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Avamere Court At Keizer

5210 River Road N., Keizer, OR 97303 · For profit - Limited Liability company · 69 certified beds · (503) 393-3624 Medicare & Medicaid certified

Call the home — (503) 393-3624 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited May 2024Resident-funds citation (F0565)Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (18% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited May 2024
  • it has a citation for mishandling residents’ money or property (F0565)
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Urgent care / clinic
5900 Inland Shores Way N · (503) 390-9790 · Call to confirm hours
Pharmacy
Rite Aid0.3 mi
5452 River Rd N · (503) 393-8950 · Call to confirm hours
Grocery
5450 River Rd N · (971) 718-5300 · Call to confirm hours
Park
Sullivan Creek Falls · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.9%14.9%15.4%better
Long-stay residents who lose too much weight3.6%4.7%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.4%0.9%better
Long-stay residents with a urinary tract infection2.0%2.0%2.0%typical
Long-stay residents with depressive symptoms9.2%4.9%6.5%worse
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.6%2.4%3.3%worse
Long-stay residents whose ability to walk worsened36.1%20.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication13.1%12.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.2%95.3%typical
Long-stay residents with pressure ulcers2.1%5.8%4.7%better
Long-stay residents with worsening bladder/bowel control30.6%21.8%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table8.2%13.9%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine97.8%81.2%79.4%better
Short-stay residents rehospitalized after admission12.8%21.4%22.6%better
Short-stay residents with an outpatient ER visit15.3%16.1%12.0%worse

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

63.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

63.3%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
46.1%U.S. median 56.6%
Met the expected recovery
0.35U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 46.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF63.3%CMS range 50.0–72.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.2–14.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge46.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge28.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge43.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened7.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.8%CMS range 4.5–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.48
RN hours/ resident / day
1.31
LPN hours/ resident / day
3.18
Aide hours/ resident / day
4.97
Total nurse hours/ resident / day
0.30
RN hoursweekends
18.5%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 69 beds and averages 52.0 residents a day — about 75% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.97 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.18 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.54 hrs/resident/day on weekends vs 5.14 on weekdays — 12% thinner on weekends. RN hours go from 0.55 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 18% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

