Avamere Rehabilitation of Coos Bay
2625 Koos Bay Blvd · Coos Bay, OR · 97420 · 5412672161
92 certified beds For profit - Limited Liability company Chain: Avamere
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.
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.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 4.01 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $15,593 |
Inspection citations (45 in the current record)
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Actual harm · G August 25, 2025
Ensure that residents are free from significant medication errors.
Corrected September 11, 2025 · Pharmacy Service
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Potential for harm · D August 25, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 11, 2025 · Resident Rights
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Potential for harm · D August 25, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 11, 2025 · Resident Rights
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Potential for harm · D August 25, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · E August 25, 2025
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 11, 2025 · Nursing and Physician Services
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Potential for harm · D August 25, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 11, 2025 · Pharmacy Service
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Potential for harm · E August 25, 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 September 11, 2025 · Pharmacy Service
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Potential for harm · D August 25, 2025
Provide or obtain dental services for each resident.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · E August 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 11, 2025 · Nutrition and Dietary
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Potential for harm · D August 25, 2025
Provide and implement an infection prevention and control program.
Corrected September 11, 2025 · Infection Control
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Potential for harm · D August 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 25, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 11, 2025 · Resident Rights
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Potential for harm · D August 25, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 11, 2025 · Resident Rights
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Potential for harm · E August 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 11, 2025 · Quality of Life and Care
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Potential for harm · D May 3, 2024
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 29, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
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.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 29, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024
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 29, 2024 · Pharmacy Service
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Potential for harm · F May 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 29, 2024 · Nutrition and Dietary
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Potential for harm · D May 3, 2024
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected May 29, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 22, 2023 | Fine | $15,593 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385239 · certified since January 25, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.