The nursing home failed to provide services that met professional standards of quality. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: J
Nursing home report
AVAMERE REHABILITATION OF COOS BAY
COOS BAY, OR · Medicare-certified · 92 beds
In good standing
For-profitChain member
2 of 5 overall
AVAMERE REHABILITATION OF COOS BAY has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. Staffing is above the federal benchmark at 4.60 hours per resident per day versus 4.1, and there were no fines in the last 24 months, but recent inspection citations included medication errors, CPR/basic life support, and professional standards concerns.
Facility ratings
Health inspections
Staffing
4.6046 hrs/resident/day
Quality measures
Last inspection: August 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6046.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 1.02
- Nurse aides
- 3.23
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.5%Improving
Residents with a fall causing major injury
3.4%Worsening
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
2.1%Worsening
Residents who lost too much weight
3.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.9%Improving
Residents whose ability to walk got worse
20%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
14.2%Improving
Short-stay residents newly given an antipsychotic
0.4%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
27.3%Worsening
Residents with depressive symptoms
0.8%Improving
Long-stay residents given the seasonal flu vaccine
97.7%Steady
Long-stay residents given the pneumonia vaccine
99.3%Steady
Short-stay residents given the seasonal flu vaccine
89.5%Steady
Short-stay residents given the pneumonia vaccine
96.9%Worsening
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited November 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
- $15,593
Federal fine
Nov 22, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVAMERE · 29 homes · 3.1 stars avg
- Occupancy
- 52.6 residents on an average day (57% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.