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Avamere Rehabilitation Of Oregon City

📍 1400 Division Street, Oregon-city, OR 97045 📞 (503) 656-0367 🛏️ 111 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $61,718

$61,718
Jan 13, 2023

Fine

2022 1 penalties totaling $3,250

$3,250
Jan 11, 2022

Fine

2021 2 penalties totaling $37,336

$650
May 17, 2021

Fine

$36,686
Feb 8, 2021

Fine

2019 2 penalties totaling $39,439

$32,806
Jul 2, 2019

Fine

$6,633
Jul 2, 2019

Fine

2018 1 penalties totaling $6,500

$6,500
Jan 31, 2018

Fine

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Health Violations by Year

2025 10 violations

Tag 0552 D Jun 6, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 2, 2025
Tag 0584 D Jun 6, 2025

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.

✓ Corrected: Jul 2, 2025
Tag 0610 D Jun 6, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Jul 2, 2025
Tag 0644 D Jun 6, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jul 2, 2025
Tag 0685 D Jun 6, 2025

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Jul 2, 2025
Tag 0688 D Jun 6, 2025

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jul 2, 2025
Tag 0761 E Jun 6, 2025

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.

✓ Corrected: Jul 2, 2025
Tag 0880 D Jun 6, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 2, 2025
Tag 0684 D Jan 17, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 28, 2025
Tag 0804 D Jan 17, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Feb 28, 2025

2024 31 violations

Tag 0554 D Feb 13, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Mar 28, 2024
Tag 0578 D Feb 13, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Mar 28, 2024
Tag 0584 D Feb 13, 2024

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.

✓ Corrected: Mar 28, 2024
Tag 0602 D Feb 13, 2024

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Mar 28, 2024
Tag 0609 D Feb 13, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 28, 2024
Tag 0610 D Feb 13, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Mar 28, 2024
Tag 0636 D Feb 13, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 28, 2024
Tag 0637 D Feb 13, 2024

Assess the resident when there is a significant change in condition

✓ Corrected: Mar 28, 2024
Tag 0641 D Feb 13, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 28, 2024
Tag 0656 D Feb 13, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 28, 2024
Tag 0657 D Feb 13, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 28, 2024
Tag 0658 D Feb 13, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 28, 2024
Tag 0677 D Feb 13, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 28, 2024
Tag 0684 E Feb 13, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 28, 2024
Tag 0685 D Feb 13, 2024

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Mar 28, 2024
Tag 0686 G Feb 13, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 28, 2024
Tag 0687 D Feb 13, 2024

Provide appropriate foot care.

✓ Corrected: Mar 28, 2024
Tag 0688 D Feb 13, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 28, 2024
Tag 0689 D Feb 13, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 28, 2024
Tag 0695 D Feb 13, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 28, 2024
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2023 22 violations

Tag 0725 E Mar 27, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: May 3, 2023
Tag 0558 D Jan 13, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 22, 2023
Tag 0561 D Jan 13, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Feb 22, 2023
Tag 0565 E Jan 13, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Feb 22, 2023
Tag 0600 G Jan 13, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 22, 2023
Tag 0610 G Jan 13, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Feb 22, 2023
Tag 0657 D Jan 13, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 22, 2023
Tag 0679 E Jan 13, 2023

Provide activities to meet all resident's needs.

✓ Corrected: Feb 22, 2023
Tag 0680 E Jan 13, 2023

Ensure the activities program is directed by a qualified professional.

✓ Corrected: Feb 22, 2023
Tag 0684 G Jan 13, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 22, 2023
Tag 0725 F Jan 13, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Feb 22, 2023
Tag 0732 E Jan 13, 2023

Post nurse staffing information every day.

✓ Corrected: Feb 22, 2023
Tag 0744 D Jan 13, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Feb 22, 2023
Tag 0757 D Jan 13, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Feb 22, 2023
Tag 0759 D Jan 13, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 22, 2023
Tag 0802 F Jan 13, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Feb 22, 2023
Tag 0804 F Jan 13, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Feb 22, 2023
Tag 0806 D Jan 13, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Feb 22, 2023
Tag 0812 F Jan 13, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 22, 2023
Tag 0813 E Jan 13, 2023

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

✓ Corrected: Feb 22, 2023

2022 9 violations

Tag 0677 D Jan 11, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 21, 2022
Tag 0684 D Jan 11, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 21, 2022
Tag 0689 D Jan 11, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 21, 2022
Tag 0695 D Jan 11, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 21, 2022
Tag 0697 D Jan 11, 2022

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Feb 21, 2022
Tag 0725 F Jan 11, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Feb 21, 2022
Tag 0730 D Jan 11, 2022

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Feb 21, 2022
Tag 0812 F Jan 11, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 21, 2022
Tag 0880 E Jan 11, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 21, 2022
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2021 9 violations

Tag 0600 D Aug 16, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 26, 2021
Tag 0726 D Aug 16, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 29, 2021
Tag 0727 F Aug 16, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Sep 29, 2021
Tag 0550 D Feb 8, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0609 D Feb 8, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0689 J Feb 8, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0725 E Feb 8, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0825 D Feb 8, 2021

Provide or get specialized rehabilitative services as required for a resident.

