Holladay Park Plaza
Portland, Oregon · CCN 385259
17 surveys since 2010, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 66
- Surveys
- 17
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 51
- Ownership
- Non profit - Corporation
- Chain
- PACIFIC RETIREMENT SERVICES
- County
- Multnomah
- Medicare-certified since
- 1998
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 41 facilities with fewer than 66 beds in Oregon.
Last survey on record
Jun 30, 2026
132 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.00 | 6.29 |
| Registered-nurse hours per resident day | 0.99 | — |
| Annual nurse turnover | 32.7% | 35.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D18100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5831×
Keep residents' personal and medical records private and confidential.
- F5851×
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.
- F6251×
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.
In the surveyor’s words
From the most serious findings on record at Holladay Park Plaza, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF684Jun 30, 2026
Based 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. Findings include:Resident 1 admitted to the facility in 3/2026 with diagnoses including Parkinson's disease, cognitive communication deficit and dementia.Resident 1's 3/18/26 admission Orders included a medication order for carbidopa-levodopa (a medication for the treatment of Parkinson's disease, commonly known as Sinemet) QID at 8:00 AM, 12:00 PM, 4:00 PM and 8:00 PM.Resident 1's 4/2026 MAR indicated from 4/11/26 to 4/14/26 the administration times for carbidopa-levodopa had been changed to 7:00 AM, 11:00 AM, 4:00 PM and 7:00 PM.There was no documented evidence found in… […]
- No harm, potential for more than minimal, isolatedF684Sep 5, 2025
Based 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. Findings include: 1. Resident 3 was admitted to the facility on [DATE] with diagnoses including osteoporosis and a fractured left femur (thigh bone). a. An 8/7/25 physician order indicated Resident 3 was prescribed calcium citrate plus (a dietary supplement to enhance the absorption and function of calcium in the body for better bone health) one time a day. […]
- No harm, potential for more than minimal, isolatedF689Sep 5, 2025
Based 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. Findings include. The facility's Medication Storage and Accounting Policy, last approved in 2/2025, indicated all medications would be stored in a safe and locked place, not accessible to persons other than employees responsible for the supervision of stored medications. Resident 49 was admitted to the facility on [DATE] with diagnoses including depression. Resident 49's 8/25/25 Cognitive and Communication Care Plan revealed the resident was alert and oriented. Resident 49 required one person staff assistance for mobility. […]
- No harm, potential for more than minimal, isolatedF625Jun 13, 2024
Based 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. Findings include: Resident 30 was admitted to the facility in 3/2024 with diagnoses including congestive heart failure. A 3/23/24 at 12:35 PM Progress Note revealed Resident 30 experienced a change in condition which required increased medical attention and she/he was transferred to a hospital. […]
- No harm, potential for more than minimal, isolatedF684Jun 13, 2024
Based 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. Findings include: Resident 81 was admitted to the facility in 5/2024 with diagnoses including heart disease and edema. Resident 81's 5/21/24 Physician Encounter Note directed the resident to be weighed each day before breakfast for four weeks. Resident 81's 5/28/24 Admission MDS indicated the resident was cognitively intact and experienced edema. […]
Read 20 findings in full →The most serious and the most recent: 20 of 66 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 30, 2026Complaint1 finding
- Sep 5, 2025Standard2 findings
- Jun 13, 2024Standard2 findings
- Mar 13, 2023Standard13 findings
- Apr 29, 2022Standard2 findings
- Apr 23, 2021Standard2 findings
- Oct 21, 2019Standard2 findings
- Apr 24, 2019Complaint4 findings
Show the 9 earlier surveys
- Oct 16, 2018Complaint4 findings
- Mar 5, 2018Standard8 findings
- Nov 20, 2015Standard6 findings
- Apr 2, 2015Complaint1 finding
- Oct 10, 2014Standard6 findings
- Oct 24, 2013—1 finding
- Aug 9, 2013—7 findings
- Apr 2, 2012—3 findings
- Oct 25, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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