Avamere Rehabilitation of Clackamas
220 E. Hereford, Gladstone, OR 97027
Avamere Rehabilitation of Clackamas is a nursing home in Gladstone, Oregon. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionDecember 4, 2025 (11 months ago)
- Health citations since May 5, 202316 (Oregon average 34)
- Fines in the past three years3, $175,773 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on December 4, 2025
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 4 citations
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor 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.
CMS lists it as corrected on January 13, 2026.
CMS has cited this home for F0584 3 times since 2023.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on January 13, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 13, 2026.
CMS has cited this home for F0689 3 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 13, 2026.
CMS has cited this home for F0880 2 times since 2024.
Fire safety inspection on December 4, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on January 13, 2026.
CMS has cited this home for K0324 2 times since 2023.
Citation K0911. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on January 13, 2026.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Fine
CMS changed the fine from June 20, 2024 from $47,655 to $30,976.
CMS update of December 20, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on September 24, 2024
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
15 of 128 Oregon homes (12%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $10,036 on September 24, 2024.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 7, 2024.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on July 19, 2024
4 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
15 of 128 Oregon homes (12%) got a citation at the immediate jeopardy level in 2024.
Show the 4 citations
Citation F0880. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 27, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor 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.
CMS lists it as corrected on August 27, 2024.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on August 27, 2024.
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on August 27, 2024.
Fire safety inspection on July 19, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 27, 2024.
Health inspection on June 20, 2024
1 citationCMS lists this as a complaint inspection.
CMS fine of $30,976 on June 20, 2024.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 18, 2024.
CMS update of April 25, 2024
Fine
CMS changed the fine from November 14, 2023 from $207,325 to $134,761.
Fire safety inspection on November 14, 2023
5 citationsCMS lists this as a complaint inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
13 of 128 Oregon homes (10%) got a citation at the immediate jeopardy level in 2023.
CMS fine of $134,761 on November 14, 2023.
Show the 5 citations
Citation K0511. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on November 15, 2023.
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on November 15, 2023.
Citation K0111. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
CMS lists it as corrected on January 3, 2024.
Citation K0255. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
CMS lists it as corrected on December 21, 2023.
Citation K0932. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on December 21, 2023.
Health inspection on May 5, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor 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.
CMS lists it as corrected on June 13, 2023.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on June 13, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 13, 2023.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on June 13, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on June 13, 2023.
Citation F0814. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on June 13, 2023.
Fire safety inspection on May 5, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 13, 2023.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on June 13, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 13, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on June 13, 2023.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on June 13, 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on June 13, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (503) 656-0393
- Last standard health inspection
- December 4, 2025 (11 months ago)
- Certified beds
- 87
- Residents per day, on average
- 41.9
- Ownership type
- For profit - Corporation
- Legal business name
- Clackamas Rehabilitation, LLC
- Chain
- Avamere
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Oregon average (16 vs 34).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ARI CBC LLCDirect ownership interest · not applicable · since 01/06/2006
- ARI OPERATIONS, LLCIndirect ownership interest · not applicable · since 01/06/2006
- AVAMERE GROUP LLCIndirect ownership interest · not applicable · since 01/06/2006
- AVAMERE HEALTH SERVICES LLCOperational/managerial control · not applicable · since 01/01/2005
- AVAMERE SKILLED ADVISORS LLCOperational/managerial control · not applicable · since 01/01/2005
Show 15 more
- MIDCAP FINCO LLCOperational/managerial control · not applicable · since 01/22/2010
- ANGERHOFER, NICOLEOperational/managerial control · not applicable · since 12/01/2023
- DANA, JENNIFEROperational/managerial control · not applicable · since 05/01/2022
- DOEPKER, ANDREAOperational/managerial control · not applicable · since 09/28/2023
- FEAKIN, CODYOperational/managerial control · not applicable · since 07/15/2025
- GARRETT, MICHELLEOperational/managerial control · not applicable · since 08/21/2019
- HAMM, BENOperational/managerial control · not applicable · since 07/16/2024
- HOSKINS, TONIAOperational/managerial control · not applicable · since 07/19/2024
- KOFSTAD, MARYOperational/managerial control · not applicable · since 02/13/2024
- MUNRO, JOLYNNOperational/managerial control · not applicable · since 09/01/2023
- POWELSON, MICHELEOperational/managerial control · not applicable · since 03/25/2015
- PRESLEY, YOLANDAOperational/managerial control · not applicable · since 01/06/2025
- REID, MISTYOperational/managerial control · not applicable · since 01/02/2025
- SIMPSON, ANDREWOperational/managerial control · not applicable · since 06/01/2024
- VELLODY, NITAOperational/managerial control · not applicable · since 08/01/2020
Questions
When was Avamere Rehabilitation of Clackamas last inspected?
CMS lists December 4, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Avamere Rehabilitation of Clackamas have?
CMS lists 16 health citations since May 5, 2023. CMS also calls these deficiencies.
Has Avamere Rehabilitation of Clackamas been fined?
CMS lists 3 fines in the past three years, $175,773 in total.
What is the CMS star rating of Avamere Rehabilitation of Clackamas?
Its CMS overall star rating is 5 of 5.
Is Avamere Rehabilitation of Clackamas a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.