Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HOLLADAY PARK PLAZA

PORTLAND, OR · 51 certified beds · Last Life Safety survey September 5, 2025

CMS Certification Number 385259 · first certified August 1998

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Holladay Park Plaza (1300 Northeast 16th Avenue). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by PACIFIC RETIREMENT SERVICES · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within OR

8 citations — more than 22% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was September 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.

This facility8OR median11National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in OR11
Median facility nationally11

Survey history

Citations at each Life Safety survey
52023-0322024-0612025-09
Citations at each Life Safety survey
Survey dateCitations
March 13, 20235
June 13, 20242
September 5, 20251

Most-cited tags

Most-cited tags at this facility
K-07123K-07611K-03551K-03721K-03241K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-09-05
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-03-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-03-13
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-03-13
K-0324Provide properly protected cooking facilities.12024-06-13
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-03-13

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 4
  • Smoke Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies4
Smoke Deficiencies3
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 5, 2025 — 1 citation

Citations issued on September 5, 2025
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 10, 2025)

June 13, 2024 — 2 citations

Citations issued on June 13, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 24, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 24, 2024)

March 13, 2023 — 5 citations

Citations issued on March 13, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 26, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 26, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 26, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 26, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 26, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.