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Nursing HomeMedicaid Top Rated

Avamere at Three Fountains

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

835 Crater Lake Avenue, Medford, OR 97504117 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 47 Google reviews

5
4
3
2
1

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What this means for your family

While the facility receives praise for its physical therapy and some dedicated staff members, the recurring reports of neglect, lost property, and poor communication are significant red flags. If you choose this facility, maintain a daily presence, clearly label all personal belongings, and establish a direct line of communication with a specific supervisor rather than relying on the front desk.

Google Reviews

Google Reviews

47 reviews on Google
Avamere at Three Fountains has a polarized reputation, with recent reviews showing a mix of high praise for rehabilitation therapy and severe concerns regarding neglect, communication, and basic hygiene. While some families report excellent, compassionate care for their loved ones, others describe a facility struggling with understaffing, lost personal property, and poor responsiveness to medical needs. Families considering this facility should be aware of these inconsistencies and perform thorough, ongoing oversight.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0Activities2.0Meds2.0Memory2.0Comms3.0Value2.0

Strengths

  • Effective physical and occupational therapy
  • Professional and compassionate individual staff members
  • Clean and well-maintained physical environment
  • Responsive administrative support for some families

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 6 reviewers)
  • Loss or theft of personal items and clothing (mentioned by 5 reviewers)
  • Poor communication with family members regarding health status (mentioned by 5 reviewers)
  • Unsanitary conditions and poor hygiene practices (mentioned by 4 reviewers)
  • Poor food quality and presentation (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(4)'19(9)'21(10)'23(5)'25(1)'26(3)

Distribution · 53 analyzed

5
18
4
5
3
2
2
4
1
24

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed some families have praised the professionalism of your staff; how do you ensure that same level of compassion is maintained during busy shifts?
  • 2With the high CMS overall rating, how does your team specifically manage medication administration to ensure safety and accuracy?
  • 3What steps are in place to help residents keep track of their personal belongings and clothing to prevent anything from getting lost?
  • 4Could you tell me more about the daily activity calendar and how you engage residents in meaningful events?
  • 5How does the communication process work between the nursing staff and family members regarding updates on a resident's health status?
  • 6What is the current process for managing dining services and ensuring food quality and nutrition meet the residents' needs?

Personalized based on this facility's data


Key Review Excerpts

We both thought the care was of very high quality, with everyone who tended to us being caring, compassionate, friendly, and respectful. Calls for assistance were answered promptly day and night.

Rehab patient · 2024★★★★★

CeeCee was so sweet and kind and treated my mom with respect and kindness. She would braid my mom’s hair for her, wash her eyes gently with a damp washcloth, and speak to her and check on her often.

Long-term resident's family · 2023★★★★

My wife fell because she waited some 15 minutes and nobody showed up to help her go to the bathroom so she tried to make it on her own and fell.

Long-term resident's family · 2019☆☆☆☆
Source: 47 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
4.81hrs
OK
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
OR
4.9%
Jackson
17.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
19.5%
OR
12.5%
Jackson
24.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
14.4%
OR
15.3%
Jackson
16.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
19.4%
OR
22.1%
Jackson
20.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.5%
OR
14.0%
Jackson
19.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
15.3%
OR
22.5%
Jackson
16.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
OR
81.2%
Jackson
79.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
OR
85.5%
Jackson
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
OR
1.5%
Jackson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (10.4)
4 complaint-triggered

This facility has a concerning pattern of deficiencies with families filing complaints about medication errors, resident belongings protection, care quality standards, and environmental safety. The most recurring problems involve fire safety systems, electrical equipment, and infection control protocols. While most issues appear corrected after identification, the facility continues to have new deficiencies in recent surveys, suggesting ongoing operational challenges that families should investigate during visits.

Jan 16, 2025Routine
8
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0522Potential for harm · IsolatedCorrected

Services Deficiencies

Have an externally vented heating system.

Apr 1, 2024Complaint
3
0658Actual harm · IsolatedResolved (past non-compliance)

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Aug 25, 2023Routine
20
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Aug 25, 2023Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jul 15, 2022Routine
7
0838Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

0132Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0932Potential for harm · IsolatedCorrected

Smoke Deficiencies

Meet other general requirements.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avamere at Three Fountains

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 7 of 33 (Best)

Ownership & Management

Owners

Kofstad, Mary

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Midcap Finco LLC5% or Greater Security InterestCavallo, GlenManaging Control - Governing BodyClark, ToniaManaging Control - Governing BodyFeakin, CodyManaging Control - Governing BodyFunderberg, MichelleManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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