1
deficiencies at the latest standard inspection (2025-09-19)
13
at the previous standard inspection (2024-05-31)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · Dcited before2025-09-19 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the failed to revise the plan of care to reflect resident needs for 1 of 3 sampled residents (#7) reviewed for nutrition. This placed residents at risk for unmet care needs. Findings include: Resident 7 admitted to the facility in 6/2025 with diagnoses including urinary tract infection. A 9/2/25 care plan revealed Resident 7 had a swallowing problem and was to receive assistance with meals. A 9/6/25 Speech Therapy progress note revealed Resident 7 was to receive supervision and assistance with meals. A 9/7/25 progress note revealed Resident 7 was to receive supervision and assistance with mealsOn 9/17/25 at 11:06 AM, Staff 5 (CNA) stated Resident 7 was to be encouraged to be out of bed for meals, she/he was to receive some assistance with meals and once set up she/he was able to eat well independently. Staff 5 stated Resident 7's Kardex (care plan accessible to the CNAs) did not indicate she/he was to have supervision for meals. On 9/17/25 at 12:38 PM, Resident 7 was observed sitting up in bed eating lunch, the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-05-31 · tag F0585 — failed to handle grievances — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure a system was in place to receive and resolve resident and/or resident representative grievances for 1 of 1 sampled facility reviewed for Resident Council. This placed residents at risk for unreported and unresolved grievances. Findings include: The facility's undated Grievance policy indicated the facility was to ensure all residents and their family members were afforded the opportunity to express their concerns and suggest changes in the facility formally in writing. Record review of the facility's grievances binder revealed no written grievances were completed by residents or family members since 9/2023. During the 5/29/24 at 2:00 PM Resident Council meeting, residents stated they did not know how to file a grievance and one resident thought there used to be forms in the front reception area. The reception area and facility common areas were observed on 5/29/24 at 2:53 PM. No evidence of information was found on the right to file a grievance in writing or orally, how to file a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, it was determined the facility failed to effectively respond to resident council concerns expressed at 3 of 3 resident council meetings reviewed for facility response to resident council concerns. This placed residents at risk for unmet needs concerning issues of resident care and lessened quality of life. Findings include: The facility's undated Resident Council Policy indicated a Quality Assurance form should be utilized for Resident Council meetings to help track the council's concerns and/or suggestions. A staff designee would fill out the Resident Council Response/Grievances forms immediately following Resident Council meetings. During the 5/29/24 at 2:00 PM Resident Council meeting the residents stated they did not feel heard about their concerns or suggestions. The Resident Council stated they often did not receive a response from administration or departments regarding the concerns or suggestions they reported. On 5/29/24 at 6:15 PM review of the Resident Council/Family Council Department Response Form revealed the following from the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0572 — pattern
    Give residents a notice of rights, rules, services and charges.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure residents were notified of rights both orally and in writing on an ongoing basis for 1 of 1 facility reviewed for Resident Council. This placed residents at risk for not being informed of their rights. Findings include: The facility's revised 2021 Resident Rights policy indicated copies of the resident rights were posted throughout the facility. Residents were to be informed about rights and responsibilities upon admission and periodically thereafter. Record review of the past Resident Council Meeting minutes on 5/29/24 at 1:47 PM revealed no indication of resident rights provided to residents during the meetings on 3/25/24, 4/22/24 and 5/6/24. On 5/29/24 at 2:00 PM the Resident Council stated they were not informed of resident rights on an ongoing basis and were unsure if any were posted in the facility or where to obtain the resident rights. The reception area and facility common areas were observed on 5/29/24 at 2:53 PM and no resident rights were observed posted. In an interview on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0600 — failed to protect residents from abuse and neglect — pattern
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility neglected to ensure resident needs were accommodated related to mechanical lift slings (device required to transfer) and briefs (incontinent undergarment) for 4 of 4 sampled residents (#s 6, 23, 27 and 29) reviewed for accommodation of needs during Resident Council. This placed residents at risk for loss of independence, social isolation and ADL decline. Findings include: On 5/28/24 at 12:50 PM Resident 29 stated the facility often did not have mechanical lift slings and briefs available for residents. Resident 29 stated her/his spouse had to purchase briefs last weekend due to the lack of availability in the facility. Resident 29 stated on many occasions she/he was not able to get out of bed due to the lack of mechanical lift slings. Record review on 5/29/24 at 1:47 PM of Resident Council Meeting minutes revealed the following: -On 4/22/24 the Resident Council expressed concern the mechanical lift slings often were not available and the resident supplies closet often ran low of supplies. -On 5/6/24 the Resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-31 · tag F0727 — failed to provide required RN coverage — pattern
