Avamere Rehabilitation of Lebanon
350 S. 8th · Lebanon, OR · 97355 · 5412591221
84 certified beds For profit - Limited Liability company Chain: Avamere
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.99 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $20,303 |
Inspection citations (57 in the current record)
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Potential for harm · D March 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · D March 17, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 21, 2026 · Quality of Life and Care
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Potential for harm · E September 8, 2025
Give residents a notice of rights, rules, services and charges.
Corrected October 16, 2025 · Resident Rights
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Potential for harm · E September 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 16, 2025 · Resident Rights
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Potential for harm · D September 8, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 8, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
Observe each nurse aide's job performance and give regular training.
Corrected October 16, 2025 · Nursing and Physician Services
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Potential for harm · D September 8, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D September 8, 2025
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 October 16, 2025 · Pharmacy Service
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Potential for harm · D September 8, 2025
Provide or obtain dental services for each resident.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · E September 8, 2025
Dispose of garbage and refuse properly.
Corrected October 16, 2025 · Nutrition and Dietary
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Potential for harm · F September 8, 2025
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.
Corrected October 16, 2025 · Administration
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Potential for harm · F September 8, 2025
Provide and implement an infection prevention and control program.
Corrected October 16, 2025 · Infection Control
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Potential for harm · D September 8, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 16, 2025 · Quality of Life and Care
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Potential for harm · D July 22, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 3, 2025 · Resident Rights
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Potential for harm · D July 22, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 22, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 3, 2025 · Nursing and Physician Services
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Potential for harm · D May 5, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 29, 2025 · Resident Rights
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Immediate jeopardy · J July 19, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 30, 2024 · Nutrition and Dietary
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Potential for harm · D July 19, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 30, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 30, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2024 | Fine | $20,303 |
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 385168 · certified since January 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.