Avamere at Hillsboro

Last inspection

July 1, 2025

Inspections

5, 13 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

7

Regulatory actions

0

Fines assessed

$2,875.00 (4 violations)

Current owner since

November 6, 2000

Inspections

• July 1, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• September 12, 2024: Re-Licensure, 5 deficiencies cited report
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
• June 20, 2024: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected July 20, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected July 20, 2024
• May 9, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 4, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected August 4, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected August 4, 2023
• November 15, 2022: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated
  • Z0160: Resident Services severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• May 16, 2024: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs. On or about May 16, 2024, it was discovered by AV's family that AV's toenails were excessively long and causing AV physical pain and discomfort. Based on facility documentation and interviews, AV's toenail growth went unnoticed by facility care staff. The facility's failure to properly care plan caused AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 31, 2024: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Witness 1 (W1) had known inappropriate sexualized behaviors and the facility failed to care plan according to those behaviors. On January 31, 2024, Alleged Victim (AV) was sexually abused by W1. Based on facility documentation, between March 9, 2023, and February 22, 2024, W1 had been involved in at least 16 incidents in which W1 was sexually inappropriate with other residents, most of which appeared to be unwanted by the other residents. The facility failed to put sufficient interventions in place for W1 to protect others from W1's inappropriate behavior, which ultimately led to the incident where W1 sexually abused AV, causing AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and resulted in negative behavior.

• September 22, 2022: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan related to the Alleged Victim's (AV) fall history. The failure resulted in AV suffering multiple falls with injury, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 7, 2022: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan for Alleged Victim's (AV) behaviors which resulted in AV experiencing an unwitnessed fall. AV was transferred to the hospital and was diagnosed with a hip fracture, left leg fracture, and left shoulder fracture. The facility's failure caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• April 2, 2026: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
  State’s findings

  On or about April 2, 2026, the facility failed to provide appropriate supervision to the Alleged Victim (AV) according to his/her care needs. The failure resulted in AV eloping the secured building, placing him/her at risk of harm, which is a violation of Oregon Administrative Rules.

• May 6, 2025: Failed to use an ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  On or about May 6, 2025, the facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• May 1, 2025: Failed to use an ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  On or about May 1, 2025, the facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• January 6, 2023: Failed to use an ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  A review of the facility's ABST and resident roster indicated 20 residents were included in the tool, and 11 of the 20 ABST resident evaluations had not been updated in the tool in the past 90 days. In an interview, Staff 1 stated s/he updated the ABST tool quarterly with service plan updates but did not save the profiles accurately. It was determined that the facility did not update an acuity-based staffing tool. The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• November 10, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-057-0160 (Resident Services in a Memory Care Community)
  State’s findings

  The facility allegedly failed to ensure only individuals with a diagnosis of dementia who are in need of support for the progressive symptoms of dementia for physical safety, or physical or cognitive function may reside in a memory care community. An investigation confirmed the facility violated an Oregon Administrative Rule.

• October 31, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0034 (Resident Move-In and Evaluation)
  State’s findings

  The facility failed to notify a resident's emergency contact in an emergency. The facility's failure is a violation of Oregon Administrative Rules.

• April 28, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to administer Alleged Victim's (AV) medication as ordered which placed AV at risk of harm. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 24 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.