Inspection Reports for Avalon Care Center – Scappoose
33910 E. Columbia Avenue, OR, 97056
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12
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Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 11
Aug 26, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2021 to 2025 with deficiency history and enforcement actions.
Findings
Across multiple inspections, the facility exhibited deficiencies including failure to implement comprehensive care plans, inadequate nursing staffing, failure to maintain food safety and temperature standards, and failure to report COVID-19 data accurately. Several deficiencies were corrected while others remained uncorrected at the time of inspections.
Deficiencies (11)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0585 - Grievances: Staff 4 continued to provide care to Resident 401 after grievance resolution. |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| F0656 - Develop/Implement Comprehensive Care Plan: Failed to implement a comprehensive person-centered care plan for Resident 24. |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to provide care per plan resulting in Resident 1's ankle fracture. |
| F0804 - Nutritive Value/Appear, Palatable/Prefer Temp: Failed to ensure proper food temperatures for meals. |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failed to monitor cleanliness and temperature of unit refrigerator. |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff: Failed to ensure RN coverage for eight consecutive hours on 47 days. |
| M0183 - Nursing Services: Minimum CNA Staffing: Failed to meet minimum CNA to resident staffing ratio on night shifts. |
| F0884 - Reporting - National Health Safety Network: Failed to report complete COVID-19 information to CDC's NHSN during required periods. |
Report Facts
Inspections on page: 10
Total deficiencies: 11
Total surveys: 10
Licensed beds: 40
Days without RN coverage: 47
Night shifts with CNA shortages: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 4 | CNA | Named in grievance finding for providing care after grievance resolution |
| Staff 1 | Administrator | Named in multiple findings including communication board use and RN staffing |
| Staff 2 | DNS | Named in grievance summary and plan of correction |
| Staff 11 | CNA | Named in accident hazard finding related to Resident 1's ankle fracture |
| Staff 5 | Dietary Manager | Named in food temperature and refrigerator cleanliness findings |
| Staff 6 | Activities / Recreation Director | Reported on communication board use |
| Staff 7 | CNA | Reported on Resident 24's communication |
| Staff 10 | Staffing Coordinator | Acknowledged insufficient RN staffing days |
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