Inspection Reports for Avamere Rehabilitation of King City
16485 SW Pacific Highway, OR, 97224
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Capacity: 148
Deficiencies: 12
Dec 5, 2025
Deficiencies (12)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0550 - Resident Rights/Exercise of Rights |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0558 - Reasonable Accommodations Needs/Preferences |
| F0605 - Right to be Free from Chemical Restraints |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0697 - Pain Management |
| F0740 - Behavioral Health Services |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F9999 - FINAL OBSERVATIONS |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
Inspection Report
Capacity: 148
Deficiencies: 2
Nov 3, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 148
Deficiencies: 2
Jul 31, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 5
Jan 10, 2025
Visit Reason
Facility failed to ensure sufficient nursing staff to meet residents' needs, resulting in missed showers and unmet care needs. Staffing shortages were documented and complaints received. Multiple residents affected by inadequate care and staffing.
Findings
Facility failed to ensure sufficient nursing staff to meet residents' needs, resulting in missed showers and unmet care needs. Staffing shortages were documented and complaints received. Multiple residents affected by inadequate care and staffing.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0725 - Sufficient Nursing Staff |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 2
Sep 16, 2024
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 16
Jul 19, 2024
Visit Reason
Facility failed to accurately assess residents, implement care plans, provide sufficient nursing staff, and ensure appropriate activities and nutrition. Multiple residents affected by unmet needs and risks. Staffing shortages and inadequate care documented.
Findings
Facility failed to accurately assess residents, implement care plans, provide sufficient nursing staff, and ensure appropriate activities and nutrition. Multiple residents affected by unmet needs and risks. Staffing shortages and inadequate care documented.
Deficiencies (16)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0641 - Accuracy of Assessments |
| F0645 - PASARR Screening for MD & ID |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0676 - Activities Daily Living (ADLs)/Mntn Abilities |
| F0677 - ADL Care Provided for Dependent Residents |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0684 - Quality of Care |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0725 - Sufficient Nursing Staff |
| F0805 - Food in Form to Meet Individual Needs |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 16
Apr 10, 2023
Visit Reason
Facility failed to provide written information about advance directives, maintain a clean environment, ensure timely grievance filing, develop comprehensive care plans, revise care plans timely, ensure range of motion and mobility equipment use, maintain RN coverage, ensure medication regimen free from unnecessary drugs, prevent medication errors, and maintain sanitary food storage. Multiple residents affected.
Findings
Facility failed to provide written information about advance directives, maintain a clean environment, ensure timely grievance filing, develop comprehensive care plans, revise care plans timely, ensure range of motion and mobility equipment use, maintain RN coverage, ensure medication regimen free from unnecessary drugs, prevent medication errors, and maintain sanitary food storage. Multiple residents affected.
Deficiencies (16)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0585 - Grievances |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 5
Mar 23, 2023
Visit Reason
Facility failed to develop and implement policies for reporting suspected crimes, thoroughly investigate allegations of abuse, and ensure resident safety. Immediate jeopardy was identified related to sexual abuse allegations. Investigation and removal plans were implemented.
Findings
Facility failed to develop and implement policies for reporting suspected crimes, thoroughly investigate allegations of abuse, and ensure resident safety. Immediate jeopardy was identified related to sexual abuse allegations. Investigation and removal plans were implemented.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 148
Deficiencies: 4
Sep 29, 2022
Visit Reason
Facility failed to notify resident representatives timely of changes in condition and falls. Multiple residents affected by lack of timely communication.
Findings
Facility failed to notify resident representatives timely of changes in condition and falls. Multiple residents affected by lack of timely communication.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Re-licensure
Capacity: 148
Deficiencies: 7
Feb 24, 2022
Visit Reason
Facility failed to timely follow dietician recommendations, maintain sanitary food handling and storage, ensure infection prevention and control including PPE use and designate a qualified infection preventionist. Multiple residents at risk for nutrition and infection control issues.
Findings
Facility failed to timely follow dietician recommendations, maintain sanitary food handling and storage, ensure infection prevention and control including PPE use and designate a qualified infection preventionist. Multiple residents at risk for nutrition and infection control issues.
Deficiencies (7)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0880 - Infection Prevention & Control |
| F0882 - Infection Preventionist Qualifications/Role |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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