Cycle 1
Health 2025-06-27 · Fire 2025-06-27
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bend, OR
Bend Transitional Care
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
900 Ne 27th Street, Bend, OR
(541) 382-0479
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Avamere
Operator or chain grouping
Approved since
1996-11-07
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
1.28
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.63
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
4.91
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.90
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.16
CMS adjusted RN staffing hours
Adjusted total hours
4.47
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,502
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.18
Composite VBP score used to determine payment impact.
Payment multiplier
1.0113
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.54
Baseline 18.78% · Performance 19.79% · Measure score 3.54 · Achievement 3.54 · Improvement 0
Healthcare-associated infections
10
Baseline 4.43% · Performance 4.72% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
3.89
Performance 47.78% · Measure score 3.89 · Achievement 3.89 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.04
Baseline 3.70 hours · Performance 4.51 hours · Measure score 5.04 · Achievement 5.04 · Improvement 3.40
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.63% |
10.72%
3.1 pts better
|
Better than the National Rate · Eligible stays 532 · Observed rate 5.45% · Lower 95% interval 5.97% |
| Discharge to community | 77.66% |
50.57%
27.1 pts better
|
Better than the National Rate · Eligible stays 517 · Observed rate 74.27% · Lower 95% interval 74.26% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 381 · Denominator 381 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 4 · Denominator 381 |
| Discharge self-care score | 62.98% |
53.69%
9.3 pts better
|
Numerator 148 · Denominator 235 |
| Discharge mobility score | 44.26% |
50.94%
6.7 pts worse
|
Numerator 104 · Denominator 235 |
| Pressure ulcers or injuries, new or worsened | 0.26% |
2.29%
2 pts better
|
Numerator 1 · Denominator 381 · Adjusted rate 0.42% |
| Healthcare-associated infections requiring hospitalization | 4.72% |
7.12%
2.4 pts better
|
No Different than the National Rate · Eligible stays 343 · Observed rate 2.92% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 15.25% |
8.2%
7.1 pts better
|
Numerator 18 · Denominator 118 |
| Staff flu vaccination coverage | 65.73% |
42%
23.7 pts better
|
Numerator 94 · Denominator 143 |
| Discharge function score | 53.19% |
56.45%
3.3 pts worse
|
Numerator 125 · Denominator 235 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 346 · Denominator 346 |
| Transfer of health information to patient | 95.83% |
96.28%
0.5 pts worse
|
Numerator 23 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 22.03% |
25.2%
3.2 pts worse
|
Numerator 39 · Denominator 177 |
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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.2% |
4.7%
7.5 pts worse
|
11.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.2% |
| Percentage of long-stay residents who lose too much weight | 10.5% |
5.0%
5.5 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.1% |
12.5%
7.4 pts better
|
19.6%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
14.7%
14.7 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% |
15.8%
9.9 pts better
|
14.9%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 12.3% |
1.7%
10.6 pts worse
|
1.0%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
2.0%
2.8 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
22.2%
0.4 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
6.5%
2.2 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.8% |
85.4%
0.4 pts better
|
81.7%
4.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 83.4% · Q3 85.4% · Q4 89.6% · 4Q avg 85.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% |
15.1%
1.4 pts worse
|
12.0%
4.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 15.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.7%
0.6 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.8% · Q3 1.4% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.0% |
81.2%
4.2 pts worse
|
79.7%
2.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
21.6%
0.4 pts better
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 19.2% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-07 · Fire 2024-03-07
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-10 · Fire 2023-02-10
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-05
D · Potential for more than minimal harm
2025-06-27
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-08-05
D · Potential for more than minimal harm
2025-06-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-05
D · Potential for more than minimal harm
2025-06-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-05
F · Potential for more than minimal harm
2023-02-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-21
F · Potential for more than minimal harm
2023-02-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-05
E · Potential for more than minimal harm
2024-03-07
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-07
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-01
F · Potential for more than minimal harm
2023-02-10
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 2023-03-21
E · Potential for more than minimal harm
2023-02-10
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 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F578 · Resident Rights Deficiencies
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 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-21
D · Potential for more than minimal harm
2023-02-10
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-21
Penalties and ownership
What sits behind the stars
Ownership
Nair SNF Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Avamere Health Services LLC
Operational/Managerial Control · Organization
Flemming, Stanley
Contracted Managing Employee · Individual
Jeffers, Heather
W-2 Managing Employee · Individual
Kofstad, Mary
Corporate Officer · Individual
Miller, Karl
5% Or Greater Indirect Ownership Interest · Individual
Nair Facility Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nair LLC
5% Or Greater Indirect Ownership Interest · Organization
Nair Operations LLC
5% Or Greater Indirect Ownership Interest · Organization
Simpson, Andrew
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Pilot Butte Rehabilitation Center
Bend, OR
2-star overall rating with 2-star inspections with abuse icon flag with $8,827 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Regency Care Of Central Oregon
Bend, OR
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Regency Redmond Rehabilitation And Nursing Center
Redmond, OR
4-star overall rating with 3-star inspections with $13,204 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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