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Avamere Rehabilitation of Eugene

2360 Chambers Street, Eugene, OR 97405 · Lane County · (541) 687-1310

92 certified beds, about 63 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385053 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 20, 2026, inspectors cited 12 health deficiencies (the Oregon average is 9.2, the national average 9.2).

Of 52 health citations since January 2020, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $36,472 in the last three years; the largest was $36,472, and the latest is dated August 5, 2024.

Nurses and nurse aides worked 5.09 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

36.5% 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 52 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
42D
9E
0F
Potential for minimal harm
0A
0B
0C
March 30, 2026Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2026
    Inspectors wroteBased on interview and record review, it was determined the facility failed to timely report an allegation of potential neglect to the State Agency for 1 of 1 sampled resident (#3) reviewed for CPR. This placed residents at risk of neglect.
  2. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · 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) April 17, 2026
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure a safe and orderly discharge was provided for 1 of 3 sampled residents (#8) reviewed for discharge. This placed residents at risk for an unsafe discharge.
January 20, 2026Standard inspection, Complaint inspection · 12 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to maintain medical records for 2 of 3 sampled residents (#s 6 and 37) reviewed for advanced directives. This placed residents at risk for incomplete medical records.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure laundry was cleaned and sorted in a safe manner for 1 of 1 laundry rooms reviewed for infection control. This places residents at risk for exposure to mold and bacteria.
  3. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents or resident representatives received education regarding the potential side effects of the pneumococcal and influenza vaccines for 5 of 5 sampled residents (#s 3, 10, 13, 14, and 30) reviewed for immunizations. This placed residents at risk for lack of information.
  4. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents or resident representatives received education regarding the potential side effects of the COVID-19 vaccine for 5 of 5 sampled residents (#s 3, 10, 13, 14, and 30) reviewed for immunizations. This placed residents at risk for lack of information.
  5. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident's rights to make decisions regarding her medication administration for 1 of 1 of resident (# 25) reviewed for insulin. This place residents at risk for not being able to make choices about their health care.
  6. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interviews and record review it was determined the facility failed to ensure advanced directives were completed per resident preference for 2 of 3 sample residents (#s 6 and 37) reviewed for advanced directives. This placed residents at risk for healthcare decisions to conflict with resident wishes.
  7. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident was free of unnecessary psychotropic medications for 1 or 1 resident (#15) reviewed for pain management. This placed residents at risk for receiving unnecessary psychotropic medications and chemical restraint.
  8. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observations, interview, and record review it was determined the facility failed to report allegations of abuse and neglect to the State Survey Agency for 1 of 3 sampled residents (#60) reviewed for abuse and accidents. This placed residents at risk for further abuse and neglect.
  9. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide care-planned eating assistance for 1 of 4 sampled residents (#14) reviewed for nutrition. This placed residents at risk for reduced nutritional intake and decline in positioning.
  10. 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 · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to provide ADL care to dependent residents for 1 of 1 sampled resident (#11) reviewed for ADLs. This placed residents at risk for lack of nail care.
  11. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure staff provided two-person assistance when transferring a resident and failed to ensure a environment remained free from accident hazards for 2 of 4 sampled resident (#s 31 and 42) reviewed for accidents. This placed residents at risk for accidents.
  12. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to provide specialized rehabilitation services for 1 of 2 sampled residents (#31) reviewed for positioning. This placed residents at risk for decline in physical ability.
May 23, 2025Complaint inspection · 1 citation
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 5, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident received wound care according to physician orders for 1 of 3 sampled residents (#102) reviewed for wound care. This placed residents at risk for worsening wounds or infection.
October 1, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure interventions to prevent a resident's elopement were in place for 1 of 3 sampled residents (#315) reviewed for accidents. This placed residents at risk for lack of a safe enviroment.
August 5, 2024Standard inspection, Complaint inspection · 31 citations
  1. K
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow appropriate infection control procedures, had delayed infection control implementation, inappropriate cohorting of residents for 1 of 1 facility. This deficient practice was determined to be an immediate jeopardy situation and the deficiency resulted in the spread of COVID 19. This placed residents at risk for continued spread of potential deadly infectious diseases.
  2. E
    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, pattern · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to update care plans for 4 of 11 sampled residents (#s 4, 15, 18, and 48) reviewed for UTIs, medications, ADLs, and accidents. This placed residents at risk for unmet care needs.
  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) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow-up with pain medication, perform neuro checks, follow physician orders and perform wound assessments for 5 of 10 sampled residents (#s 4, 15, 42, 163, and 165) reviewed for pain, accidents, UTI, and hospice. This placed residents at risk for unmet care needs.
  4. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · 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) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNAs received 12 hours of training for 3 of 5 sampled staff (#s 3, 4, and 7) reviewed for staffing.
  5. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to inform residents of the risks and benefits of psychotropic medication use for 1 of 5 sampled resident (#12) reviewed for medications. This placed residents at risk for being uniformed.
  6. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to assess a resident's ability to self-administer medications for 1 of 1 sampled resident (#11) reviewed for respiratory care. This placed residents at risk for improper medication administration.
  7. 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) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were treated in a dignified manner for 1 of 3 sampled residents (#265) reviewed for dignity. This placed residents at risk for psychosocial harm.
  8. D
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide rules and regulations governing resident conduct and responsibilities for 1 of 3 sampled residents (#214) reviewed for food. This placed residents at risk for being unformed about rules for resident conduct.
  9. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to obtain information related to advance directives and health care decisions for 2 of 3 sampled residents (#s 12 and 18) reviewed for advance directives. This placed residents at risk for not having their health care decisions honored.
