Avamere Rehabilitation Of Lebanon
Lebanon, Oregon · CCN 385168
31 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 164
- Surveys
- 31
- Harm or worse
- 5
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 84
- Ownership
- For profit - Limited Liability company
- Chain
- AVAMERE
- County
- Linn
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 45 for-profit facilities of 66–99 beds in Oregon.
Last survey on record
May 12, 2026
181 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.50 | 4.88 |
| Registered-nurse hours per resident day | 0.53 | — |
| Annual nurse turnover | 42.3% | 44.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $20,303 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.7% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D4270.0% | E1220.0% | F58.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6774×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F7254×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6362×
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
In the surveyor’s words
From the most serious findings on record at Avamere Rehabilitation Of Lebanon, in the surveyor’s own words.
- Immediate jeopardy, isolatedF805Jul 19, 2024
Based on observation, interview, and record review it was determined the facility failed to ensure physician ordered diets were provided as ordered for 3 of 5 sampled residents (#s 3, 39 and 57) reviewed for nutrition. This deficient practice was determined to be an immediate jeopardy situation. Resident 57 was provided food not prepared according to their physician ordered diet texture, and this resulted in a severe coughing episode and risk of choking and/or aspiration. Staff were aware the food they were providing the resident was not appropriate. Findings include: 1. […]
- No harm, potential for more than minimal, widespreadF838Sep 8, 2025
Based on interview and record review it was determined that facility failed to demonstrate active involvement of staff and residents to determine staffing needs for 1 of 1 facility assessment. This placed residents at risk for inadequate staffing to meet resident needs. Findings include:The 2025 Facility Assessment indicated the facility had areas of insufficiencies in staffing, training, services and personnel.On 9/4/25 at 4:59 PM, Staff 23 (CNA) stated staff were not asked to provide input regarding staffing needs based on the acuity (severity of condition) of residents. On 9/5/25 at 11:07 AM, members of the Resident Council stated concerns about staffing had been discussed during previous meetings, but no resolution had been reached. […]
- No harm, potential for more than minimal, widespreadF880Sep 8, 2025
Based on observation, interview and record review it was determined the facility failed to follow appropriate infection control practices during a COVID-19 outbreak for 2 of 2 halls reviewed for infection control. This placed residents at risk for exposure to the COVID-19 virus and other infectious disease. Findings include: The facility's COVID-19 Testing Program Guidelines dated 6/7/24 included the following: Facility testing programs for both the residents as well as the facility staff are implemented at the facility in addition to other infection prevention and control activities and interventions aimed at preventing the spread, detecting cases quickly and stopping transmission. […]
- No harm, potential for more than minimal, widespreadF803Jul 19, 2024
Based on observation and interview it was determined the facility failed to follow recipes to meet menu and therapeutic standards for 1 of 1 kitchen. This place residents at risk for lack of meal satisfaction and compromised nutrition. Finding include: The 7/18/24 posted lunch menu included breaded pork cutlet, au gratin potatoes, cauliflower and the alternative menu was sloppy joes, cheddar mash potatoes and broccoli. On 7/18/24 at 11:20 AM Staff 35 (Cook) was observed to assemble lunch and was asked to provide the recipes used to prepare the meal. Staff 35 stated he worked in the facility for three weeks and no recipes were provided during his training. Staff 35 stated no recipes were followed to prepare any of the foods served for lunch. […]
- No harm, potential for more than minimal, widespreadF804Jul 19, 2024
Based on observation, interview, and record review it was determined the facility failed to ensure proper flavor and food temperatures were maintained for meals served for 1 of 5 sampled resident (#27) and 1 of 1 facility kitchen reviewed for dining services. This placed residents at risk for food that was not palatable, safe, or appetizing. Findings include: 1. The 7/18/24 posted lunch menu included breaded pork cutlet, au gratin potatoes, cauliflower and the alternative menu was sloppy joes, cheddar mash potatoes and broccoli. The desert was ice cream. On 7/18/24 at 1:20 PM two sample plates were received. The first plate included minced and moist textured sloppy joes, mashed potatoes and gravy and broccoli. […]
Read 25 findings in full →The most serious and the most recent: 25 of 164 on record.
Every survey on record
FindingsAt actual harm or above
- May 12, 2026Complaint3 findings
- Mar 17, 2026Complaint2 findings
- Sep 8, 2025Standard and complaint14 findings
- Jul 22, 2025Complaint3 findings
- May 5, 2025Complaint1 finding
- Jul 19, 2024Standard and complaint32 findings · 1 harm
- Mar 24, 2023Standard and complaint5 findings
- Feb 15, 2022Standard4 findings
Show the 23 earlier surveys
- Sep 27, 2021Complaint2 findings
- Aug 31, 2021Complaint2 findings
- Jul 16, 2021Complaint10 findings
- Feb 12, 2021Complaint5 findings
- Aug 3, 2020Infection control1 finding
- Nov 22, 2019Complaint7 findings
- Jul 24, 2019Complaint3 findings
- Jan 18, 2019Complaint1 finding
- Sep 5, 2018Standard13 findings · 1 harm
- Apr 23, 2018Complaint2 findings
- Jun 16, 2017Standard and complaint4 findings
- Nov 2, 2016Complaint5 findings
- May 6, 2016Standard6 findings · 1 harm
- Oct 19, 2015Complaint2 findings
- Jul 13, 2015Complaint2 findings
- Apr 7, 2015Standard14 findings · 2 harm
- Feb 27, 2014Standard3 findings
- Oct 16, 2013—1 finding
- Jul 22, 2013—2 findings
- Aug 28, 2012—3 findings
- May 16, 2012—1 finding
- Feb 17, 2012—1 finding
- Apr 21, 2011—10 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.
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