Deficiency Index

Avamere Rehabilitation Of Eugene

Eugene, Oregon · CCN 385053

34 surveys since 2010, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
157
Surveys
34
Harm or worse
3
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file26/34

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
92
Ownership
For profit - Limited Liability company
Chain
AVAMERE
County
Lane
Medicare-certified since
1980

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 45 for-profit facilities of 66–99 beds in Oregon.

Last survey on record

Mar 30, 2026

224 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.094.88
Registered-nurse hours per resident day0.39—
Annual nurse turnover36.5%44.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$36,472 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K11.9%L—
Actual harmG—H—I—
No harm, potential for more than minimalD4379.6%E1018.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 54 of the 157 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5783×

    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.

  • F6093×

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

  • F6773×

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

  • F6893×

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

  • F5842×

    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.

In the surveyor’s words

From the most serious findings on record at Avamere Rehabilitation Of Eugene, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Aug 5, 2024

    Based on observation, interview, and record review it was determined the facility failed to follow appropriate infection control procedures, had delayed infection control implementation, inappropriate cohorting of residents for 1 of 1 facility. This deficient practice was determined to be an immediate jeopardy situation and the deficiency resulted in the spread of COVID 19. This placed residents at risk for continued spread of potential deadly infectious diseases. Findings include: According to the CDC website dated 6/2024 health care providers who enter the room of a patient with suspected or confirmed SARS-CoV-2 infection should adhere to Standard Precautions and use a NIOSH Approved particulate respirator with N95 filters or higher, gown, gloves, and eye protection (i.e., goggles or a… […]

  • No harm, potential for more than minimal, patternF842Jan 20, 2026

    Based on interview and record review it was determined the facility failed to maintain medical records for 2 of 3 sampled residents (#s 6 and 37) reviewed for advanced directives. This placed residents at risk for incomplete medical records. Findings include:1. Resident 6 was admitted to the facility in 12/2024 with diagnoses including end stage kidney disease.On 1/13/26 at 10:28 AM, a review of Resident 6's medical record revealed an untitled form signed by Resident 6 on 3/29/25 which indicated Resident 6 wanted to initiate an advance directive.On 1/13/26 at 3:00 PM, a review of Resident 6's medical record revealed the untitled form signed by Resident 6 on 3/29/25 was no longer found in the electronic medical record.On 1/13/26 at 3:47 PM, Staff 4 (Regional Nurse Consultant) stated she… […]

  • No harm, potential for more than minimal, patternF880Jan 20, 2026

    Based on observation and interview it was determined the facility failed to ensure laundry was cleaned and sorted in a safe manner for 1 of 1 laundry rooms reviewed for infection control. This places residents at risk for exposure to mold and bacteria. Findings include: During the walk through of the facility laundry room on 1/15/26 at 12:11 PM, a hole in the wall was observed next to the wash machine. Behind the two wash machines and a clean linen cart was a large pool of standing water, the water appeared brown and dirty. Along the baseboard of the wall behind the two wash machines was a black substance which extended about an inch up the wall and an inch on the floor. […]

  • No harm, potential for more than minimal, patternF883Jan 20, 2026

    Based on interview and record review it was determined the facility failed to ensure residents or resident representatives received education regarding the potential side effects of the pneumococcal and influenza vaccines for 5 of 5 sampled residents (#s 3, 10, 13, 14, and 30) reviewed for immunizations. This placed residents at risk for lack of information. Findings include:1. Resident 3 was admitted to the facility in 6/2025 with diagnosis of hemiparesis (one-sided weakness) following a stroke. Resident 3's record revealed the resident was offered but declined a PCV20 vaccine on 6/18/25. […]

  • No harm, potential for more than minimal, patternF887Jan 20, 2026

    Based on interview and record review it was determined the facility failed to ensure residents or resident representatives received education regarding the potential side effects of the COVID-19 vaccine for 5 of 5 sampled residents (#s 3, 10, 13, 14, and 30) reviewed for immunizations. This placed residents at risk for lack of information. Findings include:1. Resident 3 was admitted to the facility in 6/2025 with diagnosis of hemiparesis (one-sided weakness) following a stroke. […]

Read 22 findings in full →The most serious and the most recent: 22 of 157 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 30, 2026Complaint2 findings
  • Jan 20, 2026Standard and complaint12 findings
  • May 23, 2025Complaint1 finding
  • Oct 1, 2024Complaint1 finding
  • Aug 5, 2024Standard and complaint31 findings · 1 harm
  • Feb 1, 2024Complaint1 finding
  • Aug 10, 2023Complaint2 findings
  • Jul 26, 2022Complaint3 findings
Show the 26 earlier surveys
  • May 19, 2021Complaint1 finding
  • Jan 31, 2020Standard4 findings
  • May 14, 2019Complaint2 findings
  • May 14, 2018Standard7 findings
  • Mar 14, 2018Complaint4 findings
  • Sep 5, 2017Complaint3 findings
  • Jul 26, 2017Complaint1 finding
  • Mar 14, 2017Standard18 findings
  • Jul 8, 2016Complaint2 findings
  • May 3, 2016Complaint4 findings
  • Jan 20, 2016Standard and complaint12 findings
  • Jul 16, 2015Complaint2 findings · 1 harm
  • Mar 3, 2015Complaint4 findings
  • Dec 5, 2014Standard8 findings
  • Nov 13, 2014Complaint3 findings
  • Jun 24, 2014Complaint2 findings
  • Apr 16, 2014Complaint3 findings
  • Jan 10, 2014—2 findings
  • Sep 27, 2013—1 finding
  • Jun 28, 2013—7 findings
  • Apr 15, 2013—1 finding · 1 harm
  • Nov 7, 2012—1 finding
  • Mar 1, 2012—1 finding
  • Aug 1, 2011—2 findings
  • Jan 26, 2011—3 findings
  • Sep 23, 2010—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction