Avamere Rehabilitation of Oregon CityCMS ratings, inspections and fines
- Address
- 1400 Division Street, Oregon City, OR 97045
- CCN
- 385125
- Ownership type
- For-profit, limited liability company
- Certified beds
- 111
- Chain
- Avamere
- Residents per day
- 62
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avamere Rehabilitation of Oregon City an overall rating of 2 of 5 stars. The last standard survey was on 6 Jun 2025. The latest survey cycle has 9 health citations. The median for nursing homes in Oregon is 9. CMS lists 1 fine of $85,768 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Clackamas County median | Oregon median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 13 homes in the county, 128 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Oregon median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Jun 2025 | 9 | 9 |
| Cycle 2 | 13 Feb 2024 | 34 | 11 |
| Cycle 3 | No date | 18 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Jun 2025 |
| 6 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0584 | 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. | D | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 Jul 2025 |
| 6 Jun 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0688 | 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. | D | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0761 | 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. | E | Standard survey | 2 Jul 2025 |
| 6 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jul 2025 |
Survey cycle 2: 34 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jan 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 28 Feb 2025 |
| 17 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Feb 2025 |
| 17 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 28 Feb 2025 |
| 13 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0578 | 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. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0584 | 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. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 2 Apr 2024 |
| 13 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0688 | 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. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0732 | Post nurse staffing information every day. | E | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 2 Apr 2024 |
| 13 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 2 Apr 2024 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jan 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0732 | Post nurse staffing information every day. | E | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 22 Feb 2023 |
| 13 Jan 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 22 Feb 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Feb 2024 | Fine | $85,768 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Oregon median | Oregon average (CMS) |
|---|---|---|---|
| All nurse staff | 5.26 | 5.00 | 5.03 |
| Registered nurses (RN) | 0.47 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.95 | 0.91 | |
| Nurse aides | 3.85 | 3.40 | |
| All nurse staff, weekends | 4.72 | 4.40 | 4.51 |
- Nurse staff turnover in a year
- 52.6%
- Nurse staff turnover, Oregon median
- 45.9%
- RN turnover in a year
- 70.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.2% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.0% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.7% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Mountain View Rehab, LLC
- Chain
- Avamere (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ariso LLC | Direct ownership interest | 6 Jan 2006 | |
| Ari Operations, LLC | Indirect ownership interest | 6 Jan 2006 | |
| Avamere Group LLC | Indirect ownership interest | 6 Jan 2006 | |
| Midcap Finco LLC | 5% or greater security interest | 25 Jun 2013 | |
| Avamere Health Services LLC | Operational/managerial control | 1 Jan 2005 | |
| Avamere Skilled Advisors LLC | Operational/managerial control | 1 Jan 2005 | |
| Midcap Finco LLC | Operational/managerial control | 25 Jun 2013 | |
| Avamere Health Services LLC | Adp of the snf | 10 Jul 2025 | |
| Avamere Skilled Advisors LLC | Adp of the snf | 14 Jul 2025 | |
| Moss Adams LLP | Adp of the snf | 1 Jan 2009 |
The site shows organisations only. It does not show the names of persons.
Other homes in Clackamas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rivercrest Post Acute | Oregon City | 2 of 5 | 16 | $18,075 | 13 Feb 2026 | |
| Marquis Oregon City Post Acute Rehab | Oregon City | 5 of 5 | 2 | $0 | 27 Feb 2026 | |
| Avamere Rehabilitation of Clackamas | Gladstone | 4 of 5 | 4 | $175,773 | 4 Dec 2025 | |
| Rose Linn Care Center | West Linn | 3 of 5 | 9 | $0 | 24 Apr 2026 | |
| Stanley Post Acute | Milwaukie | 3 of 5 | 8 | $8,278 | 5 Sep 2025 | |
| Fernwood Supportive Living at Madrona Grove | Portland | 4 of 5 | 5 | $0 | 4 Jun 2026 | |
| Willamette View Health Center | Milwaukie | 5 of 5 | 1 | $0 | 17 Jun 2026 | |
| The Pearl at Kruse Way | Lake Oswego | 4 of 5 | 2 | $0 | 21 Nov 2025 | |
| Marquis Hope Village | Canby | 4 of 5 | 5 | $0 | 23 May 2025 | |
| Marquis Tualatin Post Acute Rehab | Tualatin | 5 of 5 | 5 | $0 | 22 May 2026 | |
| Marquis Wilsonville Post Acute Rehab | Wilsonville | 5 of 5 | 3 | $0 | 10 Apr 2026 | |
| Woodside Post Acute | Molalla | 2 of 5 | 7 | $115,888 | 9 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avamere Rehabilitation of Oregon City (CCN 385125). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avamere-rehabilitation-of-oregon-city-oregon-city-or-385125/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avamere Rehabilitation of Oregon City last inspected?
- The latest inspection with a citation in the CMS record was on 29 Aug 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 13 Feb 2024.
- Who operates Avamere Rehabilitation of Oregon City?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avamere. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Avamere Rehabilitation of Oregon City a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Oregon as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.