01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-07-09 | 5 | 2026-07-09 | 0 |
| Cycle 2 | 2025-01-16 | 5 | 2025-01-16 | 3 |
| Cycle 3 | 2023-08-25 | 14 | 2023-08-25 | 10 |
CMS CCN 3851262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avamere At Three Fountains
835 Crater Lake Avenue · Medford, OR 97504 · Jackson County
Certified beds117CMS provider file
Recent citation rows37current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-09 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has plan of correction · 2026-08-062026-07-09 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has plan of correction · 2026-08-062026-07-09 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has plan of correction · 2026-08-062026-07-09 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has plan of correction · 2026-08-062026-07-09 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has plan of correction · 2026-08-062025-01-16 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-16 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-16 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-16 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-16 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-16 · FIREK0522Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have an externally vented heating system.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-01-16 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-01-16 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-062024-04-01 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · 2023-11-27 · complaint2024-04-01 · HEALTHF0658Severity G · isolated actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Past Non-Compliance · 2023-08-30 · complaint2024-04-01 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2023-08-30 · complaint2023-08-25 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0744Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2023-09-302023-08-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-09-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MIDCAP FINCO LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 01/22/2010
- CAVALLO, GLENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- FEAKIN, CODYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- FUNDERBERG, MICHELLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- HASKINS, DAMIENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/01/2025
- HILL, KEVINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- HOSKINS, TONIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/24/2025
- INSKEEP, TODDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- KOFSTAD, MARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- MUNRO, JOLYNNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- OKOLI, IKEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- POLSON, JUSTINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- POWELSON, MICHELEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- REID, MISTYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- SANDERS, AMANDAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- SIMPSON, ANDREWIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
- STAPLES, CAROLYNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2025
- STRUNK, COLBYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.06per resident day
RN hours0.59per resident day
Weekend nurse hours4.53per resident day
Staff turnover44.0%CMS reported field