18 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Eugene, OR
1-star overall rating with 1-star inspections with $75,335 in total fines with 18 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
425 Alexander Loop, Eugene, OR
(541) 345-6199
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
119
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1988-08-20
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
RN hours / resident day
0.72
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.68
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.54
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.81
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
5.99
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
4,815
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9915
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.54% · Performance 21.26% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.63
Baseline 5.53% · Performance 5.85% · Measure score 6.63 · Achievement 6.63 · Improvement 0
Total nurse turnover
3.60
Baseline 50.37% · Performance 48.98% · Measure score 3.60 · Achievement 3.60 · Improvement 0.04
Adjusted total nurse staffing
5.16
Baseline 4.41 hours · Performance 4.55 hours · Measure score 5.16 · Achievement 5.16 · Improvement 0.50
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.31% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 6.84% · Lower 95% interval 6.3% |
| Discharge to community | 56.09% |
50.57%
5.5 pts better
|
No Different than the National Rate · Eligible stays 122 · Observed rate 50% · Lower 95% interval 47.31% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 73 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 55.56% |
53.69%
1.9 pts better
|
Numerator 30 · Denominator 54 |
| Discharge mobility score | 62.96% |
50.94%
12 pts better
|
Numerator 34 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 4.11% |
2.29%
1.8 pts worse
|
Numerator 3 · Denominator 73 · Adjusted rate 4.6% |
| Healthcare-associated infections requiring hospitalization | 5.85% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 2.99% · Lower 95% interval 3.08% |
| Staff COVID-19 vaccination coverage | 20.44% |
8.2%
12.2 pts better
|
Numerator 37 · Denominator 181 |
| Staff flu vaccination coverage | 26.26% |
42%
15.7 pts worse
|
Numerator 52 · Denominator 198 |
| Discharge function score | 59.26% |
56.45%
2.8 pts better
|
Numerator 32 · Denominator 54 |
| Transfer of health information to provider | 98.25% |
95.95%
2.3 pts better
|
Numerator 56 · Denominator 57 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 37.14% |
25.2%
11.9 pts better
|
Numerator 13 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.4
0.7 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
2.5
0.5 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
95.5%
0.5 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 93.2% · Q3 96.0% · Q4 96.0% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
95.2%
2.3 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
2.4%
0.3 pts worse
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.7% · Q3 2.7% · Q4 4.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.7% |
4.7%
8 pts worse
|
11.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 14.9% · Q3 15.7% · Q4 11.3% · 4Q avg 12.7% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.0%
1.3 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 7.4% · Q4 1.5% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.3% |
12.5%
2.8 pts worse
|
19.6%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.8% · Q3 17.4% · Q4 19.1% · 4Q avg 15.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.1% |
14.7%
9.4 pts worse
|
16.7%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 23.1% · Q3 22.8% · Q4 21.2% · 4Q avg 24.1% · 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 | 24.4% |
24.1%
0.3 pts worse
|
16.3%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q3 24.6% · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% |
15.8%
2.2 pts worse
|
14.9%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 15.2% · Q3 28.4% · Q4 14.5% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.7%
1.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.0%
0.3 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.8% · Q3 1.3% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
22.2%
1.9 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 23.3% · Q3 15.6% · Q4 22.5% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.5%
0.5 pts better
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 3.4% · Q3 7.9% · Q4 5.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.9% |
85.4%
23.5 pts worse
|
81.7%
19.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.6% · Q2 42.4% · Q3 64.5% · Q4 90.7% · 4Q avg 61.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
15.1%
2.9 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 14.1% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.7%
1.4 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.3% · Q3 2.6% · Q4 1.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.2% |
81.2%
33 pts worse
|
79.7%
31.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
21.6%
4.3 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 20.3% · Expected 28.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-11-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-25
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-05-27
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-05-27
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-05-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-05-27
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-05-24
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-05-04
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-08
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 2025-07-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-31
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-10-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-31
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-31
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-10-31
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 2024-10-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-31
Health
Provide activities to meet all resident's needs.
Corrected 2024-10-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-31
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 2024-10-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-31
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-10-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
Health
Implement a program that monitors antibiotic use.
Corrected 2024-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-07-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-25
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-07-25
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-07-25
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-25
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 2023-07-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-25
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-07-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-25
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 2023-07-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-25
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-26
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-26
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-01
Health
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.
Corrected 2022-05-30
Health
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.
Corrected 2022-05-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-05-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-05-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-05-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-30
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2022-05-30
Penalties and ownership
Fine · fine $35,532
Fine
Fine · fine $39,803
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Eugene, OR
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $53,024 in total fines with 40 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Eugene, OR
1-star overall rating with 1-star inspections with Special Focus status with $36,472 in total fines with 35 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Eugene, OR
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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