Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385239

Avamere Rehabilitation Of Coos Bay

45 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $15,593.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
32
Last 3 years
3
Actual harm+
1
Federal penalties
$15,593
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights7 Medication & Pharmacy6 Care Planning5 Nutrition & Dietary4

Most common F-tags at this facility

F8123 F5582 F6572 F6892 F6952

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Aug 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Aug 25, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Aug 25, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Aug 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Aug 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 25, 2025F791Provide or obtain dental services for each resident.DStandard
Aug 25, 2025F761Ensure 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.EStandard
Aug 25, 2025F760Ensure that residents are free from significant medication errors.GStandard
Aug 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Aug 25, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 25, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 25, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Aug 25, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 3, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
May 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 3, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
May 3, 2024F880Provide and implement an infection prevention and control program.FStandard
May 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 3, 2024F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard
May 3, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 3, 2024F761Ensure 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.EStandard
May 3, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 3, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 3, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 3, 2024F688Provide 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.DStandard
May 3, 2024F584Honor 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.DStandard
Nov 22, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Nov 22, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.JComplaint
Mar 10, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 10, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 10, 2023F888Ensure staff are vaccinated for COVID-19DStandard
Mar 10, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 10, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Mar 10, 2023F791Provide or obtain dental services for each resident.DStandard
Mar 10, 2023F758Implement 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.DStandard
Mar 10, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Mar 10, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 10, 2023F637Assess the resident when there is a significant change in conditionDStandard
Mar 10, 2023F610Respond appropriately to all alleged violations.DStandard
Mar 10, 2023F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $15,593 .

DateTypeFinePayment denial
Nov 22, 2023Fine$15,593—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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