AVAMERE AT THREE FOUNTAINS

MEDFORD, OR · 117 beds · For profit - Limited Liability company

79 Trust Score
Grade: B+ LOW Risk → Stable

Red Flags

  • 2 citation(s) where residents suffered actual harm

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (5 vs 10 state avg)
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
5
0.5x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

January 15, 2025

5 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

F0947 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

March 31, 2024

3 deficiencyies
F0602 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from the wrongful use of the resident's belongings or money.

F0658 Actual Harm Scope/Severity: G

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0760 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

August 24, 2023

11 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0744 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0919 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

F0921 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

July 14, 2022

1 deficiency
F0838 Potential Harm Scope/Severity: F

Administration Deficiencies

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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

See full violation history →

Staffing

0.54
RN hrs/res/day
0.76
LPN hrs/res/day
3.45
CNA hrs/res/day
4.37
Weekend hrs/res/day
42%
Total nurse turnover
29%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: AVAMERE
  • ARISO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2007

    100% Organization
  • ARI OPERATIONS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2007

    NO PERCENTAGE PROVIDED Organization
  • AVAMERE GROUP LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2007

    NO PERCENTAGE PROVIDED Organization
  • MILLER, KARL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2017

    NO PERCENTAGE PROVIDED Individual
  • AVAMERE HEALTH SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2017

    Organization
  • KOFSTAD, MARY

    CORPORATE OFFICER

    Since since 01/13/2024

    Individual
  • SIMPSON, ANDREW

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual
  • KAHN, KAREN

    CONTRACTED MANAGING EMPLOYEE

    Since since 10/01/2008

    Individual
  • SUTTON, HOLLY

    W-2 MANAGING EMPLOYEE

    Since since 03/01/2023

    Individual

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