What is Avalon Care Center - Scappoose's Medicare star rating?

CMS rates Avalon Care Center - Scappoose 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Avalon Care Center - Scappoose get at its last inspection?

9 health deficiencies at the standard inspection on December 19, 2025. The Oregon average is 9.2.

Has Avalon Care Center - Scappoose been fined?

CMS lists no fines in the last three years.

Does Avalon Care Center - Scappoose accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Avalon Care Center - Scappoose?

CMS lists 42 owners and managers, and links the home to Avalon Health Care. Legal business name: AVALON CARE CENTER - SCAPPOOSE, LLC.

Avalon Care Center - Scappoose: Inspections & Ratings

The record in brief

At its most recent standard inspection, on December 19, 2025, inspectors cited 9 health deficiencies (the Oregon average is 9.2, the national average 9.2).

Of 18 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.36 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.

43.6% of nursing staff left within the year CMS measured (Oregon average 47.4%).

CMS links it to Avalon Health Care, an affiliated group of 16 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

312/19

408/24

108/25

912/25

104/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

April 3, 2026Complaint inspection · 1 citation

D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure appropriate nail care services was provided for 1 of 4 sampled residents (#2) reviewed for nail care. This placed the resident at risk for unmet care needs and potential complications related to diabetes.

December 19, 2025Standard inspection · 9 citations

E

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

F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on interview and record review it was determined the facility failed to provide notice of bed hold policies for 2 of 2 sampled residents (#s 8 and 18) reviewed for hospitalizations. This placed residents at risk for miscommunication of the discharge process.
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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation and interview it was determined the facility failed to provide a safe and clean homelike environment for 1 of 1 sampled resident (#11) reviewed for environment. This placed residents at risk for an unkept environment.
D

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

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accurately complete MDS assessments for 1 of 1 resident (#19) reviewed for communication and sensory needs. This placed residents at risk for lack of timely assessed care needs.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure care plans accurately reflect bowel care needs for 1 of 1 resident (#1) reviewed for constipation. The placed residents at risk for constipation and fecal impaction.
D

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

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure staff assisted a resident with wearing hearing aids for 1 of 1 sampled resident (#19) reviewed for hearing. This placed residents at risk for a decline in communication.
D

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

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide the necessary care and assistance to maintain good grooming and hygiene for 1 of 2 sampled residents (#11) reviewed for ADLs. This placed residents at risk for poor grooming.
D

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activities program for 1 of 1 sampled resident (#13) reviewed for activities. This placed the resident at risk for a decline in psychosocial well-being and diminished quality of life.
D

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

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide pressure ulcer care consistent with professional standards of practice for 1 of 2 sampled residents (#1) reviewed for pressure ulcer. This placed residents at risk for new and worsening pressure ulcers.
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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2026

Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to manage contractures and provide continued treatment and services to prevent decrease in ROM and mobility for 2 of 4 residents (#s 1 and 3) reviewed for contracture and mobility. This placed residents at risk for contractures and decreased mobility.

August 26, 2025Complaint inspection · 1 citation

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.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2025

Inspectors wroteBased on interview and record review it was determined the facility failed to honor a grievance resolution for 1 of 3 residents (#401) reviewed for grievances. This placed residents at risk of not having their preferences honored regarding ADL care.

August 16, 2024Standard inspection, Complaint inspection · 4 citations

G

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

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on interview and record review it was determined the facility failed to provide care in accordance with care planned interventions while pushing a resident in a wheelchair for 1 of 1 sampled resident (#1) reviewed for accidents. This failure resulted in an avoidable fracture to Resident 1's left ankle.
E

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

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 24, 2024

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure proper food temperatures were maintained for meals served to residents on 3 of 3 halls reviewed for dining. This placed residents at risk for increased risk for impaired nutrition.
E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 24, 2024

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to monitor temperatures and cleanliness of 1 of 1 unit refrigerator. This placed the residents at risk for food-borne illness.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2024

Inspectors wroteBased on observation, interview and record review it was determined the facility failed to implement a comprehensive person-centered care plan for 1 of 1 sampled resident (#24) reviewed for communication-sensory services. This placed residents at risk for decreased ability to communicate their wants and needs.

