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 26 to 50 of 75 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 6, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    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.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2025).

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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, Resident Rights Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

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

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Protect each resident from the wrongful use of the resident's belongings or money.

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

    Health citation F-0602, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  25. 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 February 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

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.