Medford, OR

Avamere Health Services Of Rogue Valley

2-star overall rating with 2-star inspections with 12 recent health deficiencies

625 Stevens Street, Medford, OR

(541) 779-3551

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avamere

Operator or chain grouping

Approved since

1967-01-01

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

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

0.33

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.00

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

4.39

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.12

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

4.36

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,179

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.03

Composite VBP score used to determine payment impact.

Payment multiplier

0.9939

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.62

Baseline 18.48% · Performance 18.83% · Measure score 5.62 · Achievement 5.62 · Improvement 0

Healthcare-associated infections

Baseline 6.22% · Performance 7.87% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.29

Baseline 64.13% · Performance 37.97% · Measure score 6.29 · Achievement 6.29 · Improvement 6.16

Adjusted total nurse staffing

4.50

Baseline 4.65 hours · Performance 4.36 hours · Measure score 4.50 · Achievement 4.50 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.61%	10.72% 2.1 pts better	No Different than the National Rate · Eligible stays 147 · Observed rate 5.44% · Lower 95% interval 6.06%
Discharge to community	58.26%	50.57% 7.7 pts better	No Different than the National Rate · Eligible stays 155 · Observed rate 54.19% · Lower 95% interval 50.46%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	95.97%	95.27% 0.7 pts better	Numerator 119 · Denominator 124
Falls with major injury	0.81%	0.77% About the same	Numerator 1 · Denominator 124
Discharge self-care score	48.24%	53.69% 5.4 pts worse	Numerator 41 · Denominator 85
Discharge mobility score	45.88%	50.94% 5.1 pts worse	Numerator 39 · Denominator 85
Pressure ulcers or injuries, new or worsened	2.42%	2.29% 0.1 pts worse	Numerator 3 · Denominator 124 · Adjusted rate 3.11%
Healthcare-associated infections requiring hospitalization	7.87%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 121 · Observed rate 9.09% · Lower 95% interval 4.8%
Staff COVID-19 vaccination coverage	3.03%	8.2% 5.2 pts worse	Numerator 3 · Denominator 99
Staff flu vaccination coverage	29.27%	42% 12.7 pts worse	Numerator 36 · Denominator 123
Discharge function score	52.94%	56.45% 3.5 pts worse	Numerator 45 · Denominator 85
Transfer of health information to provider	97.62%	95.95% 1.7 pts better	Numerator 41 · Denominator 42
Transfer of health information to patient	98.67%	96.28% 2.4 pts better	Numerator 74 · Denominator 75
Resident COVID-19 vaccinations up to date	27.27%	25.2% 2.1 pts better	Numerator 21 · Denominator 77

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.5% 4.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.3%	95.2% 2.9 pts worse	95.5% 3.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.3%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	2.4% 0.4 pts worse	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.7% · Q3 2.9% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.6%	4.7% 4.9 pts worse	11.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 6.7% · Q3 6.2% · Q4 6.5% · 4Q avg 9.6%
Percentage of long-stay residents who lose too much weight	2.4%	5.0% 2.6 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 0.0% · Q4 7.1% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.9%	12.5% 9.4 pts worse	19.6% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 18.2% · Q3 45.2% · Q4 14.3% · 4Q avg 21.9%
Percentage of long-stay residents who received an antipsychotic medication	6.2%	14.7% 8.5 pts better	16.7% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q3 8.0% · Q4 8.7% · 4Q avg 6.2% · 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	34.9%	24.1% 10.8 pts worse	16.3% 18.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 34.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.5%	15.8% 3.7 pts worse	14.9% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 21.2% · Q3 25.8% · Q4 17.9% · 4Q avg 19.5% · 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	0.7%	2.0% 1.3 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	37.4%	22.2% 15.2 pts worse	19.8% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 45.3% · Q3 40.3% · Q4 23.5% · 4Q avg 37.4%
Percentage of long-stay residents with pressure ulcers	10.8%	6.5% 4.3 pts worse	5.1% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.7% · Q3 8.9% · Q4 3.7% · 4Q avg 10.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.2%	85.4% 7.8 pts better	81.7% 11.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 91.8% · Q3 93.1% · Q4 93.3% · 4Q avg 93.2%
Percentage of short-stay residents who had an outpatient emergency department visit	14.0%	15.1% 1.1 pts better	12.0% 2 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 13.3% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	1.7% 1.2 pts better	1.6% 1.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.4%	81.2% 4.2 pts better	79.7% 5.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.6%	21.6% About the same	23.9% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 20.9% · Expected 23.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-22 · Fire 2025-08-22

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

22 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-02-24 · Fire 2023-02-24

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-19

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-04-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-04-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-04-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-08

F · Potential for more than minimal harm 2024-04-19

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-06-08

F · Potential for more than minimal harm 2023-02-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-15

F · Potential for more than minimal harm 2023-02-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-02-24

K223 · Egress Deficiencies

Fire Safety

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

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-02-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-02-24

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-03-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-22

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-08-22

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 2025-10-03

E · Potential for more than minimal harm 2025-08-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

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 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-08-22

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-10-03

E · Potential for more than minimal harm 2024-04-19

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-04-19

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 2024-06-04