Avamere Rehabilitation of Eugene
2360 Chambers Street · Eugene, OR · 97405 · 5416871310
92 certified beds For profit - Limited Liability company Chain: Avamere
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $36,472 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 4.53 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $36,472 |
Inspection citations (55 in the current record)
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Immediate jeopardy · J March 30, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D March 30, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 30, 2026 · 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 April 17, 2026 · Resident Rights
-
Potential for harm · D January 20, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 26, 2026 · Resident Rights
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Potential for harm · D January 20, 2026
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 February 26, 2026 · Resident Rights
-
Potential for harm · D January 20, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 20, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · D January 20, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · D January 20, 2026
Provide or get specialized rehabilitative services as required for a resident.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · E January 20, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 20, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 26, 2026 · Infection Control
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Potential for harm · E January 20, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected February 26, 2026 · Infection Control
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Potential for harm · D January 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · E January 20, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
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Potential for harm · D May 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 5, 2025 · Quality of Life and Care
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Potential for harm · D October 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 4, 2024 · Quality of Life and Care
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Immediate jeopardy · K August 5, 2024
Provide and implement an infection prevention and control program.
Corrected August 27, 2024 · Infection Control
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Potential for harm · D August 5, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D August 5, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D August 5, 2024
Give residents a notice of rights, rules, services and charges.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D August 5, 2024
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 August 27, 2024 · Resident Rights
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Potential for harm · D August 5, 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 27, 2024 · Resident Rights
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Potential for harm · D August 5, 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 August 27, 2024 · Resident Rights
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Potential for harm · E August 5, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 27, 2024 · 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 |
|---|---|---|
| August 5, 2024 | Fine | $36,472 |
| August 5, 2024 | Payment Denial | 14 days |
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 385053 · certified since November 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.