Avamere At Three Fountains
835 Crater Lake Avenue, Medford, OR 97504


Avamere At Three Fountains is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 385126. The address is 835 Crater Lake Avenue, Medford, OR 97504. The zip code is 97504. The phone number is 5417737717.


Avamere At Three Fountains · 835 Crater Lake Avenue, Medford, OR 97504

Federal Provider Number 385126
Provider Name AVAMERE AT THREE FOUNTAINS
Address 835 CRATER LAKE AVENUE
MEDFORD, OR 97504
Phone Number 5417737717
SSA County Code 140
County Name Jackson
Ownership Type For profit - Corporation
Certified Beds 117
Certified Beds Residents 103
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WATERFORD OPERATIONS, LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1975
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 3.18689
Reported LPN Staffing Hours per Resident per Day 0.12379
Reported RN Staffing Hours per Resident per Day 0.30631
Reported Licensed Staffing Hours per Resident per Day 0.4301
Reported Total Nurse Staffing Hours per Resident per Day 3.61699
Reported Physical Therapist Staffing Hours per Resident Per Day 0.25437
Expected CNA Staffing Hours per Resident per Day 2.65803
Expected LPN Staffing Hours per Resident per Day 0.83125
Expected RN Staffing Hours per Resident per Day 1.63525
Expected Total Nurse Staffing Hours per Resident per Day 5.12453
Adjusted CNA Staffing Hours per Resident per Day 2.9419
Adjusted LPN Staffing Hours per Resident per Day 0.1236
Adjusted RN Staffing Hours per Resident per Day 0.13996
Adjusted Total Nurse Staffing Hours per Resident per Day 2.84508
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 08/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 16
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 14
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 07/25/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 17
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 17
Cycle 3 Health Deficiency Score 68
Cycle 3 Standard Health Survey Date 08/01/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 68
Total Weighted Health Survey Score 34.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 15
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Avamere At Three Fountains

Owner Name Role Association Date
ARI OPERATIONS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2007
ARISO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/2007
AVAMERE GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2007
AVAMERE HEALTH SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2006
DILLON, RICHARD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2007
DILLON, RICHARD (Individual) OFFICER since 01/01/2007
MILLER, KARL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2007
MILLER, KARL (Individual) DIRECTOR since 01/01/2007
MORGAN, JOHN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2013
MORGAN, JOHN (Individual) OFFICER since 02/01/2013
ODERMOTT, RONALD (Individual) OFFICER since 02/01/2013
THOMPSON, MARK (Individual) MANAGING EMPLOYEE since 04/11/2014
WART, GARY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2013
WART, GARY (Individual) OFFICER since 02/01/2013

97504 · Nursing Home

Avamere Health Services of Rogue Valley 625 Stevens Street, Medford, OR 97504
Rogue Valley Manor 1200 Mira Mar Avenue, Medford, OR 97504
Hearthstone Nursing and Rehabilitation Center 2901 E. Barnett Road, Medford, OR 97504

Medford · Nursing Home

Glen Ridge Nursing Care Center 120 Murray Street, Medford, MA 02155
Servant Living Center 616 South Front Street, Medford, OK 73759
Aspirus Care & Rehab-medford 135 S Gibson St, Medford, WI 54451
Medford Care Center 185 Tuckerton Road, Medford, NJ 08055
Courtyard Nursing Care Center 200 Governors Avenue, Medford, MA 02155
Medford Multicare Center for Living 3115 Horseblock Road, Medford, NY 11763
Rogue Valley Manor 1200 Mira Mar Avenue, Medford, OR 97504
Avamere Health Services of Rogue Valley 625 Stevens Street, Medford, OR 97504
Hearthstone Nursing and Rehabilitation Center 2901 E. Barnett Road, Medford, OR 97504
Medford Leas One Medford Leas Way, Medford, NJ 08055
Medford Rehabilitation and Nursing Center 300 Winthrop Street, Medford, MA 02155

OR · Nursing Home

Regency Care of Central Oregon 119 Se Wilson Avenue, Bend, OR 97702
Forest Grove Rehabilitation and Care Center 3900 Pacific Avenue, Forest Grove, OR 97116
Bend Transitional Care 900 Ne 27th Street, Bend, OR 97701
Salem Transitional Care 3445 Boone Road Se, Salem, OR 97317
Good Samaritan Society - Fairlawn Village 3457 Ne Division, Gresham, OR 97030
Prestige Post-acute & Rehab Center - Mcminnville 421 S. Evans Street, Mcminnville, OR 97128
Robison Jewish Health Center 6125 Sw Boundary Street, Portland, OR 97221
Rose City Nursing Home 34 Ne 20th Avenue, Portland, OR 97232
Rose Villa Senior Living Community 13505 Se River Road, Milwaukie, OR 97222
Marquis Forest Grove Post Acute Rehab 3300 19th Avenue, Forest Grove, OR 97116
Avamere Rehabilitation of Beaverton 11850 Sw Allen Blvd., Beaverton, OR 97008
Providence Benedictine Nursing Center 540 South Main Street, Mount Angel, OR 97362
Oregon Veterans Home 700 Veterans Drive, The Dalles, OR 97058
Gateway Care and Retirement 39 Ne 102nd Avenue, Portland, OR 97220
Avamere Twin Oaks of Sweet Home 950 Nandina Drive, Sweet Home, OR 97386
Sherwood Park Nursing & Rehab Center 4062 Arleta Avenue Ne, Keizer, OR 97303
South Hills Rehabilitation Cen 1166 E. 28th Avenue, Eugene, OR 97403
Porthaven Healthcare Center 5330 Ne Prescott Street, Portland, OR 97218
Good Samaritan Society - Eugene Village 3500 Hilyard Street, Eugene, OR 97405
Avamere Rehabilitation of Hillsboro 650 Se Oak Street, Hillsboro, OR 97123
Marquis Newberg 441 Werth Blvd, Newberg, OR 97132
Corvallis Manor 160 Ne Conifer Blvd, Corvallis, OR 97330
Baycrest Health Center 3959 Sheridan Avenue, North Bend, OR 97459
Avamere Rehabilitation of Lebanon 350 S. 8th, Lebanon, OR 97355
Marquis Mt Tabor 6040 Se Belmont Street, Portland, OR 97215
Marquis Vermont Hills 6010 Sw Shattuck Road, Portland, OR 97221
Creswell Health and Rehabilitation Center 735 South 2nd Street, Creswell, OR 97426
Regency Care of Rogue Valley 1710 Ne Fairview Avenue, Grants Pass, OR 97526
Healthcare At Foster Creek 6003 Se 136th Avenue, Portland, OR 97236
Providence Child Center 830 Ne 47th Avenue, Portland, OR 97213
Windsor Health & Rehabilitation Center 820 Cottage Street Ne, Salem, OR 97301
Regency Prineville Rehabilitation & Nursing Center 950 N. Elm Street, Prineville, OR 97754
Oregon City Health Care Center 148 Hood Street, Oregon City, OR 97045
Marquis Tualatin Post Acute Rehab 19945 Sw Boones Ferry Road, Tualatin, OR 97062
Cornerstone Care Option 12640 Se Bush, Portland, OR 97236
Willamette View Health Center 13145 Se River Road, Milwaukie, OR 97222
Milton Freewater Health and Rehabilitation Center 120 Elzora Street, Milton Freewater, OR 97862
Clatsop Care Center 646 16th Street, Astoria, OR 97103
West Hills Health & Rehabilitation Center 5701 Sw Multnomah Blvd, Portland, OR 97219
Mennonite Home 5353 Columbus Street Se, Albany, OR 97321