Avamere at Three Fountains
835 Crater Lake Avenue, Medford, OR 97504
Avamere at Three Fountains is a nursing home in Medford, 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 inspectionJuly 9, 2026 (4 months ago)
- Health citations since August 25, 202324 (Oregon average 34)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
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.
Email alerts for this home open soon.
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 staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Health inspection on July 9, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 6, 2026.
CMS has cited this home for F0880 3 times since 2023.
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 August 6, 2026.
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 August 6, 2026.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on August 6, 2026.
CMS has cited this home for F0679 2 times since 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 August 6, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on January 16, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 14, 2025.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on February 14, 2025.
CMS has cited this home for F0554 2 times since 2023.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide 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.
CMS lists it as corrected on February 14, 2025.
Citation F0881. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on February 14, 2025.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on February 14, 2025.
Fire safety inspection on January 16, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
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 March 6, 2025.
CMS has cited this home for K0712 2 times since 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 March 6, 2025.
CMS has cited this home for K0918 2 times since 2023.
Citation K0522. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have an externally vented heating system.
CMS lists it as corrected on March 6, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Health inspection on April 1, 2024
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
30 of 128 Oregon homes (23%) got a citation at the actual harm level in 2024.
Show the 3 citations
Citation F0658. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on August 30, 2023.
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 30, 2023.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 27, 2023.
CMS update of February 29, 2024
Fine
CMS changed the fine from September 10, 2021 from $11,450 to $7,443.
Health inspection on August 25, 2023
11 citationsCMS lists this as a standard inspection.
Show the 11 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 30, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 30, 2023.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 30, 2023.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on September 30, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 30, 2023.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on September 30, 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on September 30, 2023.
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 September 30, 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on September 30, 2023.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on September 30, 2023.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on September 30, 2023.
Fire safety inspection on August 25, 2023
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 30, 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 30, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 30, 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 September 30, 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 September 30, 2023.
Citation K0223. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on September 30, 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 September 30, 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 September 30, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on September 30, 2023.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on September 30, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (541) 773-7717
- Last standard health inspection
- July 9, 2026 (4 months ago)
- Certified beds
- 117
- Residents per day, on average
- 75.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Waterford Operations, LLC
- Chain
- Avamere
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Oregon average (24 vs 34).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AVAMERE HEALTH SERVICES LLCOperational/managerial control · not applicable · since 10/01/2006
- AVAMERE SKILLED ADVISORS LLCOperational/managerial control · not applicable · since 10/01/2006
- MIDCAP FINCO LLCOperational/managerial control · not applicable · since 01/22/2010
- BECERRA, SHANNONOperational/managerial control · not applicable · since 02/01/2025
- BOTHWELL, MARLONOperational/managerial control · not applicable · since 02/19/2024
Show 12 more
- FEAKIN, CODYOperational/managerial control · not applicable · since 07/15/2025
- FOWLER, KATHERINEOperational/managerial control · not applicable · since 02/28/2025
- KAHN, KARENOperational/managerial control · not applicable · since 10/01/2008
- KOFSTAD, MARYOperational/managerial control · not applicable · since 02/13/2024
- LOEWEN, MICHELLEOperational/managerial control · not applicable · since 10/09/2023
- 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
- PREVATT, NAOMIOperational/managerial control · not applicable · since 12/09/2024
- REID, MISTYOperational/managerial control · not applicable · since 01/02/2025
- SIMPSON, ANDREWOperational/managerial control · not applicable · since 06/01/2024
- SUTTON, HOLLYOperational/managerial control · not applicable · since 03/01/2023
Questions
When was Avamere at Three Fountains last inspected?
CMS lists July 9, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Avamere at Three Fountains have?
CMS lists 24 health citations since August 25, 2023. CMS also calls these deficiencies.
Has Avamere at Three Fountains been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Avamere at Three Fountains?
Its CMS overall star rating is 5 of 5.
Is Avamere at Three Fountains a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.