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Nursing HomeMedicaid Investigative

Avamere Health Services of Rogue Valley

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

625 Stevens Street, Medford, OR 9750491 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 58 Google reviews

5
4
3
2
1
Avamere Health Services of Rogue Valley Nursing Home in Medford, OR — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (12 vs median 9.0)
  • High RN turnover (57%)

Below average in OR · Critically understaffed (RN) · Above recommended total nurse staffing · Low staff turnover (stable workforce) · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While the rehabilitation team is frequently praised for their effectiveness, the facility has a concerning history of medication management errors and nutritional neglect. Families should conduct a thorough tour, specifically asking about their pharmacy process and how they handle dietary requirements for diabetic residents, and remain highly involved in daily care oversight.

Google Reviews

Google Reviews

58 reviews on Google
Avamere Health Services of Rogue Valley receives highly polarized feedback, with many reviewers praising the staff's kindness and the facility's family-oriented atmosphere. However, there are serious, recurring allegations regarding poor medical oversight, medication management issues, and inadequate nutrition for residents. Families considering this facility should be aware of the stark contrast between positive rehabilitation experiences and critical reports of neglect.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean5.0Activities6.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Warm, attentive nursing and CNA staff
  • Effective rehabilitation therapy team
  • Welcoming, family-oriented environment
  • Responsive management for some patients

Concerns

  • Poor medication management and pharmacy delays (mentioned by 3 reviewers)
  • Inadequate nutrition and poor food quality (mentioned by 4 reviewers)
  • Understaffing leading to neglect or slow response times (mentioned by 3 reviewers)
  • Inconsistent medical oversight and communication (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(5)'19(2)'21(1)'23(20)'25(11)'26(2)

Distribution · 60 analyzed

5
34
4
7
3
1
2
2
1
16
13 reviews posted between Jan 10, 2023Jan 11, 2023 · 11 were 5-star

How They Respond to Reviews

63%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent feedback regarding pharmacy delays, what specific protocols do you have in place to ensure medications are administered on time and without interruption?
  • 2I noticed some concerns regarding the dining experience; could you walk me through how you ensure residents receive nutritious, high-quality meals that meet their dietary preferences?
  • 3With the current staffing levels, how do you manage call light response times to ensure residents feel supported and attended to throughout the day and night?
  • 4How does your clinical team maintain consistent communication with families regarding changes in a resident's health status or medical oversight?
  • 5I see that management is active in responding to feedback online; how do you use that family input to make tangible improvements to the daily life and care here?
  • 6Could you describe the variety of social or therapeutic activities available to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The CNAs , Nurses,CMA ,O.T. and P.T. we're Amazing. The food was so much better than the Hospital you get a daily menu so you can choose what you want to eat the next day.

Rehab patient · 2024★★★★★

My sister was released to this place. She lost 14 lbs. In one week..food was horrendous..After MANY complaints it did improve somewhat..She was released with an infection which they knew about.

Long-term resident's family · 2024☆☆☆☆

don’t send your loved ones here. they run out your medication and then tell you well to bad for you. they use a pharmacy out of portland that only does runs to medford every so often.

Long-term resident's family · 2026☆☆☆☆
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
4.56hrs
OK
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
60%
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
3/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility38.1%
Worse than Avg
Here
38.1%
US
15.3%
OR
22.5%
Jackson
16.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
19.4%
OR
22.1%
Jackson
20.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.4%
Mixed vs Avgs
Here
23.4%
US
19.5%
OR
12.5%
Jackson
24.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.1%
Mixed vs Avgs
Here
8.1%
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 antipsychotic medication

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.5%
OR
14.0%
Jackson
19.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Jackson
90.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
81.8%
OR
85.5%
Jackson
78.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.4%
Better than Avg
Here
85.4%
US
79.8%
OR
81.2%
Jackson
79.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
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

12deficiencies
Above state avg (10.4)
16 complaint-triggered

This facility has significant recurring problems with families filing numerous complaints about abuse protection, care planning, and nursing staffing across multiple years. The most persistent issues involve accident prevention and safety, medication management, and fire safety compliance, with many problems repeating across surveys despite corrections. While all deficiencies show correction dates, the pattern of recurring violations and complaint-triggered investigations signals ongoing operational challenges that warrant careful consideration during your visit.

Aug 22, 2025Routine
11
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Aug 22, 2025Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Apr 19, 2024Routine
18
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

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.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Apr 19, 2024Complaint
9
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

Aug 1, 2023Complaint
6
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 24, 2023Routine
16
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.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0919Potential for harm · PatternCorrected

Environmental Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avamere Health Services of Rogue Valley

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 24 of 33

Ownership & Management

Key personnel

Kahn, KarenContracted Managing EmployeeJudd, ChaseW-2 Managing EmployeeKofstad, MaryOfficer / DirectorSimpson, AndrewOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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