Nursing homes › Oregon › Avamere Rehabilitation of Lebanon
350 S. 8Th, Lebanon, OR 97355 · 5412591221 · 84 certified beds
Per CMS filings, this facility is affiliated with Avamere, a group operating 28 facilities in 2 states. Group record: average rating 3.1/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $726,594 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 4.50 (Oregon median: 4.96). RN hours: 0.53. Weekend total: 4.07. Nursing staff turnover: 42%.
All-time on record: 60 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-12 | 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 | corrected 2026-06-04 |
| 2026-05-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-06-04 |
| 2026-05-12 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2026-06-04 |
| 2026-03-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-04-21 |
| 2026-03-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-21 |
| 2025-09-08 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2025-10-16 |
| 2025-09-08 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-10-16 |
| 2025-09-08 | Give residents a notice of rights, rules, services and charges. | E | Health | corrected 2025-10-16 |
| 2025-09-08 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2025-10-16 |
| 2025-09-08 | Dispose of garbage and refuse properly. | E | Health | corrected 2025-10-16 |
| 2025-09-08 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-10-16 |
| 2025-09-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | 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. | D | Health | corrected 2025-10-16 |
| 2025-09-08 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-10-16 |
| 2025-07-22 | 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 | corrected 2025-09-03 |
| 2025-07-22 | 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. | D | complaint | corrected 2025-09-03 |
| 2025-07-22 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-04-09 |
| 2025-05-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-05-29 |
| 2024-07-19 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Health | corrected 2024-08-30 |
| 2024-07-19 | Ensure 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. | F | Health | corrected 2024-08-30 |
| 2024-07-19 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | complaint | corrected 2024-08-30 |
| 2024-07-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-08-30 |
| 2024-07-19 | 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. | E | Health | corrected 2024-08-30 |
| 2024-07-19 | 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 | corrected 2024-08-30 |
| 2024-07-19 | 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. | E | complaint | corrected 2024-08-30 |
| 2024-07-19 | Post nurse staffing information every day. | E | complaint | corrected 2024-08-30 |
| 2024-07-19 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | corrected 2024-08-30 |
| 2024-07-19 | 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 | corrected 2024-08-30 |
| 2024-07-19 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-08-30 |
| 2024-07-19 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2024-08-30 |
| 2024-07-19 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2024-08-30 |
| 2024-07-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-08-30 |
| 2024-07-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-08-30 |
| 2024-07-19 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-08-30 |
| 2024-07-19 | 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 | corrected 2024-08-30 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-18 | Fine | $20,303 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KOFSTAD, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 02/13/2024 |
| SIMPSON, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2024 |
| AVAMERE HEALTH SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385168. Corrections: data@carerecords.org.