Federal inspection record · CMS data as of October 1, 2026
Avamere Rehabilitation Of Clackamas
220 E. Hereford, Gladstone, OR · (503) 656-0393
- Certified beds
- 87
- Residents per day
- 42
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 3, 1989
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Avamere Rehabilitation Of Clackamas carries 61.75 inspection points. That is fewer than 44% of Oregon's 126 rated homes.
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
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care5D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3E
- 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.
- 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.
- 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.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Dispose of garbage and refuse properly.
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2025-12-04
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-07-19
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-05-05
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 14 min of nursing staff time a day, 58 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: 37% of nursing staff and 18% 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
Fines and payment denials
$175,773 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-24 | Fine | $10,036 |
| 2024-06-20 | Fine | $30,976 |
| 2023-11-14 | Fine | $134,761 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 98.3% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 100.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.8% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 4.8% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.5 pts worse | 11.1% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts worse | 19.4% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse | 14.7% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.2 pts worse | 26.8% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse | 17.6% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.9 pts worse | 10.9% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 16.7% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 5.4% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts better | 95.6% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.9 pts better | 3.1% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.1 pts better | 97.0% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts better | 16.6% | 21.9% | 23.4% |
·
Who owns and runs it
65 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Angerhofer, Nicole | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Angerhofer, Nicole | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ari Cbc LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Ari Operations, LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Avamere Group LLC | Indirect Ownership Interest · Organization | 0% | 13 facilities |
| Avamere Health Services LLC | Operational/Managerial Control · Organization | 0% | 20 facilities |
| Avamere Health Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Avamere Skilled Advisors LLC | Operational/Managerial Control · Organization | 0% | 17 facilities |
| Avamere Skilled Advisors LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Cavallo, Glen | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Dana, Jennifer | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Dana, Jennifer | Adp Of The SNF · Individual | 0% | 7 facilities |
| Davis, Julie | Adp Of The SNF · Individual | 0% | 4 facilities |
| Doepker, Andrea | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Doepker, Andrea | Adp Of The SNF · Individual | 0% | 4 facilities |
| Feakin, Cody | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Feakin, Cody | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Feakin, Cody | Adp Of The SNF · Individual | 0% | 17 facilities |
| Funderberg, Michelle | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Funderberg, Michelle | Adp Of The SNF · Individual | 0% | 17 facilities |
| Games, Kim | Adp Of The SNF · Individual | 0% | 17 facilities |
| Garrett, Michelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garrett, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hamm, Ben | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hamm, Ben | Adp Of The SNF · Individual | 0% | 1 facilities |
| Haskins, Damien | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Haskins, Damien | Adp Of The SNF · Individual | 0% | 8 facilities |
| Hill, Kevin | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Hill, Kevin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Hoskins, Tonia | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Hoskins, Tonia | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Hoskins, Tonia | Adp Of The SNF · Individual | 0% | 13 facilities |
| Inskeep, Todd | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Inskeep, Todd | Adp Of The SNF · Individual | 0% | 17 facilities |
| Kofstad, Mary | Managing Control - Governing Body · Individual | 0% | 22 facilities |
| Kofstad, Mary | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Kofstad, Mary | Adp Of The SNF · Individual | 0% | 22 facilities |
| Midcap Finco LLC | 5% Or Greater Security Interest · Organization | 0% | 19 facilities |
| Midcap Finco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Munro, Jolynn | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Munro, Jolynn | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Munro, Jolynn | Adp Of The SNF · Individual | 0% | 9 facilities |
| Okoli, Ike | Managing Control - Governing Body · Individual | 0% | 12 facilities |
| Polson, Justin | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Polson, Justin | Adp Of The SNF · Individual | 0% | 9 facilities |
| Powelson, Michele | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Powelson, Michele | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Powelson, Michele | Adp Of The SNF · Individual | 0% | 11 facilities |
| Presley, Yolanda | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Presley, Yolanda | Adp Of The SNF · Individual | 0% | 17 facilities |
| Reid, Misty | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Reid, Misty | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Reid, Misty | Adp Of The SNF · Individual | 0% | 17 facilities |
| Sanders, Amanda | Managing Control - Governing Body · Individual | 0% | 11 facilities |
| Simpson, Andrew | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Simpson, Andrew | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Simpson, Andrew | Adp Of The SNF · Individual | 0% | 18 facilities |
| Staples, Carolyn | Adp Of The SNF · Individual | 0% | 16 facilities |
| Strunk, Colby | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Strunk, Colby | Adp Of The SNF · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Vanderzanden, Carrie | Adp Of The SNF · Individual | 0% | 17 facilities |
| Vellody, Nita | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Vellody, Nita | Adp Of The SNF · Individual | 0% | 9 facilities |
| Wainscott, Cheyenne | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- D
Provide properly protected cooking facilities.
- D
Meet other general requirements.
- F
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- D
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
·
Other homes nearby
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Avamere Rehabilitation Of Oregon City
Oregon City, OR · Avamere
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 20 min
- Fines
- $85,768
-
Rivercrest Post Acute
Oregon City, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 50 min
- Fines
- $18,075
-
Marquis Oregon City Post Acute Rehab
Oregon City, OR · Marquis Companies
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 54 min
- Fines
- $0