Avamere Rehabilitation of Oregon City
1400 Division Street, Oregon City, OR 97045 · (503) 656-0367
For profit - Limited Liability company · 111 certified beds
Avamere Rehabilitation of Oregon City has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 8 citations (the Oregon average is 9.2). It was fined 1 time in the last three years, $85,768 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 6, 2025 found 8 citations. What an inspection citation means
- 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.June 6, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.June 6, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 6, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.June 6, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.June 6, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.June 6, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 6, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 35 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 29, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.June 6, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prepare residents for a safe transfer or discharge from the nursing home.January 17, 2025 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 17, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 17, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.February 13, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 13, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 13, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.February 13, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 13, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 13, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionFebruary 13, 2024 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 13, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 13, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 13, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.February 13, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 13, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 13, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assist a resident in gaining access to vision and hearing services.February 13, 2024 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 13, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate foot care.February 13, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 13, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 13, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 13, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.February 13, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 13, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.February 13, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.February 13, 2024 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.February 13, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or obtain dental services for each resident.February 13, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide special eating equipment and utensils for residents who need them and appropriate assistance.February 13, 2024 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.February 13, 2024 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.February 13, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 13, 2024 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $85,768February 13, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Oregon average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.26 | 5.03 | 3.86 |
| Registered nurses (RN) | 0.47 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 0.95 | 0.91 | 0.86 |
| Nurse aides | 3.85 | 3.40 | 2.32 |
| Total nursing staff turnover | 52.6% | 47.4% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 111 |
| Average residents per day | 61.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Marquis Oregon City Post Acute Rehab Oregon City · ★★★★★ 5 out of 5 stars
- Rivercrest Post Acute Oregon City · ★★★★★ 2 out of 5 stars
- Marquis Hope Village Canby · ★★★★★ 4 out of 5 stars
- Avamere Rehabilitation of Clackamas Gladstone · ★★★★★ 4 out of 5 stars
- The PEARL AT KRUSE WAY Lake Oswego · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avamere Rehabilitation of Oregon City on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.