Nursing HomeInspections

Avamere Rehabilitation of Oregon City

Nursing home in Oregon City, OR

Medicare & Medicaid certified2★ overall (CMS)

Call (503) 656-0367Send a messageMap ↗

Public-record details

Address
1400 Division Street, Oregon City, OR 97045
Phone
(503) 656-0367
Listed under
For-profit
Medicare CCN
385125
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
111
Average residents per day
62
Ownership
For-profit, limited Liability company
Legal business name
Mountain View Rehab, LLC
Chain
Avamere (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 28, 1975
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 385125. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 6, 2025. CMS lists 61 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 13, 2023 to Aug 29, 2025): 35 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jun 6, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 6, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 6, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 6, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 6, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 6, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 6, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jun 6, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jan 17, 2025Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 17, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 61. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $85,768 in the last three years.

Feb 13, 2024Fine: $85,768

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.26 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
3.85 hours
Total nurse staffing on weekends
4.72 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
70%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Oregon City

Marquis Oregon City Post Acute Rehab1680 Molalla Avenue · Oregon City, OR 97045 · (503) 655-2588 · For-profit13 health citations in 3 inspection cycles · last standard inspection Feb 27, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Rivercrest Post Acute148 Hood Street · Oregon City, OR 97045 · (503) 656-4035 · For-profit34 health citations in 3 inspection cycles · last standard inspection Feb 13, 2026 · $18,075 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 3 in Oregon City →