The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
AVALON CARE CENTER - PORTLAND
PORTLAND, OR · Medicare-certified · 40 beds
In good standing
For-profit
5 of 5 overall
Avalon Care Center - Portland has an overall 5 out of 5 stars, with 4-star health inspection and staffing ratings and 5-star quality measures. It reports 5.77 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.774 hrs/resident/day
Quality measures
Last inspection: July 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.774.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.78
- Nurse aides
- 4.49
- Weekend nursing
- 5.28
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.3%Worsening
Residents with a fall causing major injury
3.2%Worsening
Residents with pressure ulcers (bedsores)
1%Steady
Residents with a urinary tract infection
1.3%Worsening
Residents who lost too much weight
4.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.4%Improving
Residents whose ability to walk got worse
21.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
11.7%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
21.6%Worsening
Residents with depressive symptoms
1.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
80.8%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2023 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 38.9 residents on an average day (97% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.