Inspection Reports for Avamere Rehabilitation of Coos Bay
2625 Koos Bay Blvd, OR, 97420
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
15 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
124% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Capacity: 92
Deficiencies: 20
Aug 25, 2025
Visit Reason
Complaint, Licensure Complaint, Re-Licensure, Recertification survey with 17 deficiencies. Deficiencies corrected by 9/18/2025 on revisit. Issues included reasonable accommodations, notification of changes, reporting alleged violations, discharge process, care plan timing, quality of care, accident hazards, bowel/bladder incontinence, respiratory care, nursing staff sufficiency, pharmacy procedures, medication errors, labeling/storage of drugs, dental services, food procurement, and infection prevention.
Findings
Complaint, Licensure Complaint, Re-Licensure, Recertification survey with 17 deficiencies. Deficiencies corrected by 9/18/2025 on revisit. Issues included reasonable accommodations, notification of changes, reporting alleged violations, discharge process, care plan timing, quality of care, accident hazards, bowel/bladder incontinence, respiratory care, nursing staff sufficiency, pharmacy procedures, medication errors, labeling/storage of drugs, dental services, food procurement, and infection prevention.
Deficiencies (20)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0558 - Reasonable Accommodations Needs/Preferences |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0609 - Reporting of Alleged Violations |
| F0627 - Inappropriate Discharge |
| F0628 - Discharge Process |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0725 - Sufficient Nursing Staff |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F0760 - Residents are Free of Significant Med Errors |
| F0761 - Label/Store Drugs and Biologicals |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Jul 23, 2025
Visit Reason
Complaint, Licensure Complaint survey with 0 deficiencies but 2 citations noted as not corrected. Citations included initial comments.
Findings
Complaint, Licensure Complaint survey with 0 deficiencies but 2 citations noted as not corrected. Citations included initial comments.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Jun 13, 2024
Visit Reason
Complaint, Licensure Complaint, State Licensure survey with 0 deficiencies but 2 citations noted as not corrected. Citations included initial comments.
Findings
Complaint, Licensure Complaint, State Licensure survey with 0 deficiencies but 2 citations noted as not corrected. Citations included initial comments.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 92
Deficiencies: 14
May 3, 2024
Visit Reason
Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure survey with 14 deficiencies. Some deficiencies corrected on revisit, others not corrected. Issues included safe environment, abuse and neglect, mobility, accident hazards, respiratory care, drug regimen review, labeling/storage of drugs, dental services, infection prevention, and administrative rules.
Findings
Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure survey with 14 deficiencies. Some deficiencies corrected on revisit, others not corrected. Issues included safe environment, abuse and neglect, mobility, accident hazards, respiratory care, drug regimen review, labeling/storage of drugs, dental services, infection prevention, and administrative rules.
Deficiencies (14)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0600 - Free from Abuse and Neglect |
| F0602 - Free from Misappropriation/Exploitation |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0761 - Label/Store Drugs and Biologicals |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0840 - Use of Outside Resources |
| F0842 - Resident Records - Identifiable Information |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 5
Nov 22, 2023
Visit Reason
Complaint, Licensure Complaint, State Licensure survey with 2 deficiencies. Issues included failure to initiate CPR on a resident found unresponsive, resulting in immediate jeopardy. Other citations related to nursing services and change of condition.
Findings
Complaint, Licensure Complaint, State Licensure survey with 2 deficiencies. Issues included failure to initiate CPR on a resident found unresponsive, resulting in immediate jeopardy. Other citations related to nursing services and change of condition.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0658 - Services Provided Meet Professional Standards |
| F0678 - Cardio-Pulmonary Resuscitation (CPR) |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 92
Deficiencies: 1
Aug 21, 2023
Visit Reason
Focused Infection Control, Other-Fed survey with 1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN during required reporting period.
Findings
Focused Infection Control, Other-Fed survey with 1 deficiency related to failure to report complete COVID-19 information to CDC's NHSN during required reporting period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 92
Deficiencies: 13
Mar 10, 2023
Visit Reason
Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure survey with 13 deficiencies. Issues included call light accessibility, safe environment, abuse and neglect, comprehensive assessment, care plan timing, quality of care, dialysis, behavioral health, psychotropic medication monitoring, dental services, food procurement, infection control, and COVID-19 vaccination tracking.
Findings
Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure survey with 13 deficiencies. Issues included call light accessibility, safe environment, abuse and neglect, comprehensive assessment, care plan timing, quality of care, dialysis, behavioral health, psychotropic medication monitoring, dental services, food procurement, infection control, and COVID-19 vaccination tracking.
Deficiencies (13)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0558 - Reasonable Accommodations Needs/Preferences |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0637 - Comprehensive Assessment After Signifcant Chg |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| F0698 - Dialysis |
| F0740 - Behavioral Health Services |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0888 - COVID-19 Vaccination of Facility Staff |
Inspection Report
Capacity: 92
Deficiencies: 9
Jan 27, 2022
Visit Reason
Re-Licensure, Recertification, State Licensure survey with 9 deficiencies. Issues included comprehensive care plans, activities, hearing aids, nutrition, respiratory care, dialysis, drug regimen, accident hazards, pain management, nursing staff sufficiency, posted nurse staffing, employee reference checks, and administrative rules.
Findings
Re-Licensure, Recertification, State Licensure survey with 9 deficiencies. Issues included comprehensive care plans, activities, hearing aids, nutrition, respiratory care, dialysis, drug regimen, accident hazards, pain management, nursing staff sufficiency, posted nurse staffing, employee reference checks, and administrative rules.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0685 - Treatment/Devices to Maintain Hearing/Vision |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0698 - Dialysis |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0761 - Label/Store Drugs and Biologicals |
Inspection Report
Capacity: 92
Deficiencies: 1
Sep 20, 2021
Visit Reason
State Licensure survey with 0 deficiencies and 1 citation for initial comments not corrected.
Findings
State Licensure survey with 0 deficiencies and 1 citation for initial comments not corrected.
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
Inspection Report
Capacity: 92
Deficiencies: 8
Jul 28, 2021
Visit Reason
Complaint, Licensure Complaint, State Licensure survey with 8 deficiencies. Issues included grievances, quality of care, safe environment, care plan development, activities, hearing aids, nutrition, respiratory care, dialysis, drug regimen, accident hazards, pain management, nursing staff sufficiency, posted nurse staffing, employee reference checks, and administrative rules.
Findings
Complaint, Licensure Complaint, State Licensure survey with 8 deficiencies. Issues included grievances, quality of care, safe environment, care plan development, activities, hearing aids, nutrition, respiratory care, dialysis, drug regimen, accident hazards, pain management, nursing staff sufficiency, posted nurse staffing, employee reference checks, and administrative rules.
Deficiencies (8)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0585 - Grievances |
| F0684 - Quality of Care |
| F584 - Safe/Clean/Comfortable/Homelike Environment |
| F656 - Develop/Implement Comprehensive Care Plan |
| F679 - Activities Meet Interest/Needs Each Resident |
| F685 - Treatment/Devices to Maintain Hearing/Vision |
| F692 - Investigate/Prevent/Correct Alleged Violation |
Loading inspection reports...



