AVAMERE REHABILITATION OF OREGON CITY
AVAMERE REHABILITATION OF OREGON CITY is a 111-bed nursing home in OREGON CITY, Oregon. CMS has certified it for Medicare and Medicaid since 1975-03-28. It averages 61.5 residents a day.
What harm was found in the violations cited at AVAMERE REHABILITATION OF OREGON CITY?
CMS lists 61 health-inspection deficiencies for AVAMERE REHABILITATION OF OREGON CITY since 2023-01-13, 43 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-08-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-06-06 | 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 |
| 2025-06-06 | F0552, F0584, F0610, F0644, F0685, F0688, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Respond appropriately to all alleged violations. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-01-17 | F0624, F0684, F0804 | Prepare residents for a safe transfer or discharge from the nursing home. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-02-13 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-02-13 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2024-02-13 | F0684, F0725, F0730, F0732, F0947 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Post nurse staffing information every day. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-02-13 | F0554, F0578, F0584, F0602, F0609, F0610, F0636, F0637, F0641, F0656, F0657, F0658, F0677, F0685, F0687, F0688, F0689, F0695, F0697, F0698, F0759, F0791, F0810, F0825 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate foot care. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain dental services for each resident. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2023-01-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2023-01-13 | F0725, F0802, F0804, F0812, F0867 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2023-01-13 | F0565, F0679, F0680, F0732, F0813 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. / Post nurse staffing information every day. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2023-01-13 | F0558, F0561, F0657, F0744, F0757, F0759, F0806 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
Why was AVAMERE REHABILITATION OF OREGON CITY fined?
| Date | Type | Amount |
|---|---|---|
| 2024-02-13 | Fine | $85,768 |
How is AVAMERE REHABILITATION OF OREGON CITY staffed?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.26286 | 5.03143 |
| Total nursing staff turnover (%) | 52.6 | 47.4 |
| Average number of residents per day | 61.5 | 58.1 |
Who owns AVAMERE REHABILITATION OF OREGON CITY, and what chain is it in?
AVAMERE REHABILITATION OF OREGON CITY is registered with CMS as For profit - Limited Liability company, operates under the legal business name MOUNTAIN VIEW REHAB, LLC and belongs to the AVAMERE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | ARISO LLC | since 01/06/2006 |
| INDIRECT OWNERSHIP INTEREST | ARI OPERATIONS, LLC, AVAMERE GROUP LLC, KARL RICKARD MILLER JR REVOCABLE TRUST, MILLER, KARL | since 01/06/2006 |
| 5% OR GREATER SECURITY INTEREST | MIDCAP FINCO LLC | since 06/25/2013 |
| MANAGING CONTROL - GOVERNING BODY | CAVALLO, GLEN, FEAKIN, CODY, FUNDERBERG, MICHELLE, HASKINS, DAMIEN, HILL, KEVIN, HOSKINS, TONIA, INSKEEP, TODD, KOFSTAD, MARY, MUNRO, JOLYNN, OKOLI, IKE, POLSON, JUSTIN, POWELSON, MICHELE, REID, MISTY, SANDERS, AMANDA, SIMPSON, ANDREW, STRUNK, COLBY, VANDERZANDEN, CARRIE | since 06/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | AVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, MIDCAP FINCO LLC, ANGERHOFER, NICOLE, DANA, JENNIFER, DOEPKER, ANDREA, FEAKIN, CODY, HOSKINS, TONIA, JAMES, ALLEN, KOFSTAD, MARY, LEE, CARIE, MUNRO, JOLYNN, POWELSON, MICHELE, PRESLEY, YOLANDA, REID, MISTY, SIMPSON, ANDREW, VELLODY, NITA | since 01/01/2005 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | KOFSTAD, MARY | since 03/11/2026 |
| ADP OF THE SNF | AVAMERE HEALTH SERVICES LLC, AVAMERE SKILLED ADVISORS LLC, MOSS ADAMS LLP, ANGERHOFER, NICOLE, DANA, JENNIFER, DAVIS, JULIE, DOEPKER, ANDREA, FEAKIN, CODY, FUNDERBERG, MICHELLE, GAMES, KIM, HILL, KEVIN, INSKEEP, TODD, JAMES, ALLEN, KOFSTAD, MARY, LEE, CARIE, MUNRO, JOLYNN, POLSON, JUSTIN, POWELSON, MICHELE, PRESLEY, YOLANDA, REID, MISTY, SIMPSON, ANDREW, STAPLES, CAROLYN, STRUNK, COLBY, VANDERZANDEN, CARRIE, VELLODY, NITA, YOUNT, MARK | since 01/01/2009 |
Were you or a family member harmed at AVAMERE REHABILITATION OF OREGON CITY?