    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.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review it was determined the facility failed to use the services of a registered nurse for at least eight consecutive hours a day for 9 of 62 days reviewed for registered nurse staffing. This placed residents at risk for lack of RN oversight including resident assessment, care and services. Findings include: A review of the Direct Care Staff Daily Reports for the months of 2/2023, 9/2023, and 5/2024 revealed the following days with no RN coverage during the 24 hour period: 2/2023: 2/4 and 2/11. 9/2023: 9/1, 9/3, 9/10 and 9/11. 5/2024: 5/6, 5/10, 5/12. On 5/31/24 at 9:41 AM Staff 14 (Staffing Coordinator), Staff 15 (Human Resources) and Staff 2 (DNS) were present for an interview. Staff 14 and Staff 15 acknowledged the facility struggled with RN coverage in 2/2023 and 9/2023. Staff 14 stated the facility adjusted RN schedules to ensure appropriate RN coverage was provided in the building. Staff 14 was unable to provide additional information regarding the lack of RN coverage on 5/6/24, 5/10/24 and 5/12/24.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0761 — failed to label and store drugs safely — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure medications were secured and only accessible to authorized persons for 1 of 1 medication room reviewed for medication storage. This placed residents at risk for drug diversion. Findings include: The facility's 1/2021 Storage of Medication Policy & Procedure specified medications were stored properly and accessible only to licensed nursing personnel or staff members lawfully authorized to administer medications. On 5/29/24 at 1:24 PM the medication storage room was reviewed. Staff 10 (LPN) opened the medication refrigerator, removed a box of Ozempic (used to treat type 2 diabetes) and stated the Ozempic was not supposed to be stored in the medication room refrigerator. When asked where the Ozempic was stored, Staff 10 stated it was stored in Staff 2's (DNS) office refrigerator. On 5/29/24 at 2:11 PM Staff 2's office was observed. The office was located near the facility's entrance, next to Staff 1's (Administrator) office and adjacent to the reception desk. Inside Staff 2's office in…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the facility failed to ensure foods were labeled and stored in a way to minimize food spoilage, failed to ensure staff wore hair restraints, and failed to maintain a clean and sanitary kitchen for 2 of 2 facility kitchens reviewed for sanitation. This placed residents at risk for potential infection related to foodborne pathogens. Findings include: Review of the US FDA 2022 Food Code revealed: -food prepared and held cold must be clearly marked with date prepared or by day which the food shall be consumed or discarded with a maximum of seven days if held at 41 degrees F. 1. On 5/28/24 at 9:36 AM during the initial kitchen observation, the refrigerator contained the following: -one container of facility made potato salad labeled 4/24/24. -one container of facility made chicken gravy labeled 4/26/24. -one container of facility made country gravy labeled 4/25/24. On 5/28/24 at 9:45 AM Staff 24 (Dietary Manager) acknowledged the April dates on the identified items. Staff 24 stated the refrigerator was checked daily for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-31 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure appropriate disinfection of a shared glucometer (a device used to obtain blood sugar levels) for 4 of 4 sampled residents (#s 15, 19, 29 and 45) observed for CBG monitoring and failed to ensure bilateral grab bars were sanitary for 1 of 2 sampled residents (#24) reviewed for environment. This placed residents at risk for bloodborne infections and the spread of germs. Findings include: 1. The CDC website, section titled Infection Prevention during Blood Glucose Monitoring and Insulin Administration, specified there was an increased risk for exposure to bloodborne viruses through contaminated equipment, such as glucometers, when shared. Using a glucometer for more than one person without cleaning and disinfecting it in between uses contributed to transmission of HBV (Hepatitis B virus). Glucometers should be cleaned and disinfected after every use. The facility's 10/2011 Obtaining a Fingerstick Glucose level Policy & Procedure specified to always ensure the blood glucose meters were…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure a dignified dining experience by failing to provide meals to all residents at a table at the same time for 1 of 2 dining halls and 1 of 5 sampled residents (#20) reviewed for dining and food services. This placed residents at risk for not being treated in a dignified manner. Findings include: Resident 20 was admitted