Avamere Rehabilitation of Clackamas
220 E. Hereford · Gladstone, OR · 97027 · 5036560393
87 certified beds For profit - Corporation Chain: Avamere
Why this verdict
- Federal penalties on record: $10,036 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 4.70 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 3 · $175,773 |
Inspection citations (16 in the current record)
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Potential for harm · D December 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 13, 2026 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide and implement an infection prevention and control program.
Corrected January 13, 2026 · Infection Control
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Potential for harm · D December 4, 2025 · found via complaint
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.
Corrected January 13, 2026 · Resident Rights
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Potential for harm · D December 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2026 · Quality of Life and Care
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Immediate jeopardy · J September 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 7, 2024 · Quality of Life and Care
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Immediate jeopardy · K July 19, 2024
Provide and implement an infection prevention and control program.
Corrected August 27, 2024 · Infection Control
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Potential for harm · E July 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 19, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · E July 19, 2024 · found via complaint
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.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D June 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · E May 5, 2023
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.
Corrected June 13, 2023 · Resident Rights
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Potential for harm · D May 5, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 13, 2023 · Quality of Life and Care
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Potential for harm · D May 5, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 13, 2023 · Pharmacy Service
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Potential for harm · D May 5, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 13, 2023 · Pharmacy Service
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Potential for harm · E May 5, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 13, 2023 · Nutrition and Dietary
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Potential for harm · D May 5, 2023
Dispose of garbage and refuse properly.
Corrected June 13, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 24, 2024 | Fine | $10,036 |
| June 20, 2024 | Fine | $30,976 |
| November 14, 2023 | Fine | $134,761 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385203 · certified since August 3, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.