01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-04 | 4 | 2025-12-04 | 2 |
| Cycle 2 | 2024-07-19 | 5 | 2024-07-19 | 1 |
| Cycle 3 | 2023-05-05 | 7 | 2023-05-05 | 11 |
CMS CCN 3852032026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avamere Rehabilitation Of Clackamas
220 E. Hereford · Gladstone, OR 97027 · Clackamas County
Certified beds87CMS provider file
Recent citation rows30current CMS citation release
Penalty rows3current 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
30 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-04 · 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 date of correction · 2026-01-13 · complaint2025-12-04 · 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 date of correction · 2026-01-132025-12-04 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-13 · complaint2025-12-04 · HEALTHF0880Severity D · isolated; 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 · 2026-01-132025-12-04 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-01-132025-12-04 · FIREK0911Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2026-01-132024-09-24 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-07 · complaint2024-07-19 · HEALTHF0584Severity E · pattern; 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 date of correction · 2024-08-27 · complaint2024-07-19 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-08-272024-07-19 · 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 · 2024-08-272024-07-19 · HEALTHF0880Severity K · pattern of immediate jeopardy
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-272024-07-19 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-08-272024-06-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-07-18 · complaint2023-11-14 · FIREK0111Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Correction field: Deficient, Provider has date of correction · 2024-01-03 · complaint2023-11-14 · FIREK0255Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Correction field: Deficient, Provider has date of correction · 2023-12-21 · complaint2023-11-14 · FIREK0511Severity L · widespread immediate jeopardy
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-11-15 · complaint2023-11-14 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2023-11-15 · complaint2023-11-14 · FIREK0932Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2023-12-21 · complaint2023-05-05 · HEALTHF0584Severity E · pattern; 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 date of correction · 2023-06-132023-05-05 · 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 date of correction · 2023-06-132023-05-05 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-06-132023-05-05 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2023-06-132023-05-05 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2023-06-132023-05-05 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2023-06-1303 / 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 |
|---|---|---|---|
| 2024-09-24 | Fine | $10,036 | 0 |
| 2024-06-20 | Fine | $30,976 | 0 |
| 2023-11-14 | Fine | $134,761 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ARI CBC LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/06/2006
- ARI OPERATIONS, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/06/2006
- AVAMERE GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/06/2006
- 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 06/01/2025
- 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
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 hours5.15per resident day
RN hours0.97per resident day
Weekend nurse hours4.57per resident day
Staff turnover47.5%CMS reported field
06 / LOCAL RECORDS
Open the Oregon ledger →Other published facilities nearby
No second facility in the same city met the directory rule.