Inspection Reports for Avamere at Three Fountains
835 Crater Lake Avenue, OR, 97504
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
49% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 2
Oct 28, 2025
Visit Reason
No deficiencies found. Two citations with initial comments noted but not corrected on visit.
Findings
No deficiencies found. Two citations with initial comments noted but not corrected on visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 8
Jan 16, 2025
Visit Reason
Multiple deficiencies including failure to assess resident for self-administration of medications, failure to provide restorative services, infection control breaches, antibiotic stewardship issues, required in-service training deficiencies, and initial comments not corrected. Several deficiencies corrected on first revisit but not corrected on second revisit.
Findings
Multiple deficiencies including failure to assess resident for self-administration of medications, failure to provide restorative services, infection control breaches, antibiotic stewardship issues, required in-service training deficiencies, and initial comments not corrected. Several deficiencies corrected on first revisit but not corrected on second revisit.
Deficiencies (8)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0554 - Resident Self-Admin Meds-Clinically Approp |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0880 - Infection Prevention & Control |
| F0881 - Antibiotic Stewardship Program |
| F0947 - Required In-Service Training for Nurse Aides |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 6
Apr 1, 2024
Visit Reason
Three deficiencies including failure to ensure residents free from misappropriation of narcotic medications, failure to meet professional standards for medication administration, and failure to be free of significant medication errors. None corrected on revisit.
Findings
Three deficiencies including failure to ensure residents free from misappropriation of narcotic medications, failure to meet professional standards for medication administration, and failure to be free of significant medication errors. None corrected on revisit.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0602 - Free from Misappropriation/Exploitation |
| F0658 - Services Provided Meet Professional Standards |
| F0760 - Residents are Free of Significant Med Errors |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 14
Aug 25, 2023
Visit Reason
Eleven deficiencies including failure to assess residents for self-administration of medications, care plan revisions, meaningful activities, pressure ulcer treatment, dementia care, psychotropic medication dose reduction, dental services, food sanitation, infection control, resident call system, and safe environment. Most deficiencies corrected on first revisit but not corrected on second revisit.
Findings
Eleven deficiencies including failure to assess residents for self-administration of medications, care plan revisions, meaningful activities, pressure ulcer treatment, dementia care, psychotropic medication dose reduction, dental services, food sanitation, infection control, resident call system, and safe environment. Most deficiencies corrected on first revisit but not corrected on second revisit.
Deficiencies (14)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0554 - Resident Self-Admin Meds-Clinically Approp |
| F0657 - Care Plan Timing and Revision |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0744 - Treatment/Service for Dementia |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0880 - Infection Prevention & Control |
| F0919 - Resident Call System |
| F0921 - Safe/Functional/Sanitary/Comfortable Environ |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 4
Jul 15, 2022
Visit Reason
One deficiency for failure to develop a comprehensive facility-wide assessment. Corrected on first revisit but not corrected on second revisit.
Findings
One deficiency for failure to develop a comprehensive facility-wide assessment. Corrected on first revisit but not corrected on second revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0838 - Facility Assessment |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 6
Mar 11, 2022
Visit Reason
Three deficiencies including failure to notify resident representative and physician of change in condition, failure to implement effective discharge planning, and failure to respond to changes in condition timely. Some deficiencies corrected on first revisit but not corrected on second revisit.
Findings
Three deficiencies including failure to notify resident representative and physician of change in condition, failure to implement effective discharge planning, and failure to respond to changes in condition timely. Some deficiencies corrected on first revisit but not corrected on second revisit.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0660 - Discharge Planning Process |
| F0684 - Quality of Care |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 117
Deficiencies: 3
Nov 24, 2021
Visit Reason
No deficiencies found. Three citations with initial comments noted but not corrected on visit.
Findings
No deficiencies found. Three citations with initial comments noted but not corrected on visit.
Deficiencies (3)
| Description |
|---|
| E0000 - Initial Comments |
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 117
Deficiencies: 6
Sep 10, 2021
Visit Reason
Three deficiencies including failure to ensure residents free from verbal abuse, failure to complete thorough discharge summaries, and failure to follow care plans to prevent accidents. Some deficiencies corrected on revisit but not all.
Findings
Three deficiencies including failure to ensure residents free from verbal abuse, failure to complete thorough discharge summaries, and failure to follow care plans to prevent accidents. Some deficiencies corrected on revisit but not all.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0661 - Discharge Summary |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 117
Deficiencies: 1
Jan 8, 2021
Visit Reason
No deficiencies found. One citation with initial comments noted but not corrected on visit.
Findings
No deficiencies found. One citation with initial comments noted but not corrected on visit.
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
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