Avamere Rehabilitation Of Oregon City
Oregon City, Clackamas County, Oregon · CCN 385125 · For-profit (LLC) · part of Avamere (27 facilities, chain average 3 stars)
CMS rates Avamere Rehabilitation Of Oregon City 2 of 5 overall as of August 2026. 111 certified beds, 62 residents a day on average. 61 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $85,768.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 4 of 5 |
Staffing
| Total nurse staffing | 5.26286 hours per resident per day |
|---|---|
| Registered nurses | 0.46564 hours per resident per day |
| Weekend total | 4.72147 hours per resident per day |
| Nursing staff turnover | 52.6% (registered nurses 70%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-29 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-02 |
| 2025-06-06 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-02 |
| 2025-06-06 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-02 |
| 2025-06-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-02 |
| 2025-06-06 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-02 |
| 2025-06-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-02 |
| 2025-01-17 complaint survey |
Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · tag F0624 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-17 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-17 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2024-02-13 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2024-02-13 complaint survey |
Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · tag F0825 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-02 |
| 2023-01-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · tag F0680 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · tag F0744 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-13 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-13 | Fine | $85,768 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Midcap Finco LLC Organization | 5% or greater security interest | — | 2013-06-25 |
| Avamere Health Services LLC Organization | adp of the snf | — | 2025-07-10 |
| Avamere Skilled Advisors LLC Organization | adp of the snf | — | 2025-07-14 |
| Moss Adams LLP Organization | adp of the snf | — | 2009-01-01 |
| Ariso LLC Organization | direct ownership interest | — | 2006-01-06 |
| Ari Operations, LLC Organization | indirect ownership interest | — | 2006-01-06 |
| Avamere Group LLC Organization | indirect ownership interest | — | 2006-01-06 |
| Karl Rickard Miller Jr Revocable Trust Organization | indirect ownership interest | — | 2011-07-11 |
| Avamere Health Services LLC Organization | operational/managerial control | — | 2005-01-01 |
| Avamere Skilled Advisors LLC Organization | operational/managerial control | — | 2005-01-01 |
| Midcap Finco LLC Organization | operational/managerial control | — | 2013-06-25 |
| Angerhofer, Nicole Individual | adp of the snf | — | 2023-12-01 |
| Dana, Jennifer Individual | adp of the snf | — | 2022-05-01 |
| Davis, Julie Individual | adp of the snf | — | 2024-08-01 |
| Doepker, Andrea Individual | adp of the snf | — | 2023-09-08 |
| Feakin, Cody Individual | adp of the snf | — | 2025-01-01 |
| Funderberg, Michelle Individual | adp of the snf | — | 2024-12-31 |
| Games, Kim Individual | adp of the snf | — | 2024-08-15 |
| Hill, Kevin Individual | adp of the snf | — | 2022-03-12 |
| Inskeep, Todd Individual | adp of the snf | — | 2022-01-21 |
| James, Allen Individual | adp of the snf | — | 2025-07-10 |
| Kofstad, Mary Individual | adp of the snf | — | 2024-02-13 |
| Lee, Carie Individual | adp of the snf | — | 2024-05-01 |
| Munro, Jolynn Individual | adp of the snf | — | 2023-09-01 |
| Polson, Justin Individual | adp of the snf | — | 2025-02-10 |
| Powelson, Michele Individual | adp of the snf | — | 2015-03-25 |
| Presley, Yolanda Individual | adp of the snf | — | 2025-01-06 |
| Reid, Misty Individual | adp of the snf | — | 2025-01-02 |
| Simpson, Andrew Individual | adp of the snf | — | 2024-06-01 |
| Staples, Carolyn Individual | adp of the snf | — | 2023-10-05 |
| Strunk, Colby Individual | adp of the snf | — | 2022-09-06 |
| Vanderzanden, Carrie Individual | adp of the snf | — | 2025-01-01 |
| Vellody, Nita Individual | adp of the snf | — | 2020-08-01 |
| Yount, Mark Individual | adp of the snf | — | 2019-10-01 |
| Miller, Karl Individual | indirect ownership interest | — | 2001-07-20 |
| Kofstad, Mary Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-11 |
| Cavallo, Glen Individual | managing control - governing body | — | 2025-06-01 |
| Feakin, Cody Individual | managing control - governing body | — | 2025-06-01 |
| Funderberg, Michelle Individual | managing control - governing body | — | 2025-06-01 |
| Haskins, Damien Individual | managing control - governing body | — | 2025-09-01 |
| Hill, Kevin Individual | managing control - governing body | — | 2025-06-01 |
| Hoskins, Tonia Individual | managing control - governing body | — | 2025-06-01 |
| Inskeep, Todd Individual | managing control - governing body | — | 2025-06-01 |
| Kofstad, Mary Individual | managing control - governing body | — | 2025-06-01 |
| Munro, Jolynn Individual | managing control - governing body | — | 2025-06-01 |
| Okoli, Ike Individual | managing control - governing body | — | 2025-06-01 |
| Polson, Justin Individual | managing control - governing body | — | 2025-06-01 |
| Powelson, Michele Individual | managing control - governing body | — | 2025-06-01 |
| Reid, Misty Individual | managing control - governing body | — | 2025-06-01 |
| Sanders, Amanda Individual | managing control - governing body | — | 2025-06-01 |
| Simpson, Andrew Individual | managing control - governing body | — | 2025-06-01 |
| Strunk, Colby Individual | managing control - governing body | — | 2025-06-01 |
| Vanderzanden, Carrie Individual | managing control - governing body | — | 2025-06-01 |
| Angerhofer, Nicole Individual | operational/managerial control | — | 2023-12-01 |
| Dana, Jennifer Individual | operational/managerial control | — | 2022-05-01 |
| Doepker, Andrea Individual | operational/managerial control | — | 2023-09-28 |
| Feakin, Cody Individual | operational/managerial control | — | 2025-07-15 |
| Hoskins, Tonia Individual | operational/managerial control | — | 2024-07-19 |
| James, Allen Individual | operational/managerial control | — | 2022-07-08 |
| Kofstad, Mary Individual | operational/managerial control | — | 2024-02-13 |
| Lee, Carie Individual | operational/managerial control | — | 2024-05-01 |
| Munro, Jolynn Individual | operational/managerial control | — | 2023-09-01 |
| Powelson, Michele Individual | operational/managerial control | — | 2015-03-25 |
| Presley, Yolanda Individual | operational/managerial control | — | 2025-01-06 |
| Reid, Misty Individual | operational/managerial control | — | 2025-01-02 |
| Simpson, Andrew Individual | operational/managerial control | — | 2024-06-01 |
| Vellody, Nita Individual | operational/managerial control | — | 2020-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avamere Rehabilitation Of Oregon City.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Clackamas County.