Nursing homes › Oregon › Avamere Rehabilitation of Oregon City
1400 Division Street, Oregon City, OR 97045 · 5036560367 · 111 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: 5.26 (Oregon median: 4.96). RN hours: 0.47. Weekend total: 4.72. Nursing staff turnover: 53%.
All-time on record: 61 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-06-26 |
| 2025-06-06 | 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 | Health | corrected 2025-07-02 |
| 2025-06-06 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-07-02 |
| 2025-06-06 | 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 | Health | corrected 2025-07-02 |
| 2025-06-06 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-07-02 |
| 2025-06-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-07-02 |
| 2025-06-06 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-07-02 |
| 2025-06-06 | 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 | Health | corrected 2025-07-02 |
| 2025-06-06 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-02 |
| 2025-01-17 | Prepare residents for a safe transfer or discharge from the nursing home. | D | complaint | corrected 2025-02-28 |
| 2025-01-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-02-28 |
| 2025-01-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2025-02-28 |
| 2024-02-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-04-02 |
| 2024-02-13 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-04-02 |
| 2024-02-13 | 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 2024-04-02 |
| 2024-02-13 | Observe each nurse aide's job performance and give regular training. | E | complaint | corrected 2024-04-02 |
| 2024-02-13 | Post nurse staffing information every day. | E | complaint | corrected 2024-04-02 |
| 2024-02-13 | 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 2024-04-02 |
| 2024-02-13 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | 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 | corrected 2024-04-02 |
| 2024-02-13 | 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 | corrected 2024-04-02 |
| 2024-02-13 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-04-02 |
| 2024-02-13 | Assess the resident when there is a significant change in condition | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | 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 2024-04-02 |
| 2024-02-13 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Assist a resident in gaining access to vision and hearing services. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide appropriate foot care. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | 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 | corrected 2024-04-02 |
| 2024-02-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2024-04-02 |
| 2024-02-13 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2024-04-02 |
| Date | Type | Amount |
|---|---|---|
| 2024-02-13 | Fine | $85,768 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ARISO LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 01/06/2006 |
| ARI OPERATIONS, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/06/2006 |
| AVAMERE GROUP LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/06/2006 |
| KARL RICKARD MILLER JR REVOCABLE TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 07/11/2011 |
| MILLER, KARL | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/20/2001 |
| CAVALLO, GLEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| CLARK, TONIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FEAKIN, CODY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FUNDERBERG, MICHELLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| HASKINS, DAMIEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/01/2025 |
| HILL, KEVIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| INSKEEP, TODD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| KOFSTAD, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| MUNRO, JOLYNN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| OKOLI, IKE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| POLSON, JUSTIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| POWELSON, MICHELE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| REID, MISTY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| SANDERS, AMANDA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| SIMPSON, ANDREW | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| STRUNK, COLBY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| VANDERZANDEN, CARRIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| AVAMERE HEALTH SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2005 |
| AVAMERE SKILLED ADVISORS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2005 |
| MIDCAP FINCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/25/2013 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385125. Corrections: data@carerecords.org.