Avamere Rehabilitation of Junction City
530 Birch Street · Junction City, OR · 97448 · 5419982395
53 certified beds For profit - Corporation Chain: Avamere
Why this verdict
- Carries CMS’s abuse warning icon.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 4.09 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $8,678 |
Inspection citations (35 in the current record)
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Potential for harm · D December 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 8, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 9, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Ensure each resident receives an accurate assessment.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · F July 28, 2025
Provide and implement an infection prevention and control program.
Corrected August 28, 2025 · Infection Control
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Potential for harm · D July 28, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected August 28, 2025 · Quality of Life and Care
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Actual harm · G June 7, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · D June 7, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 5, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D April 5, 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 May 3, 2024 · Resident Rights
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Potential for harm · D April 5, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · F April 5, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 3, 2024 · Nursing and Physician Services
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Potential for harm · E April 5, 2024 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 3, 2024 · Pharmacy Service
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Potential for harm · E April 5, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 3, 2024 · Nutrition and Dietary
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Potential for harm · E April 5, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 3, 2024 · Infection Control
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Immediate jeopardy · J January 19, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 19, 2023
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 8, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected February 8, 2023 · Resident Rights
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Potential for harm · D January 19, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 19, 2023
Respond appropriately to all alleged violations.
Corrected February 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 19, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 8, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 7, 2024 | Fine | $8,678 |
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 385229 · certified since January 29, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.