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 were fully informed about their health status, care, and treatments.
Informed Consent Gaps Under F0552
The inspection cited Avamere Rehabilitation under federal regulatory tag F0552, which requires skilled nursing facilities to keep residents fully informed and ensure they understand their health status, the care they are receiving, and any treatments being administered. The deficiency falls under the broader category of Resident Rights Deficiencies — a classification that addresses the fundamental protections guaranteed to every person living in a federally regulated nursing home.
Inspectors assigned the violation a Scope/Severity Level D, indicating an isolated instance where no actual harm was documented but where the potential existed for more than minimal harm to residents. While Level D represents the lower end of the federal severity scale, the underlying issue — residents not fully understanding their own medical care — carries meaningful clinical implications.
Why Health Literacy in Nursing Homes Matters
When residents are not adequately informed about their health conditions and treatment plans, a chain of preventable problems can follow. Residents who do not understand their medications may not report adverse reactions. Those unaware of changes to their care plans cannot meaningfully participate in decisions about their own treatment. Family members who are not kept in the loop may miss early warning signs that conditions are deteriorating.
Federal regulations under 42 CFR § 483.10 establish that nursing home residents have the right to be informed of their total health status, including but not limited to their medical condition, treatment options, and any changes in either. This is not simply a paperwork requirement — it is a patient safety standard. Informed residents are better positioned to advocate for themselves, ask questions about prescribed therapies, and alert staff to symptoms or concerns that might otherwise go unnoticed.
Proper informed consent protocols require that information be communicated in a language and manner the resident can understand. For residents with cognitive impairments, facilities must ensure that legal representatives or designated family members receive timely updates.
Eight Total Deficiencies Signal Broader Compliance Concerns
The F0552 citation was one of 8 deficiencies identified during the December 2025 inspection. While the full scope of all citations paints a more complete picture of the facility's compliance status, the volume of deficiencies during a single inspection cycle suggests areas where operational improvements are needed across multiple departments.
Industry benchmarks from the Centers for Medicare & Medicaid Services (CMS) show that the national average for health deficiencies per nursing home inspection is approximately 8 to 9 citations. Avamere Rehabilitation of King City's total falls within that range, though each deficiency represents a specific area where federal standards were not met at the time of the survey.
Facility Response and Correction Timeline
Avamere Rehabilitation of King City submitted a plan of correction following the inspection and reported that corrective measures 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.
The facility's correction status is currently listed as "Deficient, Provider has plan of correction," meaning that while the facility has acknowledged the issues and proposed remedies, final verification of sustained compliance may still be pending through follow-up review.
What Residents and Families Should Know
Residents of skilled nursing facilities and their families have the right to request complete information about diagnoses, medications, therapy plans, and any changes in condition. If communication from facility staff feels unclear or incomplete, families can request care conferences, ask for written summaries of treatment plans, and contact the Oregon Long-Term Care Ombudsman program for independent advocacy support.
The full inspection report for Avamere Rehabilitation of King City is available through the CMS Care Compare database, where families can review all cited deficiencies, severity levels, and historical compliance records for any Medicare- or Medicaid-certified nursing home in the country.
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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