Holladay Park Plaza
1300 Ne 16th Avenue, Portland, OR 97232 · Multnomah County · (503) 288-6671
51 certified beds, about 38 residents a day · Non profit - Corporation · Medicare since 1998
CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385259 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 5, 2025, inspectors cited 2 health deficiencies (the Oregon average is 9.2, the national average 9.2).
None of its 18 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.00 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
32.7% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to Pacific Retirement Services, an affiliated group of 10 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.
1303/23
206/24
209/25
106/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
0E
0F
Potential for minimal harm
0A
0B
0C
June 30, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, it was determined the facility failed to implement physician orders for 1 of 3 sampled residents (#1) reviewed for medications. This placed residents at risk of unmet care needs.
September 5, 2025Standard inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician orders for 2 of 7 sampled residents (#s 3 and 9) reviewed for unnecessary medications and accidents. This placed residents at risk for adverse medical consequences and lack of mobility needs.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents' environments were free from accident hazards for 1 of 2 sampled residents (# 49) reviewed for accidents. This placed residents at risk for injury.
June 13, 2024Standard inspection · 2 citations
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide residents with a written notice of the facility's bed hold policy at the time of transfer to the hospital for 1 of 1 resident (# 30) reviewed for hospitalization. This placed residents at risk for lack of knowledge regarding their choices and potential financial responsibilities.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician orders for 1 of 1 sampled resident (#81) reviewed for edema (swelling caused by a collection of fluid in the spaces that surround the body's tissues and organs). This placed residents at risk for adverse effects and unmet needs.
March 13, 2023Standard inspection · 13 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a resident door was closed during care for 1 of 1 resident (#15) reviewed for privacy. This placed residents at risk for lack of privacy.
- 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.
Inspectors wroteBased on interview it was determined the facility failed to follow-up with a report of a missing item for 1 of 1 sampled resident (#11) reviewed for personal property. This placed residents at risk for missing items.
- D Ensure each resident receives an accurate assessment.
Inspectors wrote2. Resident 21 was admitted to the facility in 12/2021 with diagnoses including stroke. Resident 21's 2/22/2023 quarterly MDS indicated the resident required extensive assistance from two or more staff with transfers. Resident 21's 3/2023 care plan indicated the resident required a Hoyer lift (an assistive device that allows people to be transferred between surfaces by the use of electrical or hydraulic power) with two staff for transfers. On 3/13/23 at 10:45 AM Staff 2 (DNS) confirmed Resident 21 required a Hoyer lift for all transfers and the resident should have been coded as totally dependent instead of needing extensive assistance on her/his 2/22/2023 MDS. Based on interview and record it was determined the facility failed to ensure assessments accurately reflected the residents' status for 2 of 8 sampled residents (#s 18 and 21) reviewed for unnecessary medications and positioning. [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure care plans were revised to reflect resident current needs for 2 of 3 sampled residents (#s 1 and 15) reviewed for hospice and accidents. This placed residents at risk for unmet needs.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents had a meaningful activity program for 1 of 4 sampled residents (#1) reviewed for activities. This placed residents at risk for lack of social engagement.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to reassess a resident after a fall to identity an injury in a timely manner for 1 of 1 sampled resident (#15) reviewed for change of condition and failed to administer medications as ordered by a physician for 1 of 5 sampled residents (#243) reviewed for medications. This placed residents at risk for delayed care and adverse medication consequences.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow care planned interventions for positioning for 1 of 3 sampled residents (#21) reviewed for positioning. This placed residents at risk for developing and worsening skin conditions.
- 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident was provided RA for 1 of 1 sampled resident (#11) reviewed for ADLs. This placed residents at risk for decreased ROM.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident was supervised when provided fluids for 1 of 2 sampled residents (#15) reviewed for accidents. This placed residents at risk for aspiration.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide the necessary care and services related to incontinent care for 1 of 3 sampled residents (#21) reviewed for positioning. This placed residents at risk for unmet hygiene needs, skin breakdown, and infection.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a resident was evaluated for additional interventions and services for 1 of 1 sampled resident (#11) reviewed for behavioral and emotional status. This placed residents at risk for increased depression.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a resident's Foley catheter was maintained in a manner to prevent infections for 1 of 1 sampled resident (#1) reviewed for hospice. This placed residents at risk for UTIs.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide the influenza immunization for 1 of 5 sampled residents (#18) reviewed for immunizations. This placed residents at risk of illness.
