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Avamere Health Services of Rogue Valley

625 Stevens Street, Medford, OR 97504 · Jackson County · (541) 779-3551

91 certified beds, about 66 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385024 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 22, 2025, inspectors cited 12 health deficiencies (the Oregon average is 9.2, the national average 9.2).

None of its 45 health citations since February 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.55 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.

31.1% of nursing staff left within the year CMS measured (Oregon average 47.4%).

CMS links it to Avamere, an affiliated group of 27 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 45 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
30D
15E
0F
Potential for minimal harm
0A
0B
0C
August 22, 2025Standard inspection, Complaint inspection · 12 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation and interview it was determined the facility failed to provide a safe and comfortable environment for 1 of 7 sampled residents (# 84) and 2 of 3 halls reviewed for environment. This placed residents at risk for discomfort and burns.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and observation it was determined the facility failed to store medications in a safe manner for 2 of 3 halls. This placed residents at risk for misuse of medications.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure staff followed transmission-based precautions and provided wound care in a sanitary manner for 2 of 3 halls reviewed for infection control and 1 of 1 sampled resident (#47) reviewed for pressure ulcers. This placed residents at risk for spread of infections.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review it was determined that the facility failed to report to the State Survey Agency allegations of verbal abuse for 1 of 1 sampled resident (#14) reviewed for dignity. This placed residents at risk for verbal abuse.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to investigate allegations of verbal abuse for 1 of 1 sampled resident (#14) reviewed for dignity. This placed residents at risk for verbal abuse. Resident 14 was admitted to the facility in 6/2025 with diagnoses including alcohol abuse and seizures. On 8/18/25 at 2:41 PM, Resident 14 stated she/he received a NOMNC (Notice of Medicare Non-Coverage) from the Social Service Director and a nurse. Resident 14 stated the nurse told her/him the facility was not a homeless shelter. Resident 14 stated she/he felt belittled by the comment, and she/he notified the administrator via email but did not hear back from the administrator. Resident 14 provided a copy of a NOMNC signed on 8/6/25 by Staff 4 (Social Service Director) and Staff 19 (LPN Infection Preventionist). [...]
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure care plans were revised to reflect resident-centered care for 1 of 1 sampled resident (#6) reviewed for behavior. This placed residents at risk for unmet needs.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to provide dental care to 1 of 2 sampled residents (#1) reviewed for ADLs. This placed residents at risk for unmet care needs.
  8. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to provide meaningful activities for 2 of 3 sampled residents (#s 2 and 3) reviewed for activities. This placed residents at risk for lack of social interaction and isolation.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to implement fall precautions for 2 of 4 sampled residents (#s 5 and 13) reviewed for accidents. This placed residents at risk for injuries related to falls.
  10. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interviews, observations, and record reviews it was determined the facility failed to maintain a healthy nutritional status for 1 of 2 sampled residents (#55) reviewed for nutrition. This placed residents at risk for malnutrition and weight loss.
  11. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on interview and record review the facility failed to treat resident's pain in accordance with resident preference for 1 of 2 sampled residents (#10) reviewed for pain. This placed residents at risk for unmanaged pain.
  12. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to obtain routine dental services for 1 of 2 sampled residents (#27) reviewed for dental care. This placed residents at risk for unmet dental needs.
April 19, 2024Standard inspection, Complaint inspection · 22 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to address with resident council grievances for 1 of 1 resident council reviewed for grievances. This placed residents at risk for unmet needs.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation and interview it was determined the facility failed to maintain a homelike environment for 1 of 1 facility reviewed for environment. This placed residents at risk for living in an unkempt environment.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wrote2. Resident 52 was admitted to the facility in 2024 with a diagnosis of pernicious anemia (inability of the body to absorb vitamin B12; left untreated it can cause irreversible damage to the nervous system). An 4/2024 MAR revealed Resident 52 was to be administered Folic Acid 400 micrograms QD for vitamin B12 deficiency. The MAR indicated the Folic Acid was not administered from 4/13/24 through 4/16/24. Progress Notes revealed the following: -4/13/24 Folic Acid-dose on order -4/14/24 Folic Acid-waiting on pharmacy to deliver -4/15/24 Folic Acid-waiting on pharmacy to dispense -4/16/24 Folic Acid-waiting on pharmacy to dispense On 4/17/24 at 3:50 PM Staff 10 (LPN Unit Manager) stated Folic Acid 400 micrograms was an over-the-counter medication which was available in the central supply closet and should have been administered. [...]
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to maintain water temperatures below 120 F for 3 of 4 resident bathrooms (room [ROOM NUMBER], 108, 111) reviewed for hot water and follow care plan interventions, assess for care plan effectiveness, identify and implement new fall interventions and provide adequate supervision needed to prevent falls for 1 of 4 sampled residents (#6) reviewed for falls. This placed residents at risk for injury.
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to have adequate staff available to timely meet the needs of residents for 3 of 18 sampled residents (#s 32, 60 and 160) and for 2 of 3 wings (Wings 1 and 2). This placed residents at risk for unmet needs.
