TIGARD, OR - Federal health inspectors identified 8 deficiencies at Avamere Rehabilitation of King City during a standard health inspection completed on December 5, 2025, including a citation for failing to ensure residents received necessary behavioral health care and services.
Behavioral Health Services Found Lacking
The inspection revealed that Avamere Rehabilitation of King City did not meet federal requirements under regulatory tag F0740, which mandates that nursing facilities both provide and ensure each resident receives necessary behavioral health care and services. This requirement falls under the broader category of Quality of Life and Care Deficiencies.
The deficiency was classified at Scope/Severity Level D, indicating an isolated incident where no actual harm was documented but where inspectors determined there was potential for more than minimal harm to residents. While this represents the lower end of the federal severity scale, behavioral health care gaps can carry significant consequences for nursing home residents if left unaddressed.
Federal regulations require nursing facilities to provide or arrange for behavioral health services based on each resident's comprehensive assessment and care plan. These services can include psychiatric consultations, psychological therapy, medication management for mental health conditions, and structured behavioral interventions. When facilities fall short of these requirements, residents with conditions such as depression, anxiety, dementia-related behavioral symptoms, or other psychiatric needs may not receive timely or appropriate treatment.
Why Behavioral Health Care Matters in Nursing Facilities
Behavioral health needs among nursing home residents are widespread. Research consistently shows that a significant percentage of long-term care residents experience depression, anxiety, or other behavioral health conditions. For many older adults, the transition to a nursing facility can itself contribute to psychological distress, making access to behavioral health services particularly important.
Untreated behavioral health conditions in nursing home settings can lead to a cascade of negative outcomes. Depression, for instance, is associated with decreased appetite, weight loss, social withdrawal, and reduced participation in rehabilitation activities. Anxiety disorders can increase fall risk and lead to sleep disturbances. Dementia-related behavioral symptoms, when not properly managed through evidence-based approaches, may result in inappropriate use of psychotropic medications or physical restraints.
According to federal standards, nursing facilities are expected to maintain an interdisciplinary approach to behavioral health that includes screening upon admission, ongoing assessment, individualized care planning, and access to qualified behavioral health professionals. Facilities must also ensure that staff members are adequately trained to recognize behavioral health symptoms and respond appropriately.
Eight Total Deficiencies Identified
The behavioral health citation was one component of a broader inspection that revealed 8 total deficiencies at the Tigard facility. While the specific details of the remaining seven citations were not included in this particular report, the cumulative number suggests inspectors found multiple areas where the facility's practices did not meet federal requirements.
For context, the national average number of deficiencies per nursing home inspection varies by state and facility size, but 8 citations during a single standard inspection indicates areas requiring meaningful attention and improvement. Oregon facilities are subject to the same federal standards as nursing homes nationwide, enforced through the Centers for Medicare & Medicaid Services (CMS) survey and certification process.
Correction Plan and Timeline
Following the inspection, Avamere Rehabilitation of King City submitted a plan of correction, which is a standard requirement when deficiencies are identified. The facility reported that corrections were implemented as of January 6, 2026, approximately one month after the inspection date.
A plan of correction typically outlines the specific steps a facility will take to address each deficiency, prevent recurrence, and monitor ongoing compliance. For behavioral health-related citations, corrective actions often include staff retraining, updated assessment protocols, and enhanced coordination with behavioral health providers.
Avamere Rehabilitation of King City is part of the Avamere Health Services network, which operates multiple skilled nursing and rehabilitation facilities across the Pacific Northwest. The facility's compliance status will be subject to verification during subsequent federal inspections.
Residents, families, and advocates can review the full inspection report and deficiency details through the CMS Care Compare website, which provides publicly accessible quality and compliance data for all Medicare- and Medicaid-certified nursing facilities nationwide.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avamere Rehabilitation of King City from 2025-12-05 including all violations, facility responses, and corrective action plans.
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