AVAMERE REHABILITATION OF OREGON CITY

πŸ“ 1400 DIVISION STREET, oregon-city, OR 97045 πŸ“ž 5036560367 πŸ›οΈ 111 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

148
Total Violations
9 years of data
$148,243
Total Fines
7 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

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.

βœ“ 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.

βœ“ Corrected: Jul 2, 2025
Tag 0610 D Jun 6, 2025

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ Corrected: Jul 2, 2025
Tag 0685 D Jun 6, 2025

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Jul 2, 2025
Tag 0880 D Jun 6, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 2, 2025
Tag 0684 D Jan 17, 2025

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

βœ“ Corrected: Feb 28, 2025
Tag 0804 D Jan 17, 2025

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

βœ“ Corrected: Feb 28, 2025

2024 31 violations

Tag 0554 D Feb 13, 2024

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0602 D Feb 13, 2024

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

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0610 D Feb 13, 2024

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0637 D Feb 13, 2024

Assess the resident when there is a significant change in condition

βœ“ Corrected: Mar 28, 2024
Tag 0641 D Feb 13, 2024

Ensure each resident receives an accurate assessment.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0658 D Feb 13, 2024

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

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0684 E Feb 13, 2024

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

βœ“ Corrected: Mar 28, 2024
Tag 0685 D Feb 13, 2024

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

βœ“ Corrected: Mar 28, 2024
Tag 0686 G Feb 13, 2024

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

βœ“ Corrected: Mar 28, 2024
Tag 0687 D Feb 13, 2024

Provide appropriate foot care.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Mar 28, 2024
Tag 0695 D Feb 13, 2024

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

βœ“ Corrected: Mar 28, 2024

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.

βœ“ Corrected: May 3, 2023
Tag 0558 D Jan 13, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Feb 22, 2023
Tag 0610 G Jan 13, 2023

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ Corrected: Feb 22, 2023
Tag 0679 E Jan 13, 2023

Provide activities to meet all resident's needs.

βœ“ Corrected: Feb 22, 2023
Tag 0680 E Jan 13, 2023

Ensure the activities program is directed by a qualified professional.

βœ“ Corrected: Feb 22, 2023
Tag 0684 G Jan 13, 2023

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

βœ“ 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.

βœ“ Corrected: Feb 22, 2023
Tag 0732 E Jan 13, 2023

Post nurse staffing information every day.

βœ“ 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.

βœ“ Corrected: Feb 22, 2023
Tag 0757 D Jan 13, 2023

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

βœ“ Corrected: Feb 22, 2023
Tag 0759 D Jan 13, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ 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.

βœ“ Corrected: Feb 22, 2023
Tag 0804 F Jan 13, 2023

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Feb 21, 2022
Tag 0684 D Jan 11, 2022

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

βœ“ 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.

βœ“ Corrected: Feb 21, 2022
Tag 0695 D Jan 11, 2022

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

βœ“ Corrected: Feb 21, 2022
Tag 0697 D Jan 11, 2022

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

βœ“ 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.

βœ“ Corrected: Feb 21, 2022
Tag 0730 D Jan 11, 2022

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

βœ“ 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.

βœ“ Corrected: Feb 21, 2022
Tag 0880 E Jan 11, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 21, 2022

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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 19, 2019
Tag 0610 D Jul 2, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 19, 2019
Tag 0624 D Jul 2, 2019

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

βœ“ Corrected: Aug 19, 2019
Tag 0641 D Jul 2, 2019

Ensure each resident receives an accurate assessment.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 19, 2019
Tag 0686 D Jul 2, 2019

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 19, 2019
Tag 0695 D Jul 2, 2019

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

βœ“ Corrected: Aug 19, 2019
Tag 0732 F Jul 2, 2019

Post nurse staffing information every day.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 19, 2019
Tag 0880 D Jul 2, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 19, 2019
Tag 0558 D Feb 20, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 29, 2019

2018 25 violations

Tag 0554 D Dec 14, 2018

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

βœ“ 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.

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

Assess the resident when there is a significant change in condition

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

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

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

Ensure each resident receives an accurate assessment.

βœ“ 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

βœ“ 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.

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

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

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

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

βœ“ 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.

βœ“ Corrected: Aug 27, 2018
Tag 0658 D Jul 16, 2018

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

βœ“ Corrected: Aug 27, 2018
Tag 0686 D Jul 16, 2018

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Feb 28, 2018
Tag 0610 D Jan 31, 2018

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ Corrected: Sep 20, 2017
Tag 0156 D Aug 14, 2017

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

βœ“ Corrected: Sep 20, 2017
Tag 0272 D Aug 14, 2017

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

βœ“ Corrected: Sep 20, 2017
Tag 0273 D Aug 14, 2017

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

βœ“ 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.

βœ“ Corrected: Sep 20, 2017
Tag 0278 E Aug 14, 2017

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

βœ“ 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.

βœ“ 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 .

βœ“ 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.

βœ“ Corrected: Sep 20, 2017
Tag 0325 D Aug 14, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ 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.

βœ“ Corrected: Sep 20, 2017
Tag 0354 F Aug 14, 2017

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

βœ“ Corrected: Sep 20, 2017
Tag 0387 D Aug 14, 2017

Make sure that doctors visit residents regularly, as required.

βœ“ 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.

βœ“ Corrected: Sep 20, 2017

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.

βœ“ Corrected: Aug 19, 2016
Tag 0272 D Jul 1, 2016

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

βœ“ 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 .

βœ“ 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.

βœ“ Corrected: Aug 19, 2016

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
Fine
January 13, 2023
Average: $61,718 | Range: $61,718 - $61,718

2022 1 penalties totaling $3,250

$3,250
Fine
January 11, 2022
Average: $3,250 | Range: $3,250 - $3,250

2021 2 penalties totaling $37,336

$650
Fine
May 17, 2021
$36,686
Fine
February 8, 2021
Average: $18,668 | Range: $650 - $36,686

2019 2 penalties totaling $39,439

$32,806
Fine
July 2, 2019
$6,633
Fine
July 2, 2019
Average: $19,720 | Range: $6,633 - $32,806

2018 1 penalties totaling $6,500

$6,500
Fine
January 31, 2018
Average: $6,500 | Range: $6,500 - $6,500

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 13, 2024
0.00

Health

March 27, 2023
0.00

Health

January 13, 2023
0.00

Health

January 11, 2022
0.00

Health

August 16, 2021
0.00

Health

February 8, 2021
0.00

Health

December 14, 2018
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
385125
385125
5036560367
Clackamas

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization