AVAMERE REHABILITATION OF CLACKAMAS (Gladstone, OR) has an overall rating of 4 out of 5 stars, with strong staffing (5 of 5 stars and 5.22 nurse hours per resident per day vs. the 4.1 federal benchmark) and quality measures (4 of 5 stars). It also has a recent federal penalty and $41,012 in fines over the last 24 months, while its health inspection rating is 3 of 5 stars.
Last inspection: December 4, 2025Penalties, last 24 months: $41,012recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2221.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.67
Nurse aides
3.67
Weekend nursing
4.70
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—25%—
Residents with a fall causing major injury
6.2%0%Improving
Residents with pressure ulcers (bedsores)
4.9%4.3%Improving
Residents with a urinary tract infection
3.1%6.5%Worsening
Residents who lost too much weight
6.9%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.1%22.2%Improving
Residents whose ability to walk got worse
—29.4%—
Long-stay residents on antianxiety or sleep medication
17.2%17.9%Worsening
Short-stay residents newly given an antipsychotic
1.8%1.8%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.9%19.9%Improving
Residents with depressive symptoms
21.4%4.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—88.9%—
Long-stay residents given the pneumonia vaccine
78.1%93.5%Improving
Short-stay residents given the seasonal flu vaccine
—83.8%—
Short-stay residents given the pneumonia vaccine
77.9%97.1%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $10,036 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $30,976 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $175,773 in total fines.
Federal fine
Sep 24, 2024
$10,036
Federal fine
Jun 20, 2024
$30,976
Federal fine
Nov 14, 2023
$134,761
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AVAMERE · 29 homes · 3.1 stars avg
Occupancy
42.4 residents on an average day (49% of 87 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.