Inspection Reports for Avamere Rehabilitation of Coos Bay

2625 Koos Bay Blvd, OR, 97420

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Deficiencies (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/year

Deficiencies per year

20 15 10 5 0
2021
2022
2023
2024
2025
Inspection Report Capacity: 92 Deficiencies: 20 Aug 25, 2025
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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

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