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Nursing HomeMedicaid

Avamere Rehabilitation of Clackamas

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

220 E. Hereford, Gladstone, OR 9702787 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 38 Google reviews

5
4
3
2
1
Avamere Rehabilitation of Clackamas Nursing Home in Gladstone, OR — Street View
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What this means for your family

While the facility has a dedicated therapy and social services team that many families appreciate, the recurring reports of medical oversight failures and poor night-shift supervision are concerning. If you choose this facility, it is critical that you maintain a high level of personal involvement in your loved one's medical care and monitor their health status closely, as staff responsiveness appears inconsistent.

Google Reviews

Google Reviews

38 reviews on Google
Avamere Rehabilitation of Clackamas receives polarized feedback, with many families praising the compassionate bedside manner of individual staff members during rehab stays. However, significant concerns exist regarding clinical oversight, facility maintenance, and communication, with multiple reports of medical negligence and poor responsiveness from night staff.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean4.0Activities7.0Meds3.0MemoryN/AComms3.0Value2.0

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical therapy services
  • Strong social services support
  • Family-oriented atmosphere

Concerns

  • Inadequate medical oversight and failure to identify infections (mentioned by 3 reviewers)
  • Poor communication and lack of coordination between shifts (mentioned by 2 reviewers)
  • Facility maintenance issues (leaking windows, burst pipes, aging infrastructure) (mentioned by 2 reviewers)
  • Negligent night staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(7)'20(4)'22(8)'24(1)'25(3)

Distribution · 55 analyzed

5
29
4
7
3
4
2
2
1
13

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given that the facility has experienced some recent infrastructure challenges like plumbing and window issues, what is your current plan or timeline for facility-wide maintenance and upgrades?
  • 2I noticed that communication and shift handoffs are areas you are working on; what specific protocols do you have in place to ensure that care plans are consistently followed across all three shifts?
  • 3With the recent feedback regarding infection monitoring, could you walk me through your clinical process for identifying and reporting changes in a resident's health status to family members?
  • 4I see that you actively respond to feedback online; how do you use that family input to make tangible changes to the daily experience for residents?
  • 5Since physical therapy is a noted strength here, how do you integrate those therapy goals into the resident's daily social and recreational activities?
  • 6What specific measures are in place during the night shift to ensure that residents receive prompt, attentive care and that staff remain fully engaged throughout their rotation?

Personalized based on this facility's data


Key Review Excerpts

The staff here are unable to recognize when a patient has an infection. So if you have a fragile relative staying here, know that you will need to supervise them carefully yourself.

Relative of resident · 2023☆☆☆☆

My grandfathers here to pass peacefully. Brian the night nurse is not only arrogant his staff instead of doing checks at 10 pm are sitting in the hall coloring.

Grandchild of resident · 2022☆☆☆☆

Did not receive my meds as prescribed by my doctor.had to endure hours of pain. Food questionable. Majority of employees great. Would never come here again.

Rehab patient · 2021★★☆☆☆
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
5.22hrs
OK
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
15.3%
OR
22.5%
Clackamas
19.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
19.5%
OR
12.5%
Clackamas
9.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
14.4%
OR
15.3%
Clackamas
13.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.4%
Worse than Avg
Here
12.4%
US
5.3%
OR
5.0%
Clackamas
4.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Worse than Avg
Here
88.9%
US
95.5%
OR
95.2%
Clackamas
88.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.7%
Mixed vs Avgs
Here
10.7%
US
12.1%
OR
4.9%
Clackamas
4.4%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.8%
Better than Avg
Here
83.8%
US
79.7%
OR
81.2%
Clackamas
75.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
81.8%
OR
85.5%
Clackamas
85.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
OR
1.5%
Clackamas
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
3penalties
Well below state avg (10.4)
10 complaint-triggered
$175,773 in fines

This facility has faced significant challenges with 30 federal deficiencies across six surveys, including 10 complaint-triggered violations where families filed reports. The most recurring problems involve safety hazards and accident prevention, infection control, and fire safety systems. While all issues have correction dates, the pattern of repeated violations in critical areas like resident safety and cleanliness suggests ongoing operational struggles that families should carefully consider.

Dec 4, 2025Routine
4
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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Dec 4, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

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 · 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.

Sep 24, 2024Complaint
1
0689Immediate jeopardy · 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.

Jul 19, 2024Routine
4
0880Immediate jeopardy · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

Jul 19, 2024Complaint
1
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.

Jun 20, 2024Complaint
1
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.

Federal Penalties

Fine

Sep 24, 2024

$10,036

Fine

Jun 20, 2024

$30,976

Fine

Nov 14, 2023

$134,761

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avamere Rehabilitation of Clackamas

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 16 of 33

Ownership & Management

Owners

Ari Cbc LLC

Owner · Organization

Ari Operations, LLC

Owner (parent company) · Organization

Avamere Group LLC

Owner (parent company) · Organization

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

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References & Resources

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