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Nursing home report

AVAMERE REHABILITATION OF CLACKAMAS

GLADSTONE, OR · Medicare-certified · 87 beds

Needs attention
For-profitChain member
4 of 5 overall

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.

Facility ratings

Health inspections

Staffing

5.2221 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $10,036 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  6. 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.