Nursing Care Index

Avamere At Three Fountains

Medford, Jackson County, Oregon · CCN 385126 · For-profit (LLC) · part of Avamere (27 facilities, chain average 3 stars)

CMS rates Avamere At Three Fountains 5 of 5 overall as of August 2026. 117 certified beds, 75 residents a day on average. 24 citations on record from the current inspection cycles, 2 involving actual harm; no fines on record.

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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing5.06391 hours per resident per day
Registered nurses0.59124 hours per resident per day
Weekend total4.53243 hours per resident per day
Nursing staff turnover44% (registered nurses 45.5%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-07-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has plan of correction
2026-08-06
2026-07-09 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 plan of correction
2026-08-06
2026-07-09 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 plan of correction
2026-08-06
2026-07-09 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2026-08-06
2026-07-09 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 plan of correction
2026-08-06
2025-01-16 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-02-14
2025-01-16 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
2025-02-14
2025-01-16 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
2025-02-14
2025-01-16 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-01-16 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2024-04-01
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2023-08-30
2024-04-01
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2023-08-30
2024-04-01
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 Past Non-Compliance
2023-11-27
2023-08-25 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
2023-09-30
2023-08-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-09-30
2023-08-25
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-09-30
2023-08-25 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
2023-09-30
2023-08-25 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
2023-09-30
2023-08-25 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-30
2023-08-25 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-30
2023-08-25 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
2023-09-30
2023-08-25 Implement 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-30
2023-08-25 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
2023-09-30
2023-08-25 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-30

Fines and payment denials

No fines or payment denials on record since 2023.

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.

NameRoleShareSince
Midcap Finco LLC
Organization
5% or greater security interest2010-01-22
Aequor Healthcare Services, LLC
Organization
adp of the snf2023-09-20
Avamere Health Services LLC
Organization
adp of the snf2025-07-12
Avamere Skilled Advisors LLC
Organization
adp of the snf2025-07-03
Consolidated Billing Services Inc.
Organization
adp of the snf1998-04-24
Incovate Solutions, LLC
Organization
adp of the snf2022-01-21
Kevala Technologies, Inc.
Organization
adp of the snf2015-08-07
Moss Adams LLP
Organization
adp of the snf2009-01-01
National Staffing Solutions, Inc.
Organization
adp of the snf2023-11-22
Pioneer Healthcare Services, LLC
Organization
adp of the snf2024-07-08
Rande Holdings, LLC
Organization
adp of the snf2024-06-01
Sabra Health Care Limited Partnership
Organization
adp of the snf2017-08-17
Sabra Health Care Reit Inc.
Organization
adp of the snf2017-08-17
Sabra Health Care, LLC
Organization
adp of the snf2017-08-17
Triage LLC
Organization
adp of the snf2023-11-17
Ventura Medstaff, LLC
Organization
adp of the snf2024-04-01
Avamere Health Services LLC
Organization
operational/managerial control2006-10-01
Avamere Skilled Advisors LLC
Organization
operational/managerial control2006-10-01
Midcap Finco LLC
Organization
operational/managerial control2010-01-22
Becerra, Shannon
Individual
adp of the snf2025-02-01
Bothwell, Marlon
Individual
adp of the snf2024-02-19
Brockbank, Lori
Individual
adp of the snf2016-06-30
Feakin, Cody
Individual
adp of the snf2025-01-01
Fowler, Katherine
Individual
adp of the snf2025-02-28
Funderberg, Michelle
Individual
adp of the snf2024-12-31
Games, Kim
Individual
adp of the snf2024-08-15
Haskins, Damien
Individual
adp of the snf2025-09-01
Hill, Kevin
Individual
adp of the snf2022-03-12
Hoskins, Tonia
Individual
adp of the snf2025-07-24
Inskeep, Todd
Individual
adp of the snf2022-01-21
Kahn, Karen
Individual
adp of the snf2008-10-01
Kofstad, Mary
Individual
adp of the snf2024-02-13
Loewen, Michelle
Individual
adp of the snf2023-10-09
Munro, Jolynn
Individual
adp of the snf2023-09-01
Polson, Justin
Individual
adp of the snf2025-02-10
Powelson, Michele
Individual
adp of the snf2015-03-25
Presley, Yolanda
Individual
adp of the snf2025-01-06
Prevatt, Naomi
Individual
adp of the snf2024-12-09
Reid, Misty
Individual
adp of the snf2025-01-02
Simpson, Andrew
Individual
adp of the snf2024-06-01
Staples, Carolyn
Individual
adp of the snf2023-10-05
Strunk, Colby
Individual
adp of the snf2022-09-06
Sutton, Holly
Individual
adp of the snf2025-03-01
Vanderzanden, Carrie
Individual
adp of the snf2025-01-01
Kofstad, Mary
Individual
individual is an owner, partner or trustee of any adp of the snf2026-02-02
Cavallo, Glen
Individual
managing control - governing body2025-06-01
Feakin, Cody
Individual
managing control - governing body2025-06-01
Funderberg, Michelle
Individual
managing control - governing body2025-06-01
Haskins, Damien
Individual
managing control - governing body2025-09-01
Hill, Kevin
Individual
managing control - governing body2025-06-01
Hoskins, Tonia
Individual
managing control - governing body2025-07-24
Inskeep, Todd
Individual
managing control - governing body2025-06-01
Kofstad, Mary
Individual
managing control - governing body2025-06-01
Munro, Jolynn
Individual
managing control - governing body2025-06-01
Okoli, Ike
Individual
managing control - governing body2025-06-01
Polson, Justin
Individual
managing control - governing body2025-06-01
Powelson, Michele
Individual
managing control - governing body2025-06-01
Reid, Misty
Individual
managing control - governing body2025-06-01
Sanders, Amanda
Individual
managing control - governing body2025-06-01
Simpson, Andrew
Individual
managing control - governing body2025-06-01
Staples, Carolyn
Individual
managing control - governing body2025-10-01
Strunk, Colby
Individual
managing control - governing body2025-06-01
Vanderzanden, Carrie
Individual
managing control - governing body2025-06-01
Becerra, Shannon
Individual
operational/managerial control2025-02-01
Bothwell, Marlon
Individual
operational/managerial control2024-02-19
Feakin, Cody
Individual
operational/managerial control2025-07-15
Fowler, Katherine
Individual
operational/managerial control2025-02-28
Kahn, Karen
Individual
operational/managerial control2008-10-01
Kofstad, Mary
Individual
operational/managerial control2024-02-13
Loewen, Michelle
Individual
operational/managerial control2023-10-09
Munro, Jolynn
Individual
operational/managerial control2023-09-01
Powelson, Michele
Individual
operational/managerial control2015-03-25
Presley, Yolanda
Individual
operational/managerial control2025-01-06
Prevatt, Naomi
Individual
operational/managerial control2024-12-09
Reid, Misty
Individual
operational/managerial control2025-01-02
Simpson, Andrew
Individual
operational/managerial control2024-06-01
Sutton, Holly
Individual
operational/managerial control2023-03-01

What changed

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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 Jackson County.