December 13, 2019Standard inspection · 3 citations

D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2020

Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to ensure residents were treated in a dignified manner for 1 of 2 sampled residents (#72) reviewed for dignity. This placed residents at risk for lack of dignity.
D

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

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2020

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from physical abuse for 1 of 4 sampled residents (#6) reviewed for resident to resident incidents. This placed residents at risk for potential abuse.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 23, 2020

Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the care plan was followed for 3 of 3 sampled residents (#s 4, 18 & 172) whose care plans were reviewed for falls. This placed residents at risk for falls.

Fire safety inspections

11 fire safety citations on file: 6 on December 19, 2025, 2 on August 16, 2024, 3 on December 13, 2019.

Every fire safety citation11 citations

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

E 7 · December 19, 2025 · Corrected (the home has a date of correction)
F
Develop Emergency Preparedness policies and procedures.

E 13 · December 19, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · December 19, 2025 · Corrected (the home has a date of correction)
F
Have exits that are accessible at all times.

K 271 · December 19, 2025 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 19, 2025 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · December 19, 2025 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 16, 2024 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · August 16, 2024 · Corrected (the home has a date of correction)
F
Conduct risk assessment and an All-Hazards approach.

E 6 · December 13, 2019 · Corrected (the home has a date of correction)
D
Establish roles under a Waiver declared by secretary.

E 26 · December 13, 2019 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · December 13, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Oregon	United States
All nursing staff (RN, LPN and aides)	5.36	5.03	3.86
Registered nurses	0.60	0.72	0.69
All nursing staff on weekends	4.89	4.51	3.42
Nurse aides	4.06
Licensed practical nurses	0.70
Nursing staff turnover (share who left in a year)	43.6%	47.4%	45.8%
Registered nurse turnover	85.7%	51.6%	42.9%
Administrators who left	1

CMS expects 3.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.55 on weekdays and 4.89 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 23.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.65 in April to June 2025 to 5.36 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	5.36	0.60	5.55	4.89	23.6%	0 of 90	31
Oct to Dec 2025	5.13	0.60	5.34	4.58	15.0%	0 of 92	29
Jul to Sep 2025	4.81	0.57	4.97	4.41	12.5%	1 of 92	31
Apr to Jun 2025	4.65	0.59	4.81	4.26	13.6%	0 of 91	31
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Oregon, Jan to Mar 2026	4.91	0.64	5.12	4.40	6.2%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Oregon	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	12.4	14.9	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	1.4	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.0	2.0	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.8	2.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.0	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	0.0	20.6	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.4	5.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	11.9	13.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.8	21.4	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	22.3	16.1	12.0

Owners and operators

Legal business name: AVALON CARE CENTER - SCAPPOOSE, LLC. CMS links this home to Avalon Health Care, a group of 16 nursing homes averaging 3.4 stars overall.

