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Life Care Center of Coos Bay

2890 Ocean Blvd, Coos Bay, OR 97420 · 5412675433 · 114 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★★☆ 4/5
Quality measures★★★☆☆ 3/5

Ownership group

Per CMS filings, this facility is affiliated with Life Care Centers of America, a group operating 194 facilities in 26 states. Group record: average rating 3.4/5, 14 abuse citation icons, 3 facilities on the Special Focus list, $3,697,816 in federal fines. This facility rates below its group average (3.4/5).

See all 194 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.76 (Oregon median: 4.96). RN hours: 0.75. Weekend total: 4.11. Nursing staff turnover: 59%.

Inspection deficiencies

All-time on record: 45 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-16Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Dcomplaintcorrected 2026-05-05
2026-04-16Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2026-05-05
2025-12-19Honor 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. EHealthcorrected 2026-02-02
2025-12-19Provide and implement an infection prevention and control program. EHealthcorrected 2026-02-02
2025-12-19Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2026-02-02
2025-12-19Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2026-02-02
2025-12-19Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. DHealthcorrected 2026-02-02
2025-12-19Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2026-02-02
2025-12-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2026-02-02
2025-12-19Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2026-02-02
2025-12-19Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. DHealthcorrected 2026-02-02
2024-09-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Gcomplaintcorrected 2024-11-14
2024-09-27Provide safe, appropriate pain management for a resident who requires such services. Gcomplaintcorrected 2024-11-14
2024-09-27Post nurse staffing information every day. EHealthcorrected 2024-11-14
2024-09-27Provide and implement an infection prevention and control program. EHealthcorrected 2024-11-14
2024-09-27Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Ecomplaintcorrected 2024-11-14
2024-09-27Allow resident to participate in the development and implementation of his or her person-centered plan of care. DHealthcorrected 2024-11-14
2024-09-27Honor 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. DHealthcorrected 2024-11-14
2024-09-27Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2024-11-14
2024-09-27Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2024-11-14
2024-09-27Honor 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. Dcomplaintcorrected 2024-11-14
2024-09-27Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-11-14
2024-09-27Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-11-14
2024-09-27Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-11-14
2024-09-27Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2024-11-14
2024-09-27Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2024-11-14
2024-09-27Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2024-11-14
2024-09-27Provide 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. DHealthcorrected 2024-11-14
2024-09-27Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2024-11-14
2024-09-27Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2024-11-14
2024-09-27Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. DHealthcorrected 2024-11-14
2024-09-27Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Dcomplaintcorrected 2024-11-14
2024-09-27Provide or obtain dental services for each resident. DHealthcorrected 2024-11-14
2024-09-27Implement a program that monitors antibiotic use. DHealthcorrected 2024-11-14
2023-06-16Honor 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. EHealthcorrected 2023-07-20
2023-06-16Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. EHealthcorrected 2023-07-20
2023-06-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-07-20
2023-06-16Honor 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. DHealthcorrected 2023-07-20
2023-06-16Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. DHealthcorrected 2023-07-20
2023-06-16Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2023-07-20

Federal penalties

DateTypeAmount
2024-09-27Fine$62,868

Ownership & control records (CMS filings)

NameRoleType%Since
BUTNER, NANCYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 09/16/2018
FRAY, SEPTEMBERManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/29/2024
SHADER, ROBINManaging Control - Governing BodyIndividualNOT APPLICABLEsince 09/22/2022
FLETCHER, TODDCorporate DirectorIndividualNOT APPLICABLEsince 05/01/2021
LAY, LISACorporate DirectorIndividualNOT APPLICABLEsince 04/24/2017
PRESTON, FORRESTCorporate DirectorIndividualNOT APPLICABLEsince 01/06/1976
SWANKER, RICHARDCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2022
ZIEGLER, JAMESCorporate DirectorIndividualNOT APPLICABLEsince 09/18/2001
CROSS, CINDYCorporate OfficerIndividualNOT APPLICABLEsince 04/21/1994
FLETCHER, TODDCorporate OfficerIndividualNOT APPLICABLEsince 11/02/2020
HENRY, TERRYCorporate OfficerIndividualNOT APPLICABLEsince 08/16/1999
LAY, LISACorporate OfficerIndividualNOT APPLICABLEsince 02/09/2018
PRESTON, FORRESTCorporate OfficerIndividualNOT APPLICABLEsince 01/06/1976
SWANKER, RICHARDCorporate OfficerIndividualNOT APPLICABLEsince 04/01/2011
THURMOND, JOANCorporate OfficerIndividualNOT APPLICABLEsince 09/22/2000
ZIEGLER, JAMESCorporate OfficerIndividualNOT APPLICABLEsince 08/16/1999
LIFE CARE CENTERS OF AMERICA, INC.Operational/Managerial ControlOrganizationNOT APPLICABLEsince 10/01/1979
BUTNER, NANCYOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/16/2018
FLETCHER, TODDOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2021
FRAY, SEPTEMBEROperational/Managerial ControlIndividualNOT APPLICABLEsince 04/29/2024
GERBER, ROBERTOperational/Managerial ControlIndividualNOT APPLICABLEsince 10/01/2010
LAY, LISAOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/24/2017
PRESTON, AUBREYOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/27/2024
PRESTON, FORRESTOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/06/1976
SHADER, ROBINOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/22/2022

Compare nearby (Coos County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385157. Corrections: data@carerecords.org.