to the facility in 2018 with diagnoses including dysphagia (difficulty swallowing). An observation on 5/28/24 from 12:20 PM thorough 12:48 PM (28 minutes) revealed Resident 20 was in the 100 hall dining room with other residents. Resident 20 waited for her/his lunch while other residents were eating. Staff began clearing other residents' tables because they finished eating, while Resident 20 continued to wait for her/his meal. On 5/28/24 at 12:40 PM Staff 17 (CNA) stated Resident 20 was in the dining hall since 12:20 PM. Staff 17 acknowledged the resident did not receive her/his lunch meal. Staff 17 stated it was an ongoing problem, with meals often being late or residents' meals not being…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · Dcited before2024-05-31 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to ensure care plans were revised to accurately reflect the needs of residents for 1 of 1 sampled resident (#7) reviewed for hospice care. This placed residents at risk for unmet needs. Findings include: Resident 7 was admitted to the facility in 2020 with a diagnosis of Huntington's disease (inherited condition in which nerve cells break down in the brain). Resident 7's health record revealed she/he began hospice services on 3/9/24. The 3/18/24 Significant Change of Condition MDS indicated Resident 7 was expected to live six months or less and received Hospice services. Resident 7's 5/30/24 care plan revealed a focus of ADL Self Care Performance Deficit and limited mobility. The goal was to maintain current level of function for dressing, transfers, bathing and toilet use. The interventions to achieve the goal in dressing, transfers, toileting and bathing were last revised on the care plan on 12/15/23. Review of Resident 7's current care plan provided no evidence the care plan was revised to reflect the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to follow physician orders or implement bowel care timely for 3 of 6 sampled residents (#s 8, 20, and 151) reviewed for medications and pain. This placed residents at risk for adverse side effects and constipation. Findings include: 1. Resident 151 was admitted to the facility on 4/2024 with diagnoses including diabetes. A physician order dated 4/30/24 indicated Resident 151 was to receive alpha-lipoic acid (an antioxidant) 600 MG. Staff were to administer two capsules by mouth at bedtime for a supplement. A review of the resident's 5/2024 MAR revealed Resident 151 did not receive the alpha-lipoic acid from 5/17/24 through 5/20/24 (four days), as well as on 5/27/24 and 5/28/24. The reason for the non-administration was because the medication was marked 9 (not available). A physician order dated 5/1/24 indicated Resident 151 was to receive alpha-lipoic acid 600 MG and staff were to administer one capsule in the morning for a supplement. A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to ensure residents were free of unnecessary psychotropic (affects brain activities) medications for 1 of 6 sampled residents (# 303) reviewed for medications. This placed residents at risk for receiving sedation and complications of psychotropic drug use. Findings include: The facility's 8/25/20 Psychoactive (affects brain activities) Medication Management Guideline directed staff to complete the following: -Review admission Orders for psychotropic medications; -Ensure appropriate diagnosis for use; -If no supporting diagnosis was present, notify the provider and obtain an appropriate diagnosis. Resident 303 was admitted to the facility on [DATE] with diagnoses including mild cognitive impairment. Review of Resident 303's 5/29/24 Physician Order directed staff to administer 25 mg of Quetiapine Fumarate (antipsychotic medication used to treat schizophrenia [serious mental condition] and bipolar disorder [sudden episodes of mania or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-31 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure a medication pass error rate of less than 5%. There were two errors in 28 opportunities resulting in an 7.14% error rate. This placed residents at risk for adverse medication side effects. Findings include: The Drugs.com website, section titled Metformin Extended Release Tablets Prescribing Information, specified to Swallow metformin hydrochloride extended-release tablets whole. Do not crush, cut, or chew the tablets. The PreserVision AREDS (supplement specifically for eye health) manufacturer's website specified multivitamins were no substitute for an AREDS supplement and did not contain the same levels of nutrients found in the AREDS formula. 1. Resident 27 was admitted to the facility in 6/2023 with diagnoses including type 2 diabetes. Resident 27's 5/2024 Physician Orders included metformin HCl extended release (ER) tablet, 500 mg, give two tablets by mouth in the morning related to type 2 diabetes. On 5/30/24 at 8:50 AM Staff 10 (LPN) was observed for Resident 27's medication…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-04-21 · tag F0727 — failed to provide required RN coverage — pattern