  10. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to notify family for 2 of 4 sampled residents (#s 4 and 266) reviewed for notification. This placed resident representatives at risk for lack of being informed.
  11. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to maintain resident rights to privacy for 2 of 5 sampled residents (#s 263 and 265) reviewed for dignity and privacy. This placed residents at risk for psychosocial harm.
  12. D
    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, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide a comfortable and homelike environment for 1 of 4 sampled residents (#48) reviewed for ADLS. This placed residents at risk for an unhomelike living environment.
  13. 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) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from neglect for 1 of 1 sampled resident (#264) reviewed for accidents. This place residents at risk for neglect.
  14. 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 · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to report an allegation of neglect to the appropriate State Agency within two hours for 1 of 1 sampled resident (#264) reviewed for accidents. This placed residents at risk for abuse and neglect.
  15. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to implement a comprehensive care plan for 3 of 9 sampled residents (#s 2, 165, and 266) reviewed for medications, accidents, and hospice. This placed residents at risk for unmet care needs.
  16. 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 · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide care and services to maintain good grooming and hygiene for 2 of 4 sampled residents (#s 48 and 164) reviewed for ADLs. This placed residents at risk for unmet needs.
  17. 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) August 27, 2024
    Inspectors wroteBased on interview, and record review it was determined the facility failed to investigate a new facility acquired pressure ulcer for 1 of 2 sampled residents (#20) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers.
  18. 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 · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure windows on the first floor locked for 1 of 1 sampled resident (#163) reviewed for accidents. This placed residents at risk for an unsecured environment.
  19. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide adequate care for 2 of 3 sampled residents (#s 4 and 266) reviewed for UTIs. This placed residents at risk for UTIs. 1. Resident 4 was admitted to the facility in 1/2024 with a diagnosis of MS (multiple sclerosis: lack of electrical impulses from the brain to the body creating impaired body functions). A 1/26/24 admission MDS revealed Resident 4 had a urinary catheter (medical tubing inserted in the bladder to drain urine) and staff were to ensure the urine flowed to prevent UTIs. A 7/2024 TAR and associated Progress Notes revealed staff were to flush (instill sterile fluid to prevent the tubing from clogging) Resident 4's urinary catheter on Monday, Wednesday, and Fridays. From 7/1/24 through 7/19/24 staff had eight opportunities to flush the catheter. [...]
  20. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents' respiratory equipment was maintained for 3 of 6 sampled residents (#s 11, 164 and 267) reviewed for respiratory, ADLs and dialysis. This placed residents at risk for respiratory issues.
  21. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to evaluate and provide person centered interventions for 1 of 1 sampled resident (#51) reviewed for mood and behavior. This place residents at risk for re-traumatization.
  22. D
    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, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to complete nurse aide performance reviews every twelve months for 3 of 5 sampled CNAs (#s 3, 4, and 7) reviewed for staffing.
  23. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide monitoring for anticoagulant medications for 1 of 5 sampled residents (#18) reviewed for medications. This placed residents at risk for unidentified medication adverse side effects.
  24. 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 · Corrected (the home has a date of correction) October 2, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to attempt a gradual dose reduction and montior for psychotropic medications for 2 of 5 sampled residents (#s 12 and 15) reviewed for medications. this placed residents at risk for adverse medication reactions.
  25. D
    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, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a treatment cart was locked for 1 of 2 units (Shasta Unit). This placed residents at risk for injury.
  26. 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) August 27, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to prepare therapeutic diets for 1 of 3 sampled residents (#267) reviewed for nutrition. This placed residents at risk for compromised nutrition.
  27. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to provide food according to residents' meal preferences for 2 of 5 sampled residents (#s 1 and 214) reviewed for food. This placed residents at risk for lack of meal satisfaction.
  28. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents understood the meaning of an arbitration agreement (disputes are resolved with a neutral party and not in court) for 3 of 3 sampled residents (#s 9, 53, and 165) reviewed for arbitration. This placed residents at risk for being uninformed of their legal rights.
  29. 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) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure antibiotics were indicated for 1 of 3 sampled residents (#4) reviewed for UTIs. This placed residents at risk for developing drug resistant organisms.
  30. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide immunizations, consents and declinations for 3 of 5 sampled residents (#s 3, 20, and 22) reviewed for immunizations. This placed residents at risk for infections.
  31. D
    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, isolated · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a call light was accessible for 2 of 3 sampled residents (#s 20 and 48) reviewed for hospice and pressure ulcers. This placed resident at risk for unmet needs.
February 1, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
    F563 · 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) February 27, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to honor the right to receive visitors of his or her choice for 1 of 3 sampled residents (#4) reviewed for visitation. This placed residents at risk for lack of visitation.
January 31, 2020Standard inspection · 4 citations
  1. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 1, 2020
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide follow-up documentation on advance directives for 4 of 4 sampled residents (#s 28, 50, 63 and 67) reviewed for advanced directive. This placed residents at risk for being uninformed of their medical rights.
  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) March 1, 2020
    Inspectors wroteBased on observation and interview it was determined the facility failed to provide a clean and homelike environment for 9 of 10 sampled bathrooms in resident rooms (#s 513, 515, 520, 522, 528, 530, 532, 533 and 534) and a clean floor in room [ROOM NUMBER] reviewed for environment. This placed residents at risk for an unhomelike environment.
  3. 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 · Corrected (the home has a date of correction) March 1, 2020
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received the necessary services to maintain grooming for 1 of 1 sampled resident (#66) reviewed for ADLs. This placed residents at risk for unmet grooming needs.
  4. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2020
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide restorative assistance services for a contracture for 1 of 2 sampled residents (#42) reviewed for range of motion.

