Avamere Health Services Of Rogue Valley
AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR — inspection on August 22, 2025.
Found 12 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-08-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0610 during a standard health inspection conducted on 2025-08-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Respond appropriately to all alleged violations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Based on observations, interviews, and record review it was determined the facility failed to provide dental care to 1 of 2 sampled residents (#1) reviewed for ADLs.
This placed residents at risk for unmet care needs.
Findings include:Resident 1 was admitted to the facility in 7/2025 with diagnoses including COPD (chronic obstructive pulmonary disease) and dementia. A 7/25/25 Dental/Oral Evaluation revealed Resident 1 had oral thrush (fungal infection of the mouth) and wore full upper and partial lower dentures. A 7/27/25 admission MDS indicated Resident 1 was assessed with a BIMS score of 2 (severe cognitive impairment) and required set-up assistance for oral hygiene. An 8/5/25 care plan revealed oral care was to include cleaning her/his full upper and partial lower dentures. On 8/18/25 at 9:23 PM, Witness 3 (Family) stated she was in the facility for 72 hours with Resident 1 and family cleaned and inserted the resident's dentures because staff did not assist the resident. On 8/20/25 at 8:58 AM, Resident 1 was observed with mouth odor and the resident stated she/he wore her/his dentures overnight. On 8/20/25 at 4:44 PM, Staff 25 (CNA) stated a note was in Resident 1's room to ensure denture care was provided.
Staff 25 stated dentures were to be removed and cleaned nightly and confirmed Resident 1's dentures were found in her/his mouth in the mornings on the last two days.
Staff 25 stated nurses were not informed in order to address Resident 1's lack of oral care. On 8/20/25 at 6:51 PM, Staff 26 (CNA) stated she was not aware Resident 1 wore dentures and confirmed she assisted Resident 1 in the evenings with oral care. On 8/21/25 at 1:03 PM, Staff 15 (LPN-Resident Care Manager) confirmed Resident 1's dentures were to be cleaned in the morning and evenings and removed at night.
Staff 15 expected staff to communicate resident care concerns to ensure adjustments were made for Resident 1's oral care hygiene.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide activities to meet all resident's needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited AVAMERE HEALTH SERVICES OF ROGUE VALLEY in MEDFORD, OR for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AVAMERE HEALTH SERVICES OF ROGUE VALLEY.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.