    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.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review it was determined the facility failed to ensure a RN was available for at least eight consecutive hours per day seven days per week for 17 of 123 days reviewed for staffing. This placed residents at risk for lack of timely RN assessments and care. Findings include: Review of the Direct Care Staff Daily Reports from 7/1/22 through 9/30/22 and 3/1/23 through 3/31/23 revealed there was no RN coverage for eight consecutive hours on: -7/2, 7/9, 7/16, 7/23, 7/30, 8/6, 8/13, 8/20, 8/27, 9/3, 9/4, 9/10, 9/11, 9/17, 9/19, 9/24; -3/19. On 4/21/23 at 10:40 AM Staff 1 (DNS) was notified of the findings of this investigation. Staff 1 stated they were working to ensure the facility had appropriate RN coverage.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-21 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview it was determined the facility failed to ensure food was served at an appetizing temperature for 2 of 3 sampled residents (#s 17 and 32) reviewed for food. This placed residents at risk for weight loss. Findings include: On 4/17/23 at 11:15 AM Resident 17 stated the food was cold due to her/his room being located at the end of the hall and the last room to which meals were delivered. The resident stated the meals were repetitive and unappealing, and reported there are very few meals I look forward to warm or not. On 4/17/23 at 1:17 PM Resident 32 reported the food was dry and cold. On 4/21/23 at 10:00 AM Staff 10 (CNA/RA) stated Resident 17 complained the food was cold and hard to chew. On 4/20/23 at 12:48 PM four surveyors sampled a regular lunch meal consisting of honey-garlic pork chops, roasted red potatoes, mixed vegetables, and pumpkin pie. The pork chop was described as dry, tough and not warm. The potatoes had good flavor but were not warm. The vegetables were cold. On 4/20/23 at 12:50 PM Staff 1 (DNS) sampled the lunch meal and stated the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-21 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to comprehensively assess residents for dialysis, nutrition and unnecessary medications for 2 of 6 sampled residents (#s 13 and 49) reviewed for dialysis and unnecessary medications. This placed residents at risk for unassessed needs. Findings include: 1. Resident 13 was admitted to the facility in 2023 with diagnoses including end-stage kidney disease, broken hip, insomnia and depression. a. Resident 13's 4/1/23 MDS Special Treatments, Procedures, and Programs assessment indicated the resident was receiving dialysis services (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly). A review of Resident 13's CAAs with an assessment reference date of 4/1/23 revealed no comprehensive assessment of the resident's need for dialysis. On 4/18/23 at 12:50 PM Staff 2 (RNCM) stated she initiated residents' care plans, but she did not utilize the MDS assessments or CAAs when she created care plans for residents. On 4/19/23 at 8:30 AM Staff 9 (MDS Coordinator)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review it was determined the facility failed to ensure a resident's catheter drainage bag was positioned properly for 1 of 1 sampled resident (#32) reviewed for UTIs. This placed residents at risk for infections. Findings include: Resident 32 was admitted to the facility in 2022 with diagnoses including cancer. A 2/2023 annual MDS and associated CAAs indicated the resident was cognitively intact, had a urostomy (surgical opening to collect urine outside of the body) and staff managed the urostomy. The urostomy placed the resident at increased risk for infections. The CAAs did not indicate the resident was noncompliant with urostomy care and maintenance. On 4/18/23 at 12:50 PM Resident 32 was observed with the urostomy drainage bag in her/his lap while she/he sat in a wheelchair. On 4/18/23 at 12:56 PM Staff 4 (CNA) stated the resident liked to keep the drainage bag on the gait belt during transfers and beside her/him in the wheelchair seat. On 4/19/23 at 1:57 PM Staff 7 (CNA) indicated even when staff placed the drainage bag below the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVAMERE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.0+1.0 vs chain
Health inspection 4 of 52.6+1.4 vs chain
Staffing 4 of 54.0≈ chain avg
Quality measures 4 of 53.8+0.2 vs chain
The other 26 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Avamere Rehabilitation Of EugeneEugene, OR 1 of 5Avamere Rehabilitation Of LebanonLebanon, OR 2 of 5Avamere At Pacific RidgeTacoma, WA 2 of 5Avamere Health Services Of Rogue ValleyMedford, OR 2 of 5Avamere Olympic Rehabilitation Of SequimSequim, WA 2 of 5Avamere Rehabilitation At Park WestSeattle, WA 2 of 5Avamere Rehabilitation Of Coos BayCoos Bay, OR 2 of 5Avamere Rehabilitation Of IssaquahIssaquah, WA 2 of 5Avamere Rehabilitation Of Oregon CityOregon City, OR 2 of 5Avamere Rehabilitation Of ShorelineSeattle, WA 2 of 5Avamere Rehabilitation of BurienBurien, WA 2 of 5Avamere Riverpark Of EugeneEugene, OR 2 of 5Avamere Transitional Care At SunnysideSalem, OR 3 of 5Avamere Rehabilitation Of HillsboroHillsboro, OR 4 of 5Avamere Crestview Of PortlandPortland, OR 4 of 5Avamere Rehabilitation At RidgemontPort Orchard, WA 4 of 5Avamere Rehabilitation Of ClackamasGladstone, OR 4 of 5Avamere Rehabilitation Of Junction CityJunction City, OR 4 of 5Avamere Rehabilitation Of King CityTigard, OR 4 of 5Avamere Rehabilitation Of NewportNewport, OR 4 of 5Avamere Transitional Care Of Puget SoundTacoma, WA 4 of 5Richmond Beach RehabShoreline, WA 4 of 5The PEARL AT KRUSE WAYLake Oswego, OR 5 of 5Avamere At Three FountainsMedford, OR 5 of 5Avamere Rehabilitation Of Cascade ParkVancouver, WA 5 of 5Queen Anne HealthcareSeattle, WA

