Avir at Portland
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 71 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (66%)
- High RN turnover (56%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in TOUCHSTONE COMMUNITIES chain · $119,462 in fines
What this means for your family
This facility offers highly skilled physical therapy and many compassionate caregivers who truly care for their residents. However, you must closely monitor medication schedules and response times to call lights, as multiple families have reported dangerous delays in care and significant understaffing.
Google Reviews
Google Reviews
71 reviews analyzed“Families considering AVIR AT PORTLAND (often referred to as Coastal Palms in reviews) will find a facility praised for its compassionate, friendly, and professional nursing and therapy staff. However, there are significant, recurring reports of serious concerns regarding medication timing, slow response to call lights, and severe understaffing that impacts patient safety and hygiene.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Effective physical and occupational therapy
- Clean and well-maintained facility
- Professional care navigators and admissions staff
Concerns
- Slow response to call lights and patient needs (mentioned by 3 reviewers)
- Staffing shortages and overwhelmed nurses (mentioned by 2 reviewers)
- Medication administration errors or delays (mentioned by 2 reviewers)
- Inconsistent food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on a library of pre-written templates that vary slightly depending on the star rating. Responses often use repetitive corporate slogans like 'Make Lives Better' and 'best-in-class care' regardless of the specific details provided in the review.
Questions for Your Tour
- 1It is wonderful to see how much the management engages with the community through their review responses; how does that commitment to communication translate to how you update families on a resident's daily progress?
- 2We've heard great things about the compassion of your nursing staff, but how do you ensure they have enough support to respond quickly to call lights during busy shifts?
- 3With the physical and occupational therapy programs being a noted strength here, how often do residents participate in these sessions as part of their weekly routine?
- 4Could you walk us through your specific protocols for medication management to ensure everything is administered accurately and on schedule?
- 5Since we want to make sure [Resident Name] stays well-nourished, how would you describe the current variety and quality of the dining options and meal schedules?
- 6What is the process for handling medical emergencies or urgent changes in health status during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“The first night, she received no medication and was unable to sleep. The next night—and every night after—she received her night medicine at 5 PM, and it just sat in her room until it was time for her to go to bed.”
“From the admissions coordinator to the nursing assistants and nursing staff have been amazing and are very attentive to our needs. When it comes to the physical and occupational therapy staff, they are knowledgeable, caring and work to get the patient back to normal.”
“The certified nurses are overwhelmed because they are short staffed. One nurse told me that she had to service 45 residents by herself.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
8
measures
6
measures
2
measures
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints resulting in 11 deficiencies, indicating ongoing concerns about care quality. The facility shows recurring problems with medication management, care planning, and maintaining resident privacy and confidentiality across multiple surveys from 2023-2024. While all deficiencies have correction dates, the pattern of repeated issues in medication safety and care planning suggests persistent operational challenges that families should carefully consider.
Mar 19, 2026Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 9, 2025Routine8
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 1, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 16, 2024Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 26, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 11, 2024Complaint8
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal Penalties
Fine
Jul 26, 2024
$8,985
Fine
Apr 11, 2024
$110,477
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
221 CEDAR DR OPCO LLC
JASON RODRIGUEZ
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.8/5 · Rank 24 of 27 (Worst)
Ownership & Management
Owners
Crank, Timothy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fellbaum, Ernest
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Studer, Stanley
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
71 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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