Inspection Reports for Avamere Rehabilitation of Clackamas
220 E. Hereford, OR, 97027
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
28% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 8
Dec 4, 2025
Deficiencies (8)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0677 - ADL Care Provided for Dependent Residents |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 4
Sep 24, 2024
Visit Reason
Facility failed to follow care plan interventions related to elopement for 1 sampled resident, resulting in an Immediate Jeopardy situation. The facility submitted an acceptable IJ removal plan and implemented corrective actions including care plan revisions and staff education.
Findings
Facility failed to follow care plan interventions related to elopement for 1 sampled resident, resulting in an Immediate Jeopardy situation. The facility submitted an acceptable IJ removal plan and implemented corrective actions including care plan revisions and staff education.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 10
Jul 19, 2024
Visit Reason
Facility failed to provide a comfortable and homelike environment, ensure professional standards for glucometer disinfection, implement dementia care interventions, infection prevention, maintain minimum CNA staffing, conduct criminal record checks, and maintain nurse call system. Immediate Jeopardy was identified related to infection control. Multiple corrective actions and plans of correction were implemented.
Findings
Facility failed to provide a comfortable and homelike environment, ensure professional standards for glucometer disinfection, implement dementia care interventions, infection prevention, maintain minimum CNA staffing, conduct criminal record checks, and maintain nurse call system. Immediate Jeopardy was identified related to infection control. Multiple corrective actions and plans of correction were implemented.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0658 - Services Provided Meet Professional Standards |
| F0744 - Treatment/Service for Dementia |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0143 - Employees: Criminal Record Checks |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M0481 - Electrical System: Nurse Call System |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 4
Jun 20, 2024
Visit Reason
Facility failed to re-evaluate elopement risks and revise care plans to prevent repeated elopements for 1 sampled resident. Additional deficiencies included failure to meet nursing services problem resolution and preventive care requirements. Immediate Jeopardy was identified and removed after corrective actions.
Findings
Facility failed to re-evaluate elopement risks and revise care plans to prevent repeated elopements for 1 sampled resident. Additional deficiencies included failure to meet nursing services problem resolution and preventive care requirements. Immediate Jeopardy was identified and removed after corrective actions.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 2
Feb 6, 2024
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 9
May 5, 2023
Visit Reason
Facility failed to maintain safe, clean, comfortable environment including resident rooms, bathrooms, and linen supplies. Deficiencies also included respiratory care, drug regimen review, nutrition, garbage disposal, and nursing services problem resolution. Multiple corrective actions and plans of correction were implemented.
Findings
Facility failed to maintain safe, clean, comfortable environment including resident rooms, bathrooms, and linen supplies. Deficiencies also included respiratory care, drug regimen review, nutrition, garbage disposal, and nursing services problem resolution. Multiple corrective actions and plans of correction were implemented.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0804 - Nutritive Value/Appear, Palatable/Prefer Temp |
| F0814 - Dispose Garbage and Refuse Properly |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 4
Dec 2, 2022
Visit Reason
Facility failed to follow the plan of care for a resident resulting in a fall with fracture. Deficiencies related to nursing services problem resolution and preventive care were identified. Corrective actions and staff education were implemented.
Findings
Facility failed to follow the plan of care for a resident resulting in a fall with fracture. Deficiencies related to nursing services problem resolution and preventive care were identified. Corrective actions and staff education were implemented.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 87
Deficiencies: 1
Sep 17, 2021
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
Inspection Report
Capacity: 87
Deficiencies: 1
Mar 29, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
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