All citations for Avamere Rehabilitation of Oregon City

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avamere Rehabilitation of Oregon City

Last standard health inspection on record

June 6, 2025

Showing 1 to 22 of 22 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  4. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  5. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  6. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  9. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure the activities program is directed by a qualified professional.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  11. No harm, with potential for more than minimal harm

    Post nurse staffing information every day.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  13. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  20. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  21. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

  22. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.