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Nursing HomeMedicaid

Avamere Rehabilitation of King City

Strong Medicare quality ratings; families often praise dedicated and skilled physical therapy team. Still worth an in-person visit.

16485 Sw Pacific Highway, Bull Mountain · Tigard, OR 97224148 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 39 Google reviews

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What this means for your family

This facility has a highly inconsistent track record; while some patients report excellent results from the therapy department, there are recurring, serious allegations regarding neglect and poor administrative communication. If you are considering this facility, we strongly recommend daily in-person visits to monitor your loved one's care and to ensure that safety protocols, such as call lights and fall prevention, are being actively maintained.

Google Reviews

Google Reviews

39 reviews on Google
Avamere Rehabilitation of King City receives highly polarized feedback, with many families reporting severe concerns regarding patient neglect, poor communication, and unprofessional administrative leadership. While some residents and family members praise specific therapy staff and individual nurses for their kindness, these positive experiences are frequently overshadowed by reports of dangerous conditions, including broken call lights, hygiene issues, and inadequate end-of-life care.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean5.0ActivitiesN/AMeds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Dedicated and skilled physical therapy team
  • Some individual nursing and CNA staff provide compassionate care
  • Facility is generally reported as clean by some visitors

Concerns

  • Neglect and poor quality of care (mentioned by 9 reviewers)
  • Unresponsive or hostile administration (mentioned by 6 reviewers)
  • Poor communication and difficulty reaching staff via phone (mentioned by 4 reviewers)
  • Missing personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'18(6)'20(1)'22(4)'24(3)'26(4)

Distribution · 47 analyzed

5
17
4
2
3
2
2
4
1
22

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about your physical therapy team; could you tell us more about how they work with residents to meet their mobility goals?
  • 2How do you ensure that medication is administered accurately and that any changes in a resident's health are communicated to the family promptly?
  • 3What is the process for keeping families updated on a resident's daily well-being, especially if we have trouble reaching the office by phone?
  • 4Could you describe the dining experience, including how much input residents have regarding their meal options and nutritional needs?
  • 5What steps are in place to ensure that personal belongings are kept secure and that any missing items are quickly accounted for?
  • 6How do you handle medical emergencies or urgent care needs during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

There are numerous faults here at Avamere, but the team of Garret and Sierra make this experience a miracle for me.

Rehab patient · 2025★★★☆☆

The facility is clean, staff were pleasant, and the therapy members answered all my questions.

Visitor/Prospective family · 2025★★★★

The day before he died an aide name Maria REFUSED to allow me in to visit my father becuase he was sleeping. At this point he hadn't eating an food for 9 days, so he was always sleeping.. my father died alone without any family or visitors for 4 days

Hospice patient's family · 2024☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
4.37hrs
OK
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.3%
OR
22.5%
Washington
13.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.4%
OR
14.0%
Washington
14.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
19.4%
OR
22.1%
Washington
19.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
19.5%
OR
12.5%
Washington
18.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
14.4%
OR
15.3%
Washington
13.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
93.4%
OR
95.3%
Washington
92.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
79.7%
OR
81.2%
Washington
80.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.6%
Better than Avg
Here
86.6%
US
81.8%
OR
85.5%
Washington
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.0%
Worse than Avg
Here
3.0%
US
1.6%
OR
1.5%
Washington
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Near state avg (10.4)
13 complaint-triggered
$49,348 in fines

Families have filed multiple reports triggering 13 complaint-based deficiencies at this facility. Recurring problems include nursing staffing shortages, medication management errors, and care planning failures that persist across surveys from 2023 through 2025. While the facility corrects violations when cited, the pattern of repeated issues in core care areas—particularly staffing, medication safety, and resident assessment—suggests ongoing quality challenges that families should carefully evaluate.

Feb 20, 2026Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 5, 2025Routine
9
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0740Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 5, 2025Complaint
2
0550Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 10, 2025Complaint
1
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jul 19, 2024Complaint
3
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jul 19, 2024Routine
14
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avamere Rehabilitation of King City

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 13 of 33

Ownership & Management

Owners

Ariso LLC

Owner · Organization

Ari Operations, LLC

Owner (parent company) · Organization

Avamere Group LLC

Owner (parent company) · Organization

Miller, Karl

Owner (parent company)

Kofstad, Mary

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Dana, JenniferAdp of the SnfDavis, JulieAdp of the SnfDoepker, AndreaAdp of the SnfFeakin, CodyAdp of the SnfFreeman, ShannonAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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