Federal inspection record · CMS data as of October 1, 2026

Avamere At Three Fountains

835 Crater Lake Avenue, Medford, OR · (541) 773-7717

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
117
Residents per day
76
Ownership
For-Profit
Chain
Avamere
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1975

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Oregon homes

Avamere At Three Fountains carries 37 inspection points. That is fewer than 69% of Oregon's 126 rated homes.

5★4★3★2★1★+4 homes above 169.2505102550100inspection points → fewer is better on the leftThis home · 37 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–14 pts
  • 4★ 14–41 pts
  • 3★ 41–65 pts
  • 2★ 65–95.25 pts
  • 1★ over 95.25 pts

Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 3 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 1, 2024 · Complaint inspection · Resident Assessment and Care Planning · F658 · Corrected August 30, 2023

  2. G

    Ensure that residents are free from significant medication errors.

    April 1, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected August 30, 2023

Everything else, by area of care

Quality of Life and Care8D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 9, 2026 · Standard · F677 · Corrected August 6, 2026

  2. D

    Provide activities to meet all resident's needs.

    July 9, 2026 · Standard · F679 · Corrected August 6, 2026

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 9, 2026 · Standard · F695 · Corrected August 6, 2026

  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.

    January 16, 2025 · Standard · F688 · Corrected February 14, 2025

  5. D

    Provide activities to meet all resident's needs.

    August 25, 2023 · Standard · F679 · Corrected September 30, 2023

  6. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 25, 2023 · Standard · F686 · Corrected September 30, 2023

  7. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    August 25, 2023 · Standard · F744 · Corrected September 30, 2023

  8. D

    Provide or obtain dental services for each resident.

    August 25, 2023 · Standard · F791 · Corrected September 30, 2023

Infection Control4F
  1. E

    Provide and implement an infection prevention and control program.

    July 9, 2026 · Standard · F880 · Corrected August 6, 2026

  2. F

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Standard · F880 · Corrected February 14, 2025

  3. D

    Implement a program that monitors antibiotic use.

    January 16, 2025 · Standard · F881 · Corrected February 14, 2025

  4. E

    Provide and implement an infection prevention and control program.

    August 25, 2023 · Standard · F880 · Corrected September 30, 2023

Resident Rights3D
  1. 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.

    July 9, 2026 · Standard · F584 · Corrected August 6, 2026

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    January 16, 2025 · Standard · F554 · Corrected February 14, 2025

  3. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    August 25, 2023 · Standard · F554 · Corrected September 30, 2023

Environmental2E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    August 25, 2023 · Standard · F921 · Corrected September 30, 2023

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    August 25, 2023 · Standard · F919 · Corrected September 30, 2023

Nursing and Physician Services1D
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    January 16, 2025 · Standard · F947 · Corrected February 14, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    April 1, 2024 · Complaint · F602 · Corrected November 27, 2023

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 25, 2023 · Standard · F812 · Corrected September 30, 2023

Resident Assessment and Care Planning1D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 25, 2023 · Standard · F657 · Corrected September 30, 2023

Pharmacy Service1D
  1. 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.

    August 25, 2023 · Standard · F758 · Corrected September 30, 2023

Inspection history

  1. 2026-07-09

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2025-01-16

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Infection Control (2 deficiencies)

  3. 2023-08-25

    14 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 14 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

5 h 14 min

Oregon average

5 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 40% of nursing staff and 43% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better0.51.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts better0.52.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts better100.0%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts better97.7%94.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better1.2%2.4%3.2%
Percentage of long-stay residents who have depressive symptoms4.3 pts better0.6%4.9%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts better4.4%4.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better11.6%12.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.8 pts better4.5%14.3%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse18.9%18.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse14.8%14.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better0.0%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better1.9%2.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10 pts better10.8%20.8%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better4.5%5.6%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts better96.7%85.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.8 pts better7.2%16.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.3%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better92.2%80.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts better17.5%21.9%23.4%