Name	Role	Type	Share	Since
Avalon Holding Inc	5% or greater direct ownership interest	Organization	100%	07/01/2024
Dangerfield, David	Managing control - governing body	Individual		07/01/2024
Kirton, Byron	Managing control - governing body	Individual		08/27/2024
Kirton, Hyrum	Managing control - governing body	Individual		08/27/2024
Kirton, Spencer	Managing control - governing body	Individual		08/27/2024
Woltil, Robert	Managing control - governing body	Individual		07/01/2024
Dangerfield, David	Corporate director	Individual		07/01/2024
Kirton, Byron	Corporate director	Individual		08/27/2024
Kirton, Hyrum	Corporate director	Individual		08/27/2024
Kirton, Spencer	Corporate director	Individual		08/27/2024
Woltil, Robert	Corporate director	Individual		07/01/2024
Borisevich, Maria	Corporate officer	Individual		01/08/2024
Kirton, Hyrum	Corporate officer	Individual		07/01/2024
Smith, Nicole	Corporate officer	Individual		07/01/2024
Avalon Health Care Inc	Operational/managerial control	Organization		07/01/2024
Avalon Health Care Management Inc	Operational/managerial control	Organization		07/01/2024
Borisevich, Maria	Operational/managerial control	Individual		01/08/2024
Fathizadeh, Arash	Operational/managerial control	Individual		12/16/2024
Hash, Alan	Operational/managerial control	Individual		07/01/2024
Hutchinson, Jonathan	Operational/managerial control	Individual		05/01/2025
Kirton, Hyrum	Operational/managerial control	Individual		07/01/2024
Moberly, Richard	Operational/managerial control	Individual		07/01/2024
Nelson, Ryan	Operational/managerial control	Individual		07/01/2024
Smith, Nicole	Operational/managerial control	Individual		07/01/2024
Kirton, Hyrum	Individual is an owner, partner or trustee of any ADP of the SNF	Individual		12/31/2025
Avalon Health Care Inc	Adp of the SNF	Organization		07/01/2024
Avalon Health Care Management Inc	Adp of the SNF	Organization		04/11/2025
Avalon Holding Inc	Adp of the SNF	Organization		07/01/2024
Avalon Real Estate LLC	Adp of the SNF	Organization		07/01/2024
Avalon Realty - Scappoose LLC	Adp of the SNF	Organization		07/01/2024
Hyrum a Kirton Individual Tr	Adp of the SNF	Organization		10/01/2025
K-Team LLC	Adp of the SNF	Organization		10/01/2025
Spencer K Kirton Individual Tr	Adp of the SNF	Organization		10/01/2025
The Byron a Kirton Individual Tr	Adp of the SNF	Organization		10/01/2025
Borisevich, Maria	Adp of the SNF	Individual		01/08/2024
Fathizadeh, Arash	Adp of the SNF	Individual		12/16/2024
Hash, Alan	Adp of the SNF	Individual		07/01/2024
Hutchinson, Jonathan	Adp of the SNF	Individual		05/01/2025
Kirton, Spencer	Adp of the SNF	Individual		10/01/2025
Moberly, Richard	Adp of the SNF	Individual		07/01/2024
Nelson, Ryan	Adp of the SNF	Individual		07/01/2024
Smith, Nicole	Adp of the SNF	Individual		07/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 3, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 19, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 19, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 16, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Saint Helens Post Acute
Saint Helens, 7.6 mi · 2 of 5 stars · 76 citations
Salmon Creek Post Acute & Rehabilitation
Vancouver, 11.3 mi · 3 of 5 stars · 48 citations
Woodland Convalescent Center
Woodland, 11.4 mi · 2 of 5 stars · 22 citations
Bridge Crest Post Acute
Vancouver, 11.7 mi · 2 of 5 stars · 58 citations
The Oaks at Timberline
Vancouver, 12.3 mi · 5 of 5 stars · 14 citations
Marquis Piedmont Post Acute Rehab
Portland, 16 mi · 4 of 5 stars · 18 citations
Brookfield Health and Rehab of Cascadia
Battle Ground, 16 mi · 3 of 5 stars · 40 citations
Vancouver Specialty and Rehab Care
Vancouver, 16.2 mi · 4 of 5 stars · 25 citations

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.

Common questions

What is Avalon Care Center - Scappoose's Medicare star rating?: CMS rates Avalon Care Center - Scappoose 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avalon Care Center - Scappoose get at its last inspection?: 9 health deficiencies at the standard inspection on December 19, 2025. The Oregon average is 9.2.
Has Avalon Care Center - Scappoose been fined?: CMS lists no fines in the last three years.
Does Avalon Care Center - Scappoose accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avalon Care Center - Scappoose?: CMS lists 42 owners and managers, and links the home to Avalon Health Care. Legal business name: AVALON CARE CENTER - SCAPPOOSE, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.