CareSentinel

Federal Nursing-Home Survey Record

AVAMERE REHABILITATION OF OREGON CITY

CCN 385125 · 1400 DIVISION STREET, OREGON CITY, OR, 97045 · Operated within the AVAMERE chain

Does AVAMERE REHABILITATION OF OREGON CITY have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), AVAMERE REHABILITATION OF OREGON CITY (CCN 385125), in OREGON CITY, OR, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-06-06. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $85,768 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$85,768

CMS has $85,768 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-29
CURRENT CYCLE
F689S/S G

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

2025-06-06
CURRENT CYCLE
F761S/S E

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.

2025-06-06
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-06-06
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-06-06
CURRENT CYCLE
F552S/S D

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

2025-06-06
CURRENT CYCLE
F685S/S D

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

2025-06-06
CURRENT CYCLE
F644S/S D

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

2025-06-06
CURRENT CYCLE
F688S/S D

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.

2025-06-06
CURRENT CYCLE
F584S/S D

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.

2025-01-17
HISTORICAL
F804S/S D

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

2025-01-17
HISTORICAL
F684S/S D

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

2025-01-17
HISTORICAL
F624S/S D

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

2024-02-13
HISTORICAL
F686S/S G

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

2024-02-13
HISTORICAL
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-02-13
HISTORICAL
F725S/S E

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

2024-02-13
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2024-02-13
HISTORICAL
F684S/S E

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

2024-02-13
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-02-13
HISTORICAL
F730S/S E

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

2024-02-13
HISTORICAL
F697S/S D

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

2024-02-13
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-02-13
HISTORICAL
F810S/S D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2024-02-13
HISTORICAL
F554S/S D

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

2024-02-13
HISTORICAL
F578S/S D

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.

2024-02-13
HISTORICAL
F584S/S D

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.

2024-02-13
HISTORICAL
F602S/S D

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

2024-02-13
HISTORICAL
F609S/S D

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

2024-02-13
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-02-13
HISTORICAL
F636S/S D

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

2024-02-13
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2024-02-13
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-02-13
HISTORICAL
F656S/S D

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

2024-02-13
HISTORICAL
F657S/S D

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

2024-02-13
HISTORICAL
F658S/S D

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

2024-02-13
HISTORICAL
F677S/S D

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

2024-02-13
HISTORICAL
F685S/S D

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

2024-02-13
HISTORICAL
F687S/S D

Provide appropriate foot care.

2024-02-13
HISTORICAL
F688S/S D

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.

2024-02-13
HISTORICAL
F689S/S D

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

2024-02-13
HISTORICAL
F695S/S D

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

2024-02-13
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-02-13
HISTORICAL
F791S/S D

Provide or obtain dental services for each resident.

2024-02-13
HISTORICAL
F825S/S D

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

2023-01-13
HISTORICAL
F684S/S G

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

2023-01-13
HISTORICAL
F802S/S F

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

2023-01-13
HISTORICAL
F867S/S F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2023-01-13
HISTORICAL
F725S/S F

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

2023-01-13
HISTORICAL
F812S/S F

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

2023-01-13
HISTORICAL
F804S/S F

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

2023-01-13
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2023-01-13
HISTORICAL
F565S/S E

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

2023-01-13
HISTORICAL
F679S/S E

Provide activities to meet all resident's needs.

2023-01-13
HISTORICAL
F680S/S E

Ensure the activities program is directed by a qualified professional.

2023-01-13
HISTORICAL
F813S/S E

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

2023-01-13
HISTORICAL
F806S/S D

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

2023-01-13
HISTORICAL
F757S/S D

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

2023-01-13
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2023-01-13
HISTORICAL
F561S/S D

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

2023-01-13
HISTORICAL
F744S/S D

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

2023-01-13
HISTORICAL
F657S/S D

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at AVAMERE REHABILITATION OF OREGON CITY?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…