Avamere Rehabilitation of Lebanon: Safety Violations - OR
The inspection, conducted on September 8, 2025, was triggered by a complaint. The accident hazard citation was one of 14 deficiencies inspectors documented that day.
The citation fell under the category of Quality of Life and Care Deficiencies. Inspectors classified the finding at Scope and Severity Level D, meaning the problem was isolated and no resident was documented as actually harmed. Inspectors did determine, however, that the conditions carried the potential for more than minimal harm.
That distinction matters. A Level D finding sits at the lowest end of the federal severity scale, but the threshold for reaching it is not nothing. Inspectors must conclude that what they observed could cause real injury to a vulnerable person, not merely that something looked untidy or out of place. Residents of skilled nursing facilities are, by definition, people whose age, illness, or disability makes them less able to protect themselves from hazards that a healthy adult might easily avoid.
Avamere Rehabilitation of Lebanon is one of more than a dozen facilities operating under the Avamere Health Services umbrella across Oregon and the Pacific Northwest. The Lebanon location provides both short-term rehabilitation and long-term care.
The facility reported to federal regulators that it had corrected the deficiency by October 16, 2025, roughly five weeks after inspectors identified it. Whether that correction involved removing a specific physical hazard, changing a supervision protocol, or retraining staff is not detailed in the inspection record.
What the record does make clear is that this was not an isolated bad day. Fourteen deficiencies in a single inspection represents a significant volume of findings for a facility of this type. The accident hazard citation was one thread in a larger pattern inspectors documented across multiple areas of care and operations. Federal inspection reports assign each deficiency its own regulatory tag, and accumulating 14 in the course of a single complaint visit signals that inspectors found problems in several distinct domains, not one department or one shift.
The complaint-driven nature of the inspection is also worth noting. Routine inspections occur on a scheduled cycle. Complaint inspections happen because someone, typically a resident, family member, or staff member, contacted a state or federal agency to report a problem. When inspectors arrive in response to a complaint, they do not limit their review to the specific allegation. They conduct a broader survey of the facility. The 14 deficiencies cited here emerged from that broader look.
Avamere Rehabilitation of Lebanon has not been publicly identified as a facility with a history of serious, repeated violations at the level that draws federal special focus designations. But a complaint inspection producing 14 deficiencies, including one tied to the physical safety of residents and the adequacy of staff supervision, raises questions that a correction date alone does not fully answer.
Accident hazard citations, even at the lowest severity level, describe a gap between what a facility owes its residents and what it actually delivered on the day inspectors walked through the door. Nursing home residents who fall, who encounter unsecured equipment, who move through spaces that haven't been assessed for risk, don't experience those failures as administrative oversights. They experience them as falls, as injuries, as fear.
The facility's self-reported correction came 38 days after the inspection. Regulators will verify that correction during a future visit. Until then, the September 8 findings remain part of the facility's federal inspection record, visible to any family researching care options in the Lebanon area.
Fourteen deficiencies. One of them said the building wasn't safe enough for the people living inside it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avamere Rehabilitation of Lebanon from 2025-09-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 4, 2026 · Our methodology
Avamere Rehabilitation Of Lebanon in LEBANON, OR was cited for violations during a health inspection on September 8, 2025.
The inspection, conducted on September 8, 2025, was triggered by a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.