Cycle 1
Health 2025-09-19 · Fire 2025-09-19
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Keizer, OR
Avamere Court at Keizer
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
5210 River Road N., Keizer, OR
(503) 393-3624
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
69
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1993-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.52
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.65
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.48
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.03
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
4.29
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,619
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9965
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.45
Baseline 19.74% · Performance 18.91% · Measure score 5.45 · Achievement 5.45 · Improvement 2.57
Healthcare-associated infections
0
Baseline 5.51% · Performance 7.85% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.29
Baseline 43.37% · Performance 33.87% · Measure score 7.29 · Achievement 7.29 · Improvement 4.63
Adjusted total nurse staffing
4.64
Baseline 5 hours · Performance 4.40 hours · Measure score 4.64 · Achievement 4.64 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 70 · Observed rate 11.43% · Lower 95% interval 7.22% |
| Discharge to community | 63.3% |
50.57%
12.7 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 58.44% · Lower 95% interval 50.01% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 39 · Denominator 39 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 39 |
| Discharge self-care score | 48.39% |
53.69%
5.3 pts worse
|
Numerator 15 · Denominator 31 |
| Discharge mobility score | 41.94% |
50.94%
9 pts worse
|
Numerator 13 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 5.13% |
2.29%
2.8 pts worse
|
Numerator 2 · Denominator 39 · Adjusted rate 5.07% |
| Healthcare-associated infections requiring hospitalization | 7.84% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 10.87% · Lower 95% interval 4.54% |
| Staff COVID-19 vaccination coverage | 3.33% |
8.2%
4.9 pts worse
|
Numerator 4 · Denominator 120 |
| Staff flu vaccination coverage | 44.92% |
42%
2.9 pts better
|
Numerator 53 · Denominator 118 |
| Discharge function score | 54.84% |
56.45%
1.6 pts worse
|
Numerator 17 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 23 · Denominator 23 |
| Resident COVID-19 vaccinations up to date | 61.9% |
25.2%
36.7 pts better
|
Numerator 13 · Denominator 21 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
95.5%
3.8 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.8% |
2.4%
3.4 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.9% · Q3 8.3% · Q4 5.6% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.7%
3.9 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 0.8% |
5.0%
4.2 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
12.5%
1.5 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 9.4% · Q3 17.1% · Q4 3.2% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
14.7%
3.6 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 13.8% · Q3 9.7% · Q4 6.7% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.4% |
24.1%
11.3 pts worse
|
16.3%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.3% |
15.8%
0.5 pts better
|
14.9%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 18.8% · Q3 17.1% · Q4 13.3% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.7%
1.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.0%
0.6 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 2.8% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.7% |
22.2%
11.5 pts worse
|
19.8%
13.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.0% · Q2 27.9% · Q3 35.4% · Q4 28.4% · 4Q avg 33.7% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
6.5%
4.6 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.0% · Q4 4.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
85.4%
13 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 97.8% · Q3 99.0% · Q4 99.0% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
15.1%
0.1 pts better
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 15.0% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.7%
1 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
81.2%
16.6 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% |
21.6%
1.6 pts better
|
23.9%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 20.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-31 · Fire 2024-05-31
13 health deficiencies
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-04-21 · Fire 2023-04-21
4 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-19
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-10-31
F · Potential for more than minimal harm
2025-09-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-09-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-31
D · Potential for more than minimal harm
2025-09-19
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-31
D · Potential for more than minimal harm
2024-05-31
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-03
F · Potential for more than minimal harm
2023-04-21
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-04-21
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-05-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-19
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-31
F · Potential for more than minimal harm
2024-05-31
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F572 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-03
E · Potential for more than minimal harm
2024-05-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-07-03
D · Potential for more than minimal harm
2024-05-31
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-03
E · Potential for more than minimal harm
2023-04-21
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-05-31
E · Potential for more than minimal harm
2023-04-21
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-31
D · Potential for more than minimal harm
2023-04-21
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-05-31
D · Potential for more than minimal harm
2023-04-21
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-31
Penalties and ownership
What sits behind the stars
Ownership
Ari Cbc LLC
5% Or Greater Direct Ownership Interest · Organization
Ari Operations, LLC
5% Or Greater Indirect Ownership Interest · Organization
Avamere Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Avamere Health Services LLC
Operational/Managerial Control · Organization
Avamere Skilled Advisors LLC
Operational/Managerial Control · Organization
Dana, Jennifer
Operational/Managerial Control · Individual
Doepker, Andrea
Operational/Managerial Control · Individual
Feakin, Cody
Operational/Managerial Control · Individual
Gasperini, Tracy
Operational/Managerial Control · Individual
Karl Rickard Miler Jr Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Kofstad, Mary
Operational/Managerial Control · Individual
Midcap Finco LLC
Operational/Managerial Control · Organization
Midcap Finco LLC
5% Or Greater Security Interest · Organization
Miller, Karl
5% Or Greater Indirect Ownership Interest · Individual
Munro, Jolynn
Operational/Managerial Control · Individual
Powelson, Michele
Operational/Managerial Control · Individual
Presley, Yolanda
Operational/Managerial Control · Individual
Reid, Misty
Operational/Managerial Control · Individual
Ruden, Nathan
Operational/Managerial Control · Individual
Sawyer, Rebecca
Operational/Managerial Control · Individual
Simpson, Andrew
Operational/Managerial Control · Individual
Xiong, Rebecca
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Keizer Nursing And Rehabilitation
Keizer, OR
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Windsor Health & Rehabilitation Center
Salem, OR
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Tierra Rose Care Center
Salem, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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