Avamere Rehabilitation of Oregon City
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
Above average in OR · Below recommended RN staffing · Above recommended total nurse staffing · $85,768 in fines
What this means for your family
While the facility is praised for its cleanliness and strong administrative leadership, families should be aware of significant reports regarding slow response times and potential medication safety issues. We recommend visiting during off-hours to observe staff responsiveness and asking specifically about their protocols for monitoring high-risk patients.
Google Reviews
Google Reviews
28 reviews on Google“Avamere Rehabilitation of Oregon City receives highly polarized feedback, with some families praising the facility's cleanliness and the dedication of the administrative leadership. However, there are recurring, serious concerns regarding slow response times for call lights, inconsistent nursing care, and potential lapses in medication and safety protocols.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Visible and proactive administrative leadership
- Kind and compassionate direct care staff
- Effective post-surgery rehabilitation support
Concerns
- Slow response times to call lights and patient needs (mentioned by 3 reviewers)
- Inconsistent medication management and safety protocol adherence (mentioned by 2 reviewers)
- Loss of personal belongings and property (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
- 2Given that some families have mentioned wait times for assistance, what is your current process for monitoring and responding to call lights to ensure residents get help when they need it?
- 3With the recent focus on strengthening your health inspection outcomes, what specific steps is the leadership team taking to improve safety protocols and medication management?
- 4Since you have a strong reputation for post-surgery rehabilitation, how do you coordinate the transition from clinical therapy back into daily life at the facility?
- 5What measures do you have in place to help residents keep track of their personal belongings and ensure their items remain secure?
- 6Beyond the rehabilitation programs, what kind of social activities or events are available to keep residents engaged and connected with others throughout the week?
Personalized based on this facility's data
Key Review Excerpts
“The administrator Allen James, Nursing team and IDT are wonderful they need support”
“The staff and nursing there are great. I could move here closer to us but not sure of the care she would end up with. I love Lynn the social worker. Kathy the head nurse. And most of all the CNA's Mary, Shawnda,and Mo”
“Med aide completely ignored the huge signs on the wall saying NO STRAWS/ NO THIN LIQUIDS and gives meds with thin liquids and straw and leaves it at bedside.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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
13
measures
1
measures
3
measures
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed multiple complaints that triggered inspections, revealing recurring issues with nursing staffing levels, medication management, and resident care planning. The facility has faced 76 deficiencies across six surveys, with problems persisting across multiple years including inadequate nursing staff, medication errors, and failures in resident assessments and care plans. While all deficiencies show correction dates, the pattern of repeated issues in core care areas warrants careful consideration before placement.
Aug 29, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 6, 2025Routine8
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 6, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jan 17, 2025Complaint3
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Feb 13, 2024Complaint30
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
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
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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
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
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Feb 13, 2024Routine10
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Feb 13, 2024
$85,768
Ownership & Operations
Who Operates This Facility
Avamere Rehabilitation of Oregon City
for profit
Chain Affiliation
Avamere
29 facilities nationwide
Chain avg rating: 2.9/5 · Rank 15 of 33
Ownership & Management
Owners
Ariso LLC
Owner · Organization
Ari Operations, LLC
Owner (parent company) · Organization
Avamere Group LLC
Owner (parent company) · Organization
Karl Rickard Miler Jr Revocable Trust
Owner (parent company) · Organization
Miller, Karl
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit avamere.com
Medicare data downloads
Original nursing home datasets
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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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Footsteps at Sunnyside
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