Facility profile · CCN 385125
Avamere Rehabilitation Of Oregon City
62 federal citations on record , and 1 federal enforcement actions totaling $85,768.
Record summary
Federal record · Q1 202662
Total citations
43
Last 3 years
3
Actual harm+
1
Federal penalties
$85,768
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
62 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 29, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 6, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 6, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 6, 2025 | F761 | 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 | Standard |
| Jun 6, 2025 | F688 | 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. | D | Standard |
| Jun 6, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jun 6, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jun 6, 2025 | F584 | 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. | D | Standard |
| Jun 6, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Jan 17, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint |
| Jan 17, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jan 17, 2025 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| Feb 13, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint |
| Feb 13, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Feb 13, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Feb 13, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint |
| Feb 13, 2024 | F791 | Provide or obtain dental services for each resident. | D | Complaint |
| Feb 13, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Feb 13, 2024 | F732 | Post nurse staffing information every day. | E | Complaint |
| Feb 13, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E | Complaint |
| Feb 13, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Feb 13, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint |
| Feb 13, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Feb 13, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Feb 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 13, 2024 | F688 | 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. | D | Complaint |
| Feb 13, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Feb 13, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Feb 13, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint |
| Feb 13, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Feb 13, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Feb 13, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Feb 13, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Feb 13, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 13, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Feb 13, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Complaint |
| Feb 13, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Feb 13, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 13, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Feb 13, 2024 | F584 | 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. | D | Complaint |
| Feb 13, 2024 | F578 | 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. | D | Complaint |
| Feb 13, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| Feb 13, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Mar 27, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jan 13, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jan 13, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Jan 13, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 13, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jan 13, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard |
| Jan 13, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard |
| Jan 13, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jan 13, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 13, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Jan 13, 2023 | F732 | Post nurse staffing information every day. | E | Standard |
| Jan 13, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Jan 13, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Jan 13, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Jan 13, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Jan 13, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jan 13, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jan 13, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jan 13, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $85,768 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 13, 2024 | Fine | $85,768 | — |
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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