Inspection Reports for
Avamere Rehabilitation of Lebanon
350 S. 8th, Lebanon, OR, 97355
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
30.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
354% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
36
27
18
9
0
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 2
Date: 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)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Capacity: 92
Deficiencies: 2
Date: Oct 31, 2025
Visit Reason
No deficiencies found during Complaint, Re-Licensure survey.
Findings
No deficiencies found during Complaint, Re-Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Capacity: 92
Deficiencies: 2
Date: Sep 10, 2025
Visit Reason
No deficiencies found during Complaint, Re-Licensure survey.
Findings
No deficiencies found during Complaint, Re-Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 18
Date: 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)
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
Date: 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)
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: 92
Deficiencies: 5
Date: May 23, 2025
Visit Reason
Facility failed to ensure wound care according to physician orders and timely admission assessment for a resident with an open surgical wound. Multiple deficiencies related to wound care, admission assessment, and administrative rules were cited. Some deficiencies were corrected but many remained not corrected at revisit.
Findings
Facility failed to ensure wound care according to physician orders and timely admission assessment for a resident with an open surgical wound. Multiple deficiencies related to wound care, admission assessment, and administrative rules were cited. Some deficiencies were corrected but many remained not corrected at revisit.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
M0000 - Initial Comments
M0106 - Admission Status, Prelim Plan & Assessment
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 4
Date: 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)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Date: Apr 16, 2025
Visit Reason
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 4
Date: Oct 1, 2024
Visit Reason
Facility failed to ensure interventions to prevent elopement, maintain resident dignity and privacy, provide timely care plans and assessments, and maintain safe environment. Multiple deficiencies related to resident safety, dignity, care planning, and administrative rules were cited. Some deficiencies were corrected but many remained not corrected at revisit.
Findings
Facility failed to ensure interventions to prevent elopement, maintain resident dignity and privacy, provide timely care plans and assessments, and maintain safe environment. Multiple deficiencies related to resident safety, dignity, care planning, and administrative rules were cited. Some deficiencies were corrected but many remained not corrected at revisit.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0689 - Free of Accident Hazards/Supervision/Devices
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Date: Aug 19, 2024
Visit Reason
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 36
Date: Aug 5, 2024
Visit Reason
Facility had 33 deficiencies related to resident rights, care planning, medication management, infection control, staffing, and environment. Many deficiencies were corrected at revisit but several remained not corrected. Deficiencies included failure to inform residents, provide self-administration assessments, maintain privacy, provide quality care, and maintain adequate staffing.
Findings
Facility had 33 deficiencies related to resident rights, care planning, medication management, infection control, staffing, and environment. Many deficiencies were corrected at revisit but several remained not corrected. Deficiencies included failure to inform residents, provide self-administration assessments, maintain privacy, provide quality care, and maintain adequate staffing.
Deficiencies (36)
F0000 - INITIAL COMMENTS
F0552 - Right to be Informed/Make Treatment Decisions
F0554 - Resident Self-Admin Meds-Clinically Approp
F0557 - Respect, Dignity/Right to have Prsnl Property
F0572 - Notice of Rights and Rules
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0583 - Personal Privacy/Confidentiality of Records
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0600 - Free from Abuse and Neglect
F0609 - Reporting of Alleged Violations
F0656 - Develop/Implement Comprehensive Care Plan
F0657 - Care Plan Timing and Revision
F0677 - ADL Care Provided for Dependent Residents
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0699 - Trauma Informed Care
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service
F0757 - Drug Regimen is Free from Unnecessary Drugs
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0761 - Label/Store Drugs and Biologicals
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed
F0806 - Resident Allergies, Preferences, Substitutes
F0847 - Entering into Binding Arbitration Agreements
F0880 - Infection Prevention & Control
F0881 - Antibiotic Stewardship Program
F0883 - Influenza and Pneumococcal Immunizations
F0919 - Resident Call System
F0947 - Required In-Service Training for Nurse Aides
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M0490 - ADMINISTRATOR
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 34
Date: 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)
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
Date: 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)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 4
Date: Feb 1, 2024
Visit Reason
Facility failed to honor resident's right to receive visitors of choice. Multiple citations related to visitation rights and administrative rules. Some deficiencies corrected but others remained not corrected at revisit.
Findings
Facility failed to honor resident's right to receive visitors of choice. Multiple citations related to visitation rights and administrative rules. Some deficiencies corrected but others remained not corrected at revisit.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0563 - Right to Receive/Deny Visitors
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Date: Oct 16, 2023
Visit Reason
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Capacity: 92
Deficiencies: 1
Date: Aug 21, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 11
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
F0000 - INITIAL COMMENTS
F0610 - Investigate/Prevent/Correct Alleged Violation
Loading inspection reports...



