Cycle 1
Health 2025-08-08 · Fire 2025-08-08
5 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Beaverton, OR
Beaverton Post Acute Care of Cascadia
5-star overall rating with 4-star inspections with $55,575 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
11850 Sw Allen Blvd., Beaverton, OR
(208) 403-5033
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1989-05-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.71
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.22
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.90
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.47
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.61
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
5.14
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,164
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9905
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.58% · Performance 22.36% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.35
Baseline 6.22% · Performance 6.83% · Measure score 3.35 · Achievement 3.35 · Improvement 0
Total nurse turnover
5.65
Baseline 33.33% · Performance 40.57% · Measure score 5.65 · Achievement 5.65 · Improvement 0
Adjusted total nurse staffing
5.87
Baseline 4.61 hours · Performance 4.75 hours · Measure score 5.87 · Achievement 5.87 · Improvement 0.68
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.32% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 4.76% · Lower 95% interval 5.72% |
| Discharge to community | 62.67% |
50.57%
12.1 pts better
|
Better than the National Rate · Eligible stays 203 · Observed rate 57.64% · Lower 95% interval 54.63% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.39% |
95.27%
3.1 pts better
|
Numerator 122 · Denominator 124 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 124 |
| Discharge self-care score | 49.37% |
53.69%
4.3 pts worse
|
Numerator 39 · Denominator 79 |
| Discharge mobility score | 40.51% |
50.94%
10.4 pts worse
|
Numerator 32 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 1.61% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 124 · Adjusted rate 2.07% |
| Healthcare-associated infections requiring hospitalization | 6.83% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 113 · Observed rate 5.31% · Lower 95% interval 3.79% |
| Staff COVID-19 vaccination coverage | 7.78% |
8.2%
0.4 pts worse
|
Numerator 13 · Denominator 167 |
| Staff flu vaccination coverage | 11.8% |
42%
30.2 pts worse
|
Numerator 19 · Denominator 161 |
| Discharge function score | 45.57% |
56.45%
10.9 pts worse
|
Numerator 36 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 36 · Denominator 36 |
| Transfer of health information to patient | 97.65% |
96.28%
1.4 pts better
|
Numerator 83 · Denominator 85 |
| Resident COVID-19 vaccinations up to date | 47.17% |
25.2%
22 pts better
|
Numerator 25 · Denominator 53 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% |
95.5%
4.7 pts worse
|
93.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 74.4% · Q3 97.6% · Q4 97.7% · 4Q avg 90.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
4.7%
1.3 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.9% · Q3 2.6% · Q4 2.4% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
5.0%
4.4 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.5% |
12.5%
6 pts better
|
19.6%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.9% · Q3 7.7% · Q4 5.0% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
14.7%
3.8 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 14.3% · Q3 10.0% · Q4 12.1% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.7% |
24.1%
8.4 pts better
|
16.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
15.8%
12.7 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.2% · Q2 38.9% · Q3 8.6% · Q4 18.9% · 4Q avg 28.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.7%
0.4 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.0%
0.5 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 2.4% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.6% |
22.2%
5.6 pts better
|
19.8%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 23.6% · Q3 10.1% · Q4 6.7% · 4Q avg 16.6% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
6.5%
1.6 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.1% · Q3 2.4% · Q4 4.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
85.4%
3.8 pts better
|
81.7%
7.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 82.5% · Q2 87.0% · Q3 93.2% · Q4 95.1% · 4Q avg 89.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
15.1%
8.5 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.5% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.7%
0.7 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
81.2%
14.1 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
21.6%
8.5 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 27.2% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-25 · Fire 2024-03-25
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-13 · Fire 2023-01-13
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-08-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-16
F · Potential for more than minimal harm
2024-07-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-12
F · Potential for more than minimal harm
2024-03-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-03-25
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-05-01
E · Potential for more than minimal harm
2024-03-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-01
D · Potential for more than minimal harm
2023-01-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-25
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-19
F691 · Quality of Life and Care Deficiencies
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2026-01-21
E · Potential for more than minimal harm
2025-08-08
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-08
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-08
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-08
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-09-16
E · Potential for more than minimal harm
2024-03-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-05-01
D · Potential for more than minimal harm
2024-03-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-01
J · Immediate jeopardy
2023-06-26
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-06-26
D · Potential for more than minimal harm
2023-06-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-05
D · Potential for more than minimal harm
2023-01-13
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-27
D · Potential for more than minimal harm
2023-01-13
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-27
D · Potential for more than minimal harm
2023-01-13
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-02-27
Penalties and ownership
What sits behind the stars
$55,575
2023-06-26
Fine
Fine · fine $55,575
Fine
Ownership
Dillon, Richard
5% Or Greater Indirect Ownership Interest · Individual
Kofstad, Mary
Corporate Officer · Individual
Larson, David
Contracted Managing Employee · Individual
Melcher, Robb
W-2 Managing Employee · Individual
Miller, Karl
5% Or Greater Indirect Ownership Interest · Individual
Miller, Karl
Corporate Officer · Individual
Nair Facility Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nair LLC
5% Or Greater Indirect Ownership Interest · Organization
Nair Operations LLC
5% Or Greater Indirect Ownership Interest · Organization
Nair SNF Operations LLC
5% Or Greater Indirect Ownership Interest · Organization
Odermott, Ronald
5% Or Greater Indirect Ownership Interest · Individual
Simpson, Andrew
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Maryville
Beaverton, OR
4-star overall rating with 2-star inspections with $202,966 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Marquis Vermont Hills
Portland, OR
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
West Hills Health & Rehabilitation
Portland, OR
3-star overall rating with 3-star inspections with $12,659 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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