·

Who owns and runs it

77 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Aequor Healthcare Services, LLCAdp Of The SNF · Organization0%2 facilities
Avamere Health Services LLCOperational/Managerial Control · Organization0%20 facilities
Avamere Health Services LLCAdp Of The SNF · Organization0%20 facilities
Avamere Skilled Advisors LLCOperational/Managerial Control · Organization0%17 facilities
Avamere Skilled Advisors LLCAdp Of The SNF · Organization0%17 facilities
Becerra, ShannonOperational/Managerial Control · Individual0%4 facilities
Becerra, ShannonAdp Of The SNF · Individual0%4 facilities
Bothwell, MarlonOperational/Managerial Control · Individual0%1 facilities
Bothwell, MarlonAdp Of The SNF · Individual0%1 facilities
Brockbank, LoriAdp Of The SNF · Individual0%1 facilities
Cavallo, GlenManaging Control - Governing Body · Individual0%17 facilities
Consolidated Billing Services IncAdp Of The SNF · Organization0%10 facilities
Feakin, CodyManaging Control - Governing Body · Individual0%17 facilities
Feakin, CodyOperational/Managerial Control · Individual0%17 facilities
Feakin, CodyAdp Of The SNF · Individual0%17 facilities
Fowler, KatherineOperational/Managerial Control · Individual0%10 facilities
Fowler, KatherineAdp Of The SNF · Individual0%10 facilities
Funderberg, MichelleManaging Control - Governing Body · Individual0%17 facilities
Funderberg, MichelleAdp Of The SNF · Individual0%17 facilities
Games, KimAdp Of The SNF · Individual0%17 facilities
Haskins, DamienManaging Control - Governing Body · Individual0%8 facilities
Haskins, DamienAdp Of The SNF · Individual0%8 facilities
Hill, KevinManaging Control - Governing Body · Individual0%11 facilities
Hill, KevinAdp Of The SNF · Individual0%11 facilities
Hoskins, ToniaManaging Control - Governing Body · Individual0%13 facilities
Hoskins, ToniaAdp Of The SNF · Individual0%13 facilities
Incovate Solutions, LLCAdp Of The SNF · Organization0%8 facilities
Inskeep, ToddManaging Control - Governing Body · Individual0%17 facilities
Inskeep, ToddAdp Of The SNF · Individual0%17 facilities
Kahn, KarenOperational/Managerial Control · Individual0%6 facilities
Kahn, KarenAdp Of The SNF · Individual0%6 facilities
Kevala Technologies, IncAdp Of The SNF · Organization0%4 facilities
Kofstad, MaryManaging Control - Governing Body · Individual0%22 facilities
Kofstad, MaryOperational/Managerial Control · Individual0%22 facilities
Kofstad, MaryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%22 facilities
Kofstad, MaryAdp Of The SNF · Individual0%22 facilities
Loewen, MichelleOperational/Managerial Control · Individual0%3 facilities
Loewen, MichelleAdp Of The SNF · Individual0%3 facilities
Midcap Finco LLC5% Or Greater Security Interest · Organization0%19 facilities
Midcap Finco LLCOperational/Managerial Control · Organization0%19 facilities
Moss Adams LlpAdp Of The SNF · Organization0%32 facilities
Munro, JolynnManaging Control - Governing Body · Individual0%9 facilities
Munro, JolynnOperational/Managerial Control · Individual0%9 facilities
Munro, JolynnAdp Of The SNF · Individual0%9 facilities
National Staffing Solutions, IncAdp Of The SNF · Organization0%3 facilities
Okoli, IkeManaging Control - Governing Body · Individual0%12 facilities
Pioneer Healthcare Services, LLCAdp Of The SNF · Organization0%1 facilities
Polson, JustinManaging Control - Governing Body · Individual0%9 facilities
Polson, JustinAdp Of The SNF · Individual0%9 facilities
Powelson, MicheleManaging Control - Governing Body · Individual0%11 facilities
Powelson, MicheleOperational/Managerial Control · Individual0%11 facilities
Powelson, MicheleAdp Of The SNF · Individual0%11 facilities
Presley, YolandaOperational/Managerial Control · Individual0%17 facilities
Presley, YolandaAdp Of The SNF · Individual0%17 facilities
Prevatt, NaomiOperational/Managerial Control · Individual0%1 facilities
Prevatt, NaomiAdp Of The SNF · Individual0%1 facilities
Rande Holdings, LLCAdp Of The SNF · Organization0%10 facilities
Reid, MistyManaging Control - Governing Body · Individual0%17 facilities
Reid, MistyOperational/Managerial Control · Individual0%17 facilities
Reid, MistyAdp Of The SNF · Individual0%17 facilities
Sabra Health Care Limited PartnershipAdp Of The SNF · Organization0%15 facilities
Sabra Health Care Reit IncAdp Of The SNF · Organization0%35 facilities
Sabra Health Care, LLCAdp Of The SNF · Organization0%10 facilities
Sanders, AmandaManaging Control - Governing Body · Individual0%11 facilities
Simpson, AndrewManaging Control - Governing Body · Individual0%18 facilities
Simpson, AndrewOperational/Managerial Control · Individual0%18 facilities
Simpson, AndrewAdp Of The SNF · Individual0%18 facilities
Staples, CarolynManaging Control - Governing Body · Individual0%16 facilities
Staples, CarolynAdp Of The SNF · Individual0%16 facilities
Strunk, ColbyManaging Control - Governing Body · Individual0%17 facilities
Strunk, ColbyAdp Of The SNF · Individual0%17 facilities
Sutton, HollyOperational/Managerial Control · Individual0%1 facilities
Sutton, HollyAdp Of The SNF · Individual0%1 facilities
Triage LLCAdp Of The SNF · Organization0%2 facilities
Vanderzanden, CarrieManaging Control - Governing Body · Individual0%17 facilities
Vanderzanden, CarrieAdp Of The SNF · Individual0%17 facilities
Ventura Medstaff, LLCAdp Of The SNF · Organization0%6 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    January 16, 2025 · K712 · Corrected March 6, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    August 25, 2023 · K712 · Corrected September 30, 2023

  3. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 25, 2023 · K741 · Corrected September 30, 2023

  4. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 25, 2023 · K761 · Corrected September 30, 2023

Smoke4F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 25, 2023 · K345 · Corrected September 30, 2023

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 25, 2023 · K353 · Corrected September 30, 2023

  3. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 25, 2023 · K355 · Corrected September 30, 2023

  4. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 25, 2023 · K372 · Corrected September 30, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 16, 2025 · K918 · Corrected March 6, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 25, 2023 · K918 · Corrected September 30, 2023

Egress2F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 25, 2023 · K211 · Corrected September 30, 2023

  2. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    August 25, 2023 · K223 · Corrected September 30, 2023

Services1D
  1. D

    Have an externally vented heating system.

    January 16, 2025 · K522 · Corrected March 6, 2025

·

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