |
| Okoli, Ike | Managing Control - Governing Body · Individual | 0% | 12 facilities |
| Okoli, Ike | Adp Of The SNF · Individual | 0% | 12 facilities |
| Polson, Justin | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Polson, Justin | Adp Of The SNF · Individual | 0% | 9 facilities |
| Powelson, Michele | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Powelson, Michele | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Powelson, Michele | Adp Of The SNF · Individual | 0% | 11 facilities |
| Presley, Yolanda | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Presley, Yolanda | Adp Of The SNF · Individual | 0% | 17 facilities |
| Reid, Misty | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Reid, Misty | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Reid, Misty | Adp Of The SNF · Individual | 0% | 17 facilities |
| Sanders, Amanda | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Sanders, Amanda | Adp Of The SNF · Individual | 0% | 11 facilities |
| Simpson, Andrew | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Simpson, Andrew | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Simpson, Andrew | Adp Of The SNF · Individual | 0% | 18 facilities |
| Staples, Carolyn | Adp Of The SNF · Individual | 0% | 16 facilities |
| Strunk, Colby | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Strunk, Colby | Adp Of The SNF · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Adp Of The SNF · Individual | 0% | 17 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Tigard Rehabilitation And Care
Tigard, OR · Sapphire Health Services · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 25 min
- Fines
- $57,681
-
Marquis Tualatin Post Acute Rehab
Tualatin, OR · Marquis Companies
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 23 min
- Fines
- $0
-
The PEARL AT KRUSE WAY
Lake Oswego, OR · Avamere
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 49 min
- Fines
- $0