Nursing HomeInspections

Avamere Rehabilitation of Coos Bay

Nursing home in Coos Bay, OR

Medicare & Medicaid certified2★ overall (CMS)

Call (541) 267-2161Send a messageMap ↗

Public-record details

Address
2625 Koos Bay Blvd, Coos Bay, OR 97420
Phone
(541) 267-2161
Listed under
For-profit
Medicare CCN
385239
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
92
Average residents per day
55
Ownership
For-profit, limited Liability company
Legal business name
Coos Bay Rehabilitation, LLC
Chain
Avamere (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 25, 1994
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 385239. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 25, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 10, 2023 to Aug 25, 2025): 8 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 25, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 25, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 25, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 25, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 25, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Aug 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide or obtain dental services for each resident.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. 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 $15,593 in the last three years.

Nov 22, 2023Fine: $15,593

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
4.59 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
3.17 hours
Total nurse staffing on weekends
4.02 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
60%
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.

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