Nursing HomeInspections

Avamere Rehabilitation of Clackamas

Nursing home in Gladstone, OR

Medicare & Medicaid certified4★ overall (CMS)

Call (503) 656-0393Send a messageMap ↗

Public-record details

Address
220 E. Hereford, Gladstone, OR 97027
Phone
(503) 656-0393
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
385203
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
87
Average residents per day
43
Ownership
For-profit, corporation
Legal business name
Clackamas Rehabilitation, LLC
Chain
Avamere (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 3, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 385203. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 5, 2023 to Dec 4, 2025): 5 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 4, 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 4, 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		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 24, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jul 19, 2024Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 19, 2024Honor 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 · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 19, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 19, 2024Provide and implement an infection prevention and control program.
Infection Control		K
Immediate jeopardy, pattern
Jun 20, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 5, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 5, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. 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 3 fines totalling $175,773 in the last three years.

Sep 24, 2024Fine: $10,036
Jun 20, 2024Fine: $30,976
Nov 14, 2023Fine: $134,761

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
5.15 hours
Registered nurse (RN) time per resident per day
0.97 hours
Nurse aide time per resident per day
3.55 hours
Total nurse staffing on weekends
4.57 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
22%
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.