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
MIDCAP FINCO LLCOrganization5% OR GREATER SECURITY INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 01/22/2010
CAVALLO, GLENIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2025
FEAKIN, CODYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
FUNDERBERG, MICHELLEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 06/01/2025
HASKINS, DAMIENIndividualMANAGING CONTROL - GOVERNING BODYsince 09/01/2025
HILL, KEVINIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 03/12/2022
HOSKINS, TONIAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2025
INSKEEP, TODDIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/21/2022
KOFSTAD, MARYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 02/02/2026
MUNRO, JOLYNNIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2025
OKOLI, IKEIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2025
POLSON, JUSTINIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 02/10/2025
POWELSON, MICHELEIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/25/2015
SANDERS, AMANDAIndividualMANAGING CONTROL - GOVERNING BODYsince 06/01/2025
SIMPSON, ANDREWIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2024
STRUNK, COLBYIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 06/01/2025
VANDERZANDEN, CARRIEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2025
AVAMERE HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/16/2005
AVAMERE SKILLED ADVISORS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/16/2005
DANA, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2022
DOEPKER, ANDREAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/28/2023
GASPERINI, TRACYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/16/2019
PRESLEY, YOLANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/06/2025
REID, MISTYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/02/2025
RUDEN, NATHANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023
SAWYER, REBECCAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/08/2023
XIONG, REBECCAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2023
CONSOLIDATED BILLING SERVICES INCOrganizationADP OF THE SNFsince 03/16/2005
FUSION MEDICAL STAFFING LLCOrganizationADP OF THE SNFsince 04/12/2024
INCOVATE SOLUTIONS, LLCOrganizationADP OF THE SNFsince 01/21/2022
KEVALA TECHNOLOGIES, INCOrganizationADP OF THE SNFsince 10/31/2023
RANDE HOLDINGS, LLCOrganizationADP OF THE SNFsince 06/01/2024
SABRA HEALTH CARE LIMITED PARTNERSHIPOrganizationADP OF THE SNFsince 08/17/2017
SABRA HEALTH CARE REIT INCOrganizationADP OF THE SNFsince 08/17/2017
SABRA HEALTH CARE, LLCOrganizationADP OF THE SNFsince 08/17/2017
BECERRA, SHANNONIndividualADP OF THE SNFsince 02/01/2025
DAVIS, VERONICAIndividualADP OF THE SNFsince 05/06/2024
GAMES, KIMIndividualADP OF THE SNFsince 08/15/2024
STAPLES, CAROLYNIndividualADP OF THE SNFsince 10/05/2023

CMS files one row per role, so the 67 rows in the source record cover these 39 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

11 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$12.9M
Net patient revenuemost recent cost report
-22.9%
Operating marginrevenue minus expenses
$1.0M
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 17%Medicare 2%Other / private 81%

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$246per resident / day
operating cost
$7,484per month
≈ monthly operating cost
$200per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OR

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oregon Medicaid page.

Typical monthly cost in Oregon
$16,760/mo
Nursing home (semi-private)
$18,448/mo
Nursing home (private)
$6,875/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 385233. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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