Fire safety inspections
8 fire safety citations on file: 1 on September 5, 2025, 2 on June 13, 2024, 5 on March 13, 2023.
Every fire safety citation8 citations
- F Have simulated fire drills held at unexpected times.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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) | 5.00 | 5.03 | 3.86 |
| Registered nurses | 0.99 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.65 | 4.51 | 3.42 |
| Nurse aides | 3.32 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 32.7% | 47.4% | 45.8% |
| Registered nurse turnover | 30.0% | 51.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.75 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 5.13 on weekdays and 4.65 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.18 in April to June 2025 to 5.00 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 | 5.00 | 0.99 | 5.13 | 4.65 | 5.4% | 0 of 90 | 38 |
| Oct to Dec 2025 | 4.78 | 0.88 | 4.98 | 4.28 | 5.6% | 0 of 92 | 38 |
| Jul to Sep 2025 | 5.48 | 1.12 | 5.70 | 4.92 | 4.1% | 0 of 92 | 31 |
| Apr to Jun 2025 | 5.18 | 0.96 | 5.29 | 4.90 | 2.9% | 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 | 11.6 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.7 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 16.1 | 12.0 |
Owners and operators
Legal business name: HOLLADAY PARK PLAZA INC. CMS links this home to Pacific Retirement Services, a group of 10 nursing homes averaging 4.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hawkins, Richard | Corporate director | Individual | 10/01/2024 | |
| Jensen, Chris | Corporate director | Individual | 07/18/2023 | |
| Johnson, Lynn | Corporate director | Individual | 04/18/2017 | |
| McLaughlin, Kathleen | Corporate director | Individual | 07/17/2018 | |
| Johnson, Lynn | Corporate officer | Individual | 10/01/2022 | |
| McLaughlin, Kathleen | Corporate officer | Individual | 10/01/2023 | |
| Platte, Susan | Corporate officer | Individual | 07/18/2016 | |
| Kalin, Leah | Operational/managerial control | Individual | 08/01/2023 | |
| Kiernan, Janet | Operational/managerial control | Individual | 07/16/2023 | |
| Platte, Susan | Operational/managerial control | Individual | 07/18/2016 | |
| Sabatini, Anthony | Operational/managerial control | Individual | 03/28/2025 | |
| Samuelson, Katelynn | Operational/managerial control | Individual | 02/21/2019 | |
| Pacific Retirement Services Inc | Adp of the SNF | Organization | 05/28/2025 | |
| Kalin, Leah | Adp of the SNF | Individual | 01/01/2024 | |
| Kiernan, Janet | Adp of the SNF | Individual | 07/16/2023 | |
| Platte, Susan | Adp of the SNF | Individual | 07/18/2016 | |
| Sabatini, Anthony | Adp of the SNF | Individual | 10/17/2024 | |
| Samuelson, Katelynn | Adp of the SNF | Individual | 05/28/2025 |
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 11 problems in this area, most recently on June 30, 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 3 problems in this area, most recently on June 13, 2024: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 13, 2023: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 13, 2023: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Laurelhurst Post Acute & Rehabilitation Portland, 1.3 mi · 1 of 5 stars · 49 citations
- Providence Child Center Portland, 1.9 mi · 5 of 5 stars · 13 citations
- Belmont Care and Rehabilitation Portland, 2.2 mi · 2 of 5 stars · 37 citations
- Fernhill Rehabilitation and Care Portland, 2.4 mi · 2 of 5 stars · 60 citations
- Porthaven Post Acute Portland, 2.5 mi · 3 of 5 stars · 49 citations
- Mirabella Portland Portland, 2.6 mi · 5 of 5 stars · 8 citations
- Mt. Tabor Health & Rehabilitation Portland, 2.6 mi · 2 of 5 stars · 44 citations
- Reedwood Post Acute Portland, 2.7 mi · 5 of 5 stars · 11 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 Holladay Park Plaza's Medicare star rating?
- CMS rates Holladay Park Plaza 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Holladay Park Plaza get at its last inspection?
- 2 health deficiencies at the standard inspection on September 5, 2025. The Oregon average is 9.2.
- Has Holladay Park Plaza been fined?
- CMS lists no fines in the last three years.
- Does Holladay Park Plaza accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Holladay Park Plaza?
- CMS lists 18 owners and managers, and links the home to Pacific Retirement Services. Legal business name: HOLLADAY PARK PLAZA INC.
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.