  6. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview, and record review, it was determined the facility failed to post accurate and complete staffing information for 1 of 1 facility reviewed for staffing. This placed residents at risk for incomplete and inaccurate staffing information.
  7. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to handle and prepare food in a sanitary manner for 1 of 1 kitchen reviewed for sanitary practices. This placed residents at risk for food-borne illness.
  8. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were treated with dignity for 1 of 4 sampled residents (#52) reviewed for dignity. This placed residents at risk for lack of self-worth.
  9. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to treat residents with respect for 1 of 1 sampled resident (#63) reviewed for abuse and call lights. This placed residents at risk for lack of dignified treatment.
  10. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure grievances were resolved or resolutions sustained for 2 of 3 sampled residents (#s 7 and 29) reviewed for grievances and care planning. This placed residents at risk for unresolved concerns.
  11. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents were free from abuse for 1 of 1 sampled resident (#19) reviewed for abuse. This placed residents at risk for abuse.
  12. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to assess a resident for a significant change in condition for 1 of 4 sampled residents (#6) reviewed for falls. This placed residents at risk for unmet care needs.
  13. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure care plans were revised to accurately reflect the needs of residents for 1 of 1 sampled resident (#7) reviewed for care plans. This placed residents at risk for unmet needs.
  14. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain healthy parameters of nutritional status for 3 of 6 residents (#s 32, 60 and 358) reviewed for nutrition. This placed residents at risk for weight loss.
  15. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure ongoing communication with the dialysis center for 1 of 2 sampled residents (#63) reviewed for rehab. This placed residents at risk for dialysis complications.
  16. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's medication was available for administration for 1 of 4 sampled residents (#52) reviewed for dignity. This placed residents at risk for an ineffective medication regimen.
  17. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was it was determined the facility failed to ensure a medication error rate of less than 5%. The facility administration error rate was 7% with two errors in 27 opportunities. This placed residents at risk for an ineffective medication regimen.
  18. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure menus were followed for 2 of 4 sampled residents (#s 8 and 40) reviewed for food. This placed residents at risk for unmet food preferences.
  19. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide assistive devices for 1 of 5 sampled residents (#8) reviewed for nutrition. This placed residents at risk for unmet needs.
  20. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure records were accurate for 1 of 6 sampled residents (#44) reviewed for unnecessary medications. This placed residents at risk for inaccurate treatment.
  21. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to monitor antibiotic use for 1 of 1 resident (#1) reviewed for antibiotic stewardship. This placed residents at risk for unnecessary medications.
  22. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 4, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents were assessed prior to prescription and use of psychotropic medications for 1 of 6 sampled residents (#29) reviewed for unnecessary medications. This placed residents at risk for over-sedation.
February 24, 2023Standard inspection · 11 citations
  1. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide a qualified professional to direct the activities program for 1 of 1 facility reviewed for activities. This placed residents at risk for unmet activity needs.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents' environment remained free from accident hazards and smoking materials were stored securely for 5 of 5 sampled residents (#s 10, 12, 22, 27 and 39) reviewed for accidents. This placed residents at risk for accidents.
  3. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the required annual CNA training and annual performance reviews were completed for 3 of 5 sampled CNA staff (#s 12, 13, and 14) reviewed for staffing. This placed residents at risk for unmet needs.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed ensure food was labeled and stored in a way to minimize food spoilage, failed to maintain a clean and sanitary environment for the kitchen refrigerator and ensure dishwasher chemical solution was maintained at correct concentration for 1 of 1 kitchen reviewed for sanitary conditions. This placed residents at risk of foodborne illness.
  5. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure there was a functioning and audible call light system for 1 of 3 wings (Wing 2) reviewed for call lights. This placed residents at risk for unmet needs.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 2 sampled residents (#36) reviewed for resident-to-resident abuse. This placed residents at risk for abuse and psychosocial harm.
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to revise a care plan for 1 of 1 sampled resident (#15) reviewed for pressure ulcers. This placed residents at risk for unmet care needs.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to reassess causes and interventions and provide medications for 1 of 1 sampled resident (#15) reviewed for pressure ulcers. This placed residents at risk for inappropriate wound care and infections.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to monitor and assess weight loss for 1 of 2 sampled residents (#24) reviewed for nutrition. This placed residents at risk for weight loss.
  10. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on observation, record review and interview it was determined the facility failed to have adequate staff available to meet the needs of residents for 1 of 3 wings (Wing 2). This placed residents at risk of unmet needs.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 29, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure medical records were complete, accurate and readily accessible for 1 of 5 sampled residents (#15) reviewed for medications. This place residents at risk for unmet care needs.

