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.
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.