Hearth Record

Avamere Rehabilitation of Hillsboro

A nursing home in Hillsboro, Oregon 97123

650 SE Oak Street, Hillsboro, Oregon 97123. (503) 648-8588.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 29 citations in 6 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). Every month

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

Source:

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.

29 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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 , from A, the least serious, to L, the most. 6 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 11, 2026: standard inspection11 citations
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • 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.

    Rule F0584. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

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

    Rule F0628. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • 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.

    Rule F0742. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

  • Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

    Rule F0577. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jun 8, 2026.

May 11, 2026: standard and complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. The provider has asked for a review. Correction date, as CMS recorded it: Mar 2, 2026.

May 11, 2026: complaint inspection1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2026.

Jan 8, 2026: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 3, 2026.

May 15, 2025: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: May 16, 2025.

Jan 21, 2025: standard inspection12 citations
  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • 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.

    Rule F0585. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Provide care or services that was trauma informed and/or culturally competent.

    Rule F0699. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Rule F0740. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Provide or get specialized rehabilitative services as required for a resident.

    Rule F0825. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Feb 25, 2025.

Nov 7, 2024: complaint inspection1 citation
  • Protect a residents’ right to refuse some types of non-requested transfers within the nursing home.

    Rule F0560. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

Sep 10, 2024: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

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.
Source:

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.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
May 11, 2026Fine$13,624
May 11, 2026Fine$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.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOregon average
Nurse hours per resident per day4.855.13
Of which registered nurses0.720.76
At weekends4.214.56
Nursing staff turnover34%43.5%
Registered nurse turnover36.4%49.5%
Administrators who left0Not 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.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Avamere Skilled Advisors LLCRuns it (operational or managerial control)100%Jan 1, 2005
Midcap Finco LLCHolds 5% or more security interest100%Jan 22, 2010
Karl Rickard Miller Jr Revocable TrustOwns 5% or more directly100%Jul 11, 2011
Avamere Group LLCOwns 5% or more through other companies100%Jan 6, 2006
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 10, 2025
Avamere Skilled Advisors LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 14, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 10, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 7, 2015
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 10, 2025
Midcap Finco LLCRuns it (operational or managerial control)Jan 22, 2010
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 10, 2025
Avamere Health Services LLCRuns it (operational or managerial control)Jan 1, 2005
Avamere Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 14, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 10, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 14, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 24, 2025
An organisation CMS lists without a nameAdditional 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).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating3 of 5
Health inspections2 of 5
Staffing5 of 5
Quality measures3 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).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

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

  • 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).

  • 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).

  • 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).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • 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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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