Inspection Reports for Avamere Rehabilitation of Lebanon

350 S. 8th, OR, 97355

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 18.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

175% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

36 27 18 9 0
2021
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 2 Nov 14, 2025
Visit Reason
Complaint and re-licensure survey with no deficiencies but two citations with findings not corrected at visit.
Findings
Complaint and re-licensure survey with no deficiencies but two citations with findings not corrected at visit.
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 18 Sep 8, 2025
Visit Reason
Complaint, re-licensure, and recertification survey with 15 deficiencies including issues with resident rights, discharge process, comprehensive assessments, ADL care, quality of care, accident hazards, nurse aide training, behavioral health services, medication labeling, dental services, garbage disposal, facility assessment, infection prevention, and staffing. Many deficiencies were corrected at first visit but not corrected at second visit.
Findings
Complaint, re-licensure, and recertification survey with 15 deficiencies including issues with resident rights, discharge process, comprehensive assessments, ADL care, quality of care, accident hazards, nurse aide training, behavioral health services, medication labeling, dental services, garbage disposal, facility assessment, infection prevention, and staffing. Many deficiencies were corrected at first visit but not corrected at second visit.
Deficiencies (18)
Description
F0000 - INITIAL COMMENTS
F0572 - Notice of Rights and Rules
F0628 - Discharge Process
F0636 - Comprehensive Assessments & Timing
F0676 - Activities Daily Living (ADLs)/Mntn Abilities
F0677 - ADL Care Provided for Dependent Residents
F0684 - Quality of Care
F0689 - Free of Accident Hazards/Supervision/Devices
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service
F0740 - Behavioral Health Services
F0761 - Label/Store Drugs and Biologicals
F0791 - Routine/Emergency Dental Srvcs in NFs
F0814 - Dispose Garbage and Refuse Properly
F0838 - Facility Assessment
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 6 Jul 22, 2025
Visit Reason
Complaint and licensure complaint survey with 3 deficiencies related to grievances, misappropriation/exploitation, and sufficient nursing staff. Most deficiencies corrected at revisit.
Findings
Complaint and licensure complaint survey with 3 deficiencies related to grievances, misappropriation/exploitation, and sufficient nursing staff. Most deficiencies corrected at revisit.
Deficiencies (6)
Description
F0000 - INITIAL COMMENTS
F0585 - Grievances
F0602 - Free from Misappropriation/Exploitation
F0725 - Sufficient Nursing Staff
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 4 May 5, 2025
Visit Reason
Complaint and licensure complaint survey with 1 deficiency related to resident rights and exercise of rights. Deficiencies not corrected at revisit.
Findings
Complaint and licensure complaint survey with 1 deficiency related to resident rights and exercise of rights. Deficiencies not corrected at revisit.
Deficiencies (4)
Description
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 34 Jul 19, 2024
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 34 deficiencies including issues with resident rights, medication consent, care planning, staffing, abuse prevention, dietary services, infection control, and more. Many deficiencies not corrected at revisit.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 34 deficiencies including issues with resident rights, medication consent, care planning, staffing, abuse prevention, dietary services, infection control, and more. Many deficiencies not corrected at revisit.
Deficiencies (34)
Description
F0000 - INITIAL COMMENTS
F0552 - Right to be Informed/Make Treatment Decisions
F0553 - Right to Participate in Planning Care
F0561 - Self-Determination
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0600 - Free from Abuse and Neglect
F0610 - Investigate/Prevent/Correct Alleged Violation
F0657 - Care Plan Timing and Revision
F0677 - ADL Care Provided for Dependent Residents
F0679 - Activities Meet Interest/Needs Each Resident
F0684 - Quality of Care
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0698 - Dialysis
F0725 - Sufficient Nursing Staff
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service
F0732 - Posted Nurse Staffing Information
F0756 - Drug Regimen Review, Report Irregular, Act On
F0757 - Drug Regimen is Free from Unnecessary Drugs
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0805 - Food in Form to Meet Individual Needs
F0806 - Resident Allergies, Preferences, Substitutes
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
F0925 - Maintains Effective Pest Control Program
F0947 - Required In-Service Training for Nurse Aides
M0000 - Initial Comments
M0141 - Employees Reference Checks and Verifications
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 2 Jun 10, 2024
Visit Reason
Complaint, licensure complaint, and state licensure survey with no deficiencies but two citations with findings not corrected at visit.
Findings
Complaint, licensure complaint, and state licensure survey with no deficiencies but two citations with findings not corrected at visit.
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 11 Mar 24, 2023
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 7 deficiencies including issues with comprehensive assessments, ADL care, nursing staff sufficiency, infection prevention, and person-centered care planning. Some deficiencies corrected at revisit but others remained.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 7 deficiencies including issues with comprehensive assessments, ADL care, nursing staff sufficiency, infection prevention, and person-centered care planning. Some deficiencies corrected at revisit but others remained.
Deficiencies (11)
Description
F0000 - INITIAL COMMENTS
F0636 - Comprehensive Assessments & Timing
F0677 - ADL Care Provided for Dependent Residents
F0725 - Sufficient Nursing Staff
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M0141 - Employees Reference Checks and Verifications
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Capacity: 84 Deficiencies: 6 Feb 15, 2022
Visit Reason
Re-licensure, recertification, and state licensure survey with 4 deficiencies including issues with comprehensive care plans, ADL care, infection prevention and control, and administrative rules. Some deficiencies corrected at revisit but others remained.
Findings
Re-licensure, recertification, and state licensure survey with 4 deficiencies including issues with comprehensive care plans, ADL care, infection prevention and control, and administrative rules. Some deficiencies corrected at revisit but others remained.
Deficiencies (6)
Description
F0000 - INITIAL COMMENTS
F0656 - Develop/Implement Comprehensive Care Plan
F0677 - ADL Care Provided for Dependent Residents
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 7 Sep 27, 2021
Visit Reason
Complaint, licensure complaint, and state licensure survey with 4 deficiencies including issues with wound care, sufficient nursing staff, minimum licensed nurse staff, and minimum CNA staffing. Some deficiencies corrected at revisit but others remained.
Findings
Complaint, licensure complaint, and state licensure survey with 4 deficiencies including issues with wound care, sufficient nursing staff, minimum licensed nurse staff, and minimum CNA staffing. Some deficiencies corrected at revisit but others remained.
Deficiencies (7)
Description
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
F0725 - Sufficient Nursing Staff
M0000 - Initial Comments
M0182 - Nursing Services:Minimum Licensed Nurse Staff
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 84 Deficiencies: 2 Aug 31, 2021
Visit Reason
Complaint, licensure complaint, and state licensure survey with 2 deficiencies related to initial comments and investigation of alleged violation. Some deficiencies corrected at revisit but others remained.
Findings
Complaint, licensure complaint, and state licensure survey with 2 deficiencies related to initial comments and investigation of alleged violation. Some deficiencies corrected at revisit but others remained.
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
F0610 - Investigate/Prevent/Correct Alleged Violation

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