Tag 0880 E Feb 8, 2021

Provide and implement an infection prevention and control program.

2019 24 violations

Tag 0553 D Jul 2, 2019

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Aug 19, 2019
Tag 0585 D Jul 2, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Aug 19, 2019
Tag 0604 D Jul 2, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Aug 19, 2019
Tag 0609 D Jul 2, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 19, 2019
Tag 0610 D Jul 2, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Aug 19, 2019
Tag 0624 D Jul 2, 2019

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Aug 19, 2019
Tag 0641 D Jul 2, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 19, 2019
Tag 0656 D Jul 2, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 19, 2019
Tag 0657 E Jul 2, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 19, 2019
Tag 0661 D Jul 2, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Aug 19, 2019
Tag 0677 D Jul 2, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 19, 2019
Tag 0686 D Jul 2, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 14, 2019
Tag 0689 J Jul 2, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 2, 2019
Tag 0693 D Jul 2, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Aug 19, 2019
Tag 0695 D Jul 2, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 19, 2019
Tag 0732 F Jul 2, 2019

Post nurse staffing information every day.

✓ Corrected: Aug 19, 2019
Tag 0758 D Jul 2, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Aug 19, 2019
Tag 0835 J Jul 2, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Aug 19, 2019
Tag 0880 D Jul 2, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 19, 2019
Tag 0558 D Feb 20, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 29, 2019
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2018 25 violations

Tag 0554 D Dec 14, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Feb 2, 2019
Tag 0636 D Dec 14, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Feb 2, 2019
Tag 0637 D Dec 14, 2018

Assess the resident when there is a significant change in condition

✓ Corrected: Feb 2, 2019
Tag 0638 D Dec 14, 2018

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Feb 2, 2019
Tag 0641 E Dec 14, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 2, 2019
Tag 0655 D Dec 14, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 2, 2019
Tag 0656 D Dec 14, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 2, 2019
Tag 0684 D Dec 14, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 2, 2019
Tag 0688 D Dec 14, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Feb 2, 2019
Tag 0689 D Dec 14, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 2, 2019
Tag 0755 D Dec 14, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 2, 2019
Tag 0758 D Dec 14, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Feb 2, 2019
Tag 0883 D Dec 14, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Feb 2, 2019
Tag 0580 D Jul 16, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 27, 2018
Tag 0658 D Jul 16, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 27, 2018
Tag 0686 D Jul 16, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 27, 2018
Tag 0689 D Jul 16, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 27, 2018
Tag 0842 D Jul 16, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 27, 2018
Tag 0609 D Jan 31, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 28, 2018
Tag 0610 D Jan 31, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Feb 28, 2018

2017 14 violations

Tag 0154 D Aug 14, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Sep 20, 2017
Tag 0156 D Aug 14, 2017

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Sep 20, 2017
Tag 0272 D Aug 14, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Sep 20, 2017
Tag 0273 D Aug 14, 2017

Assess in a timely manner the resident when the resident enters the nursing home.

✓ Corrected: Sep 20, 2017
Tag 0274 D Aug 14, 2017

Review or revise the resident's care plan after any major change in physical or mental health.

✓ Corrected: Sep 20, 2017
Tag 0278 E Aug 14, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Sep 20, 2017
Tag 0279 D Aug 14, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 20, 2017
Tag 0309 E Aug 14, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Sep 20, 2017
Tag 0313 D Aug 14, 2017

Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

✓ Corrected: Sep 20, 2017
Tag 0325 D Aug 14, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Sep 20, 2017
Tag 0329 D Aug 14, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Sep 20, 2017
Tag 0354 F Aug 14, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

✓ Corrected: Sep 20, 2017
Tag 0387 D Aug 14, 2017

Make sure that doctors visit residents regularly, as required.

✓ Corrected: Sep 20, 2017
Tag 0428 D Aug 14, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Sep 20, 2017
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2016 4 violations

Tag 0226 D Jul 1, 2016

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Aug 19, 2016
Tag 0272 D Jul 1, 2016

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Aug 19, 2016
Tag 0309 D Jul 1, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 19, 2016
Tag 0329 D Jul 1, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 19, 2016
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