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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 67th out of 78 homes in Oregon.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 22% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 46m per day | ▼ 15% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 29m per day | ▲ 3% State avg: 3h 22m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 10m per day | ▼ 5% State avg: 4h 23m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ■ Avg State avg: 26m per day · National avg: 28m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
31% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 73Payroll — state benchmarkedThis home is ranked 8th out of 73 homes in Oregon.Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the Oregon average: 65.7%Avamere at Three Fountains is administrated by Holly Sutton.
Key information about the people who lead and staff this community.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 31 | This facility has 16% fewer total deficiencies than a typical Oregon nursing home (26 vs. OR avg 31).↓ 16% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 5.2 | 6.2 | This facility has 16% fewer deficiencies per year than a typical Oregon nursing home (5.2 vs. OR avg 6.2).↓ 16% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.9 | 4.4 | This facility has 34% fewer deficiencies per inspection than a typical Oregon nursing home (2.9 vs. OR avg 4.4).↓ 34% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 7 | This facility has 29% more total inspections than a typical Oregon nursing home (9 vs. OR avg 7).↑ 29% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 28, 2025, found no deficiencies but noted two citations with initial comments that were not corrected on visit. Earlier inspections showed multiple deficiencies related mainly to medication management, infection control, and resident care planning, with some issues recurring over time and not fully corrected on revisits. Complaint investigations were not substantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior reports also cited concerns with staffing training and facility-wide assessments. The trend suggests some improvement in recent inspections, though certain initial comments remain unaddressed.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOregon average 5.1
Last Health inspection on Jan 2025
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 20 citations resulted from standard inspections; 3 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).
100% better than Oregon averageOregon average: 0.5
2
67% worse than Oregon averageOregon average: 1.2
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 16, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 16, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 16, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 16, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Avamere at Three Fountains is located in Medford, Oregon.
Here are the financial assistance programs available to residents in Oregon.
4.8 miles from city center
Estimated distance in miles from Medford's city center to Avamere at Three Fountains's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
33% worse than Oregon averageOregon average ratio: 2.92:1
6% worse than Oregon averageOregon average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Total hours from contractors
1,012 contractor hours this quarter
| Certified Nursing Assistant | 65 | 0 | 65 | 18,650 | 91 | 100% | 7 |
| Licensed Practical Nurse | 15 | 0 | 15 | 5,265 | 91 | 100% | 9.8 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,665 | 91 | 100% | 8 |
| Registered Nurse | 9 | 0 | 9 | 2,132 | 91 | 100% | 8.7 |
| Speech Language Pathologist | 6 | 2 | 8 | 1,277 | 86 | 95% | 7.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,121 | 90 | 99% | 6.3 |
| Physical Therapy Aide | 4 | 2 | 6 | 987 | 75 | 82% | 7.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 981 | 67 | 74% | 7.9 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 779 | 75 | 82% | 5.9 |
| Physical Therapy Assistant | 2 | 3 | 5 | 649 | 73 | 80% | 6.7 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Occupational Therapy Aide | 5 | 0 | 5 | 284 | 31 | 34% | 7.3 |
| Nurse Aide in Training | 2 | 0 | 2 | 210 | 20 | 22% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 161 | 86 | 95% | 1.9 |
| Qualified Social Worker | 1 | 0 | 1 | 87 | 51 | 56% | 1.7 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 39 | 21 | 23% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 3 | 3% | 12.7 |
| Medical Director | 0 | 1 | 1 | 29 | 12 | 13% | 2.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
76Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.2
In line with Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.1
19% better than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
46% better than Oregon averageOregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
27.4%
10% worse than Oregon averageOregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.2%
33% better than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.6%
75% better than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
8.7%
25% worse than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
1.2%
43% better than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
5.5%
5% worse than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
0.6%
87% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
6.6%
50% better than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Oregon averageOregon average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.02
27% better than Oregon averageOregon average: 1.40
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.17
93% better than Oregon averageOregon average: 2.52
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
15% better than Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
79% better than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
23% better than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.9%
36% better than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
33% better than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
18% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
27% worse than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
66.8%
32% better than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
| Avamere at Three Fountains |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Medford | 117 | 62.9% | -4% | 4.47 | -31% | -15% | 0 | 20 | 5.0 | 2 | 75 | A+ | 0 | Holly Sutton | $19.6M | $7.3M | 37.4% | 385126 | ||||
| Avamere Health Services of Rogue Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Medford (Stevens Street) | 91 | 57.7% | -12% | 4.36 | -8% | -17% | 1 | 51 | 12.8 | - | 65 | - | 84 | Ariso LLC | $12.7M | $4.5M | 35.1% | 385024 |
Historical financial and operational data for Avamere at Three Fountains based on CMS SNF Cost Reports.
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The legal owner and operator of Avamere at Three Fountains is Waterford Operations, LLC.
Avamere at Three Fountains's occupancy is 63%.
The team at Avamere at Three Fountains can be reached at [email protected].
Holly Sutton is the administrator of Avamere at Three Fountains.
Avamere at Three Fountains has 117 beds.
Avamere at Three Fountains has had 26 recently reported deficiencies.
Yes — there are 8 photos of Avamere at Three Fountains in the photo gallery on this page.
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