Fire safety inspections

10 fire safety citations on file: 5 on April 19, 2024, 5 on February 24, 2023.

Every fire safety citation10 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · April 19, 2024 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · April 19, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 19, 2024 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 19, 2024 · Corrected (the home has a date of correction)
  5. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 19, 2024 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 24, 2023 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 24, 2023 · Corrected (the home has a date of correction)
  8. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · February 24, 2023 · Corrected (the home has a date of correction)
  9. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 24, 2023 · Corrected (the home has a date of correction)
  10. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 24, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)4.555.033.86
Registered nurses0.330.720.69
All nursing staff on weekends4.054.513.42
Nurse aides3.11
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)31.1%47.4%45.8%
Registered nurse turnover80.0%51.6%42.9%
Administrators who left0

CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.75 on weekdays and 4.05 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.56 in April to June 2025 to 4.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.550.334.754.05 0.0%0 of 9066
Oct to Dec 20254.560.344.734.12 0.0%1 of 9260
Jul to Sep 20254.390.334.494.12 0.0%1 of 9263
Apr to Jun 20254.560.424.734.14 0.0%0 of 9165
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oregon, Jan to Mar 20264.910.645.124.406.2%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Oregon

JobMedianMiddle halfEmployed
Oregon, all employers
CNAs (nursing assistants)$23.96$22.83 to $28.4014,800
LPNs and LVNs$38.69$35.11 to $43.604,260
Registered nurses$62.02$51.55 to $64.6339,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOregonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.314.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.22.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.52.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
40.020.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.45.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.013.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.821.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.016.112.0

Owners and operators

Legal business name: MEDFORD OPERATIONS, LLC. CMS links this home to Avamere, a group of 27 nursing homes averaging 3 stars overall.

NameRoleTypeShareSince
Kahn, KarenContracted managing employeeIndividual10/01/2008
Judd, ChaseW-2 managing employeeIndividual01/03/2022
Kofstad, MaryCorporate officerIndividual02/13/2024
Simpson, AndrewCorporate officerIndividual06/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on August 22, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on August 22, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on August 22, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 22, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.05 hours per resident per day, below the Oregon average of 4.51.

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Common questions

What is Avamere Health Services of Rogue Valley's Medicare star rating?
CMS rates Avamere Health Services of Rogue Valley 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avamere Health Services of Rogue Valley get at its last inspection?
12 health deficiencies at the standard inspection on August 22, 2025. The Oregon average is 9.2.
Has Avamere Health Services of Rogue Valley been fined?
CMS lists no fines in the last three years.
Does Avamere Health Services of Rogue Valley accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avamere Health Services of Rogue Valley?
CMS lists 4 owners and managers, and links the home to Avamere. Legal business name: MEDFORD OPERATIONS, LLC.

Sources

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