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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E10 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Sep 19, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Sep 19, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| May 31, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 31, 2024 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Apr 21, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 21, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E10 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 19, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 31, 2025 | |
| Sep 19, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 31, 2025 | |
| Sep 19, 2025 | E-0041 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
27 facilities in 2 states. CMS chain ID 58.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mary Kofstad | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 2, 2026 |
| Glen Cavallo | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Cody Feakin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Michelle Funderberg | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Damien Haskins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2025 |
| Kevin Hill | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avamere Health Services of Rogue Valley 625 Stevens Street, Medford, OR 97504 CCN 385024 | 91 | Aug 22, 2025 | 55 | — | |
| Avamere Crestview of Portland 6530 SW 30th Avenue, Portland, OR 97239 CCN 385031 | 127 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Keizer Nursing and Rehabilitation 4062 Arleta Avenue NE, Keizer, OR 97303 CCN 385241 | 2 km | 49 | Dec 17, 2025 | 461 harm | — | |
| Windsor Health and Rehabilitation 820 Cottage Street NE, Salem, OR 97301 CCN 385224 | 6 km | 100 | Jul 13, 2026 | 441 harm | $14k | |
| Tierra Rose Care Center 4254 Weathers Street NE, Salem, OR 97301 CCN 38E075 | 7.3 km | 76 | Oct 17, 2025 | 33 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385233 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385233 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 31, 2025 |
| Sep 19, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 31, 2025 |
| Sep 19, 2025 | F-0657 | 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 · Clinical care | D · Potential harm Isolated | Corrected Oct 31, 2025 |
| May 31, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2024 |
| May 31, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2024 |
| May 31, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2024 |
| May 31, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2024 |
| May 31, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2024 |
| May 31, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 3, 2024 |
| May 31, 2024 | F-0657 | 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 · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0758 | 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 · Medication management | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| May 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| Apr 21, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 31, 2023 |
| Apr 21, 2023 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2023 |
| Apr 21, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2023 |
| Apr 21, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2023 |
| Apr 21, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 31, 2023 |
| Apr 21, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.67 (case-mix index 1.44).
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Jun 1, 2025 |
| Tonia Hoskins | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Todd Inskeep | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Mary Kofstad | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Jolynn Munro | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Ike Okoli | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Justin Polson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Michele Powelson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Amanda Sanders | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Andrew Simpson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Colby Strunk | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Carrie Vanderzanden | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2025 |
| Avamere Health Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 16, 2005 |
| Avamere Skilled Advisors LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 16, 2005 |
| Midcap Finco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2010 |
| Jennifer Dana | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Andrea Doepker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 28, 2023 |
| Cody Feakin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 15, 2025 |
| Tracy Gasperini | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 16, 2019 |
| Mary Kofstad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 13, 2024 |
| Jolynn Munro | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Michele Powelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 25, 2015 |
| Yolanda Presley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 2025 |
| Misty Reid | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 2, 2025 |
| Nathan Ruden | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Rebecca Sawyer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 8, 2023 |
| Andrew Simpson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2024 |
| Rebecca Xiong | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2023 |
| Midcap Finco LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jan 22, 2010 |
| Avamere Health Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2025 |
| Avamere Skilled Advisors LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2025 |
| Consolidated Billing Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 16, 2005 |
| Fusion Medical Staffing LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2024 |
| Incovate Solutions, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2022 |
| Kevala Technologies, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2023 |
| Rande Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Sabra Health Care Limited Partnership | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2017 |
| Sabra Health Care Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2017 |
| Sabra Health Care, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2017 |
| Shannon Becerra | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2025 |
| Jennifer Dana | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Veronica Davis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 6, 2024 |
| Andrea Doepker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 28, 2023 |
| Cody Feakin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Michelle Funderberg | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2024 |
| Kim Games | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2024 |
| Tracy Gasperini | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 16, 2019 |
| Kevin Hill | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2022 |
| Todd Inskeep | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2022 |
| Mary Kofstad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 13, 2021 |
| Jolynn Munro | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2023 |
| Justin Polson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| Michele Powelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 25, 2015 |
| Yolanda Presley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 2025 |
| Misty Reid | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 2, 2025 |
| Nathan Ruden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Rebecca Sawyer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 8, 2023 |
| Andrew Simpson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Carolyn Staples | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 5, 2023 |
| Colby Strunk | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 6, 2022 |
| Carrie Vanderzanden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Rebecca Xiong | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2023 |
| Feb 13, 2026 |
601 IJ2 harm |
| — |
| Avamere Rehabilitation of Eugene 2360 Chambers Street, Eugene, OR 97405 CCN 385053 | 92 | Mar 30, 2026 | 621 IJ | $36k |
| Avamere Rehabilitation of Oregon City 1400 Division Street, Oregon City, OR 97045 CCN 385125 | 111 | Aug 29, 2025 | 753 harm | $86k |
| Avamere at Three Fountains 835 Crater Lake Avenue, Medford, OR 97504 CCN 385126 | 117 | Jul 9, 2026 | 372 harm | — |
| Avamere Rehabilitation of King City 16485 SW Pacific Highway, Tigard, OR 97224 CCN 385132 | 148 | Aug 13, 2026 | 47 | — |
| Avamere Rehabilitation of Newport 835 SW 11th Street, Newport, OR 97365 CCN 385162 | 52 | Aug 8, 2025 | 39 | — |
| Avamere Rehabilitation of Lebanon 350 S. 8th, Lebanon, OR 97355 CCN 385168 | 84 | May 12, 2026 | 741 IJ | $20k |