Fire safety inspections

10 fire safety citations on file: 2 on January 20, 2026, 5 on August 5, 2024, 3 on January 31, 2020.

Every fire safety citation10 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 20, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 20, 2026 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 5, 2024 · Corrected (the home has a date of correction)
  4. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 5, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 5, 2024 · Corrected (the home has a date of correction)
  6. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 5, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 5, 2024 · Corrected (the home has a date of correction)
  8. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · January 31, 2020 · Corrected (the home has a date of correction)
  9. F
    Have power receptacles that are properly grounded.
    K 912 · January 31, 2020 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 31, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 5, 2024Fine $36,472
August 5, 2024Payment Denial 14 days from September 20, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)5.095.033.86
Registered nurses0.390.720.69
All nursing staff on weekends4.554.513.42
Nurse aides3.48
Licensed practical nurses1.21
Nursing staff turnover (share who left in a year)36.5%47.4%45.8%
Registered nurse turnover60.0%51.6%42.9%
Administrators who left1

CMS expects 3.59 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 5.30 on weekdays and 4.55 on weekends, 14% 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 5.12 in April to June 2025 to 5.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.090.395.304.55 0.0%0 of 9063
Oct to Dec 20255.050.355.254.53 0.6%1 of 9262
Jul to Sep 20255.530.485.794.87 0.0%0 of 9258
Apr to Jun 20255.120.545.384.44 1.2%0 of 9158
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
18.914.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.51.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.82.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.12.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.61.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.620.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.15.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.713.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.121.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.816.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.22.41.8

Owners and operators

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

NameRoleTypeShareSince
Dillon, Richard5% or greater indirect ownership interestIndividual31%01/01/2017
Odermott, Ronald5% or greater indirect ownership interestIndividual6%01/01/2017
Haskins, DamienW-2 managing employeeIndividual05/01/2019
Dillon, RichardCorporate directorIndividual01/01/2017
Haskins, DamienCorporate directorIndividual05/01/2019
Miller, KarlCorporate directorIndividual01/01/2017
Dillon, RichardCorporate officerIndividual01/01/2017
Odermott, RonaldCorporate officerIndividual01/01/2017
Avamere Health Services LLCOperational/managerial controlOrganization01/01/2017

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 15 problems in this area, most recently on January 20, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 14 problems in this area, most recently on March 30, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on January 20, 2026: "Provide and implement an infection prevention and control program."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on March 30, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Common questions

What is Avamere Rehabilitation of Eugene's Medicare star rating?
CMS rates Avamere Rehabilitation of Eugene 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avamere Rehabilitation of Eugene get at its last inspection?
12 health deficiencies at the standard inspection on January 20, 2026. The Oregon average is 9.2.
Has Avamere Rehabilitation of Eugene been fined?
Yes. CMS lists 1 fine totaling $36,472 in the last three years.
Does Avamere Rehabilitation of Eugene 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 Rehabilitation of Eugene?
CMS lists 9 owners and managers, and links the home to Avamere. Legal business name: EUGENE REHABILITATION, LLC.

Sources

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