Avamere Rehabilitation of Hillsboro
A nursing home in Hillsboro, Oregon 97123
650 SE Oak Street, Hillsboro, Oregon 97123. (503) 648-8588.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 13 health citations at the latest inspection cycle Oregon average: 9.2
- 4.85 nurse hours per resident per day Oregon average: 5.13
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
13 health citations at the latest inspection cycle
The Oregon average is 9.2.
Last standard inspection May 11, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on May 11, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
29 citations in 6 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 29 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 11, 2026: standard inspection11 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Provide activities to meet all resident’s needs.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
May 11, 2026: standard and complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 11, 2026: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 8, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 15, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 21, 2025: standard inspection12 citations
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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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.
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Provide activities to meet all resident’s needs.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide care or services that was trauma informed and/or culturally competent.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide or get specialized rehabilitative services as required for a resident.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nov 7, 2024: complaint inspection1 citation
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Protect a residents’ right to refuse some types of non-requested transfers within the nursing home.
Sep 10, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 19, 1996.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 87 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $22,116 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 11, 2026 | Fine | $13,624 |
| May 11, 2026 | Fine | $8,492 |
Who does the caring?
4.85 nurse hours per resident per day
The Oregon average is 5.13.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Oregon average |
|---|---|---|
| Nurse hours per resident per day | 4.85 | 5.13 |
| Of which registered nurses | 0.72 | 0.76 |
| At weekends | 4.21 | 4.56 |
| Nursing staff turnover | 34% | 43.5% |
| Registered nurse turnover | 36.4% | 49.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Karl Rickard Miller Jr Revocable Trust owns 100% directly since Jul 11, 2011.
- Avamere Skilled Advisors LLC and Midcap Finco LLC and Avamere Health Services LLC run it.
- 54 owners or officers are people: Stacia Cowgill (runs it (operational or managerial control)); Stacia Cowgill (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Funderberg (on the governing body (managing control)); Michelle Funderberg (additional disclosable party (controls, leases property to, or provides services to the home)); Karl Rickard Miller (owns 5% or more directly); Jennifer Dana (runs it (operational or managerial control)); Jennifer Dana (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Simpson (runs it (operational or managerial control)); Andrew Simpson (on the governing body (managing control)); Andrew Simpson (additional disclosable party (controls, leases property to, or provides services to the home)); Cesce Wilson (additional disclosable party (controls, leases property to, or provides services to the home)); Glen Robert Cavallo (on the governing body (managing control)); Carolyn Staples (additional disclosable party (controls, leases property to, or provides services to the home)); Ike Okoli (on the governing body (managing control)); Todd Inskeep (on the governing body (managing control)); Todd Inskeep (additional disclosable party (controls, leases property to, or provides services to the home)); Colby Strunk (on the governing body (managing control)); Colby Strunk (additional disclosable party (controls, leases property to, or provides services to the home)); Justin Polson (on the governing body (managing control)); Justin Polson (additional disclosable party (controls, leases property to, or provides services to the home)); Kim Games (additional disclosable party (controls, leases property to, or provides services to the home)); Michele Powelson (runs it (operational or managerial control)); Michele Powelson (on the governing body (managing control)); Michele Powelson (additional disclosable party (controls, leases property to, or provides services to the home)); Tonia Hoskins (runs it (operational or managerial control)); Tonia Hoskins (on the governing body (managing control)); Julie Davis (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Kofstad (runs it (operational or managerial control)); Mary Kofstad (on the governing body (managing control)); Mary Kofstad (additional disclosable party (controls, leases property to, or provides services to the home)); Yolanda Presley (runs it (operational or managerial control)); Yolanda Presley (additional disclosable party (controls, leases property to, or provides services to the home)); Jolynn Munro (runs it (operational or managerial control)); Jolynn Munro (on the governing body (managing control)); Jolynn Munro (additional disclosable party (controls, leases property to, or provides services to the home)); Cody Feakin (runs it (operational or managerial control)); Cody Feakin (on the governing body (managing control)); Cody Feakin (additional disclosable party (controls, leases property to, or provides services to the home)); Misty Dawn Reid (runs it (operational or managerial control)); Misty Dawn Reid (on the governing body (managing control)); Misty Dawn Reid (additional disclosable party (controls, leases property to, or provides services to the home)); Amanda Sanders (on the governing body (managing control)); Kevin Hill (on the governing body (managing control)); Kevin Hill (additional disclosable party (controls, leases property to, or provides services to the home)); Andrea Doepker (runs it (operational or managerial control)); Andrea Doepker (additional disclosable party (controls, leases property to, or provides services to the home)); Raven Loveday (runs it (operational or managerial control)); Raven Loveday (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher R Morris (runs it (operational or managerial control)); Christopher R Morris (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Kelly (runs it (operational or managerial control)); Lisa Kelly (additional disclosable party (controls, leases property to, or provides services to the home)); Carrie Vanderzanden (on the governing body (managing control)); Carrie Vanderzanden (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avamere (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Avamere Skilled Advisors LLC | Runs it (operational or managerial control) | 100% | Jan 1, 2005 |
| Midcap Finco LLC | Holds 5% or more security interest | 100% | Jan 22, 2010 |
| Karl Rickard Miller Jr Revocable Trust | Owns 5% or more directly | 100% | Jul 11, 2011 |
| Avamere Group LLC | Owns 5% or more through other companies | 100% | Jan 6, 2006 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| Avamere Skilled Advisors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 7, 2015 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| Midcap Finco LLC | Runs it (operational or managerial control) | Jan 22, 2010 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| Avamere Health Services LLC | Runs it (operational or managerial control) | Jan 1, 2005 | |
| Avamere Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 17, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 10, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Oregon average 3.7).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 12.2 miles, this one had the 3rd most health citations at the latest inspection cycle (13; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avamere Rehabilitation of Hillsboro This nursing home | 13 | |
| Hillsboro Health and Rehabilitation | 1.3 | 8 |
| Forest Grove Post Acute | 4.8 | 4 |
| Marquis Forest Grove Post Acute Rehab | 5.3 | 2 |
| Maryville | 7.6 | 2 |
| Beaverton Post Acute Care of Cascadia | 9.2 | 8 |
| Tigard Rehabilitation and Care | 11.5 | 16 |
| Marquis Autumn Hills Memory Care | 11.8 | 4 |
| Robison Jewish Health Center | 11.8 | 11 |
| Marquis Vermont Hills | 11.9 | 1 |
| Avamere Rehabilitation of King City | 12.0 | 14 |
| West Hills Health & Rehabilitation | 12.2 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.