Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVAMERE REHABILITATION OF COOS BAY
COOS BAY, OR · 92 certified beds · Last Life Safety survey May 3, 2024
CMS Certification Number 385239 · first certified January 1994
Ownership
Operated by AVAMERE · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within OR
26 citations — more than 96% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (August 2025 to September 2025), and past the point by which nine in ten OR facilities have been surveyed. This facility’s last Life Safety survey was May 2024. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
13 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 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.
How that compares
Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 26 |
| Median facility in OR | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 27, 2022 | 21 |
| March 10, 2023 | 1 |
| May 3, 2024 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0932 | Meet other general requirements. | 2 | 2024-05-03 |
| E-0039 | Conduct testing and exercise requirements. | 2 | 2024-05-03 |
| E-0029 | Develop a communication plan. | 1 | 2022-01-27 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2022-01-27 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2022-01-27 |
| E-0013 | Develop Emergency Preparedness policies and procedures. | 1 | 2022-01-27 |
| E-0001 | Establish an Emergency Preparedness Program (EP). | 1 | 2022-01-27 |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | 1 | 2024-05-03 |
What the citations cover
- Emergency Preparedness Deficiencies 13
- Smoke Deficiencies 6
- Gas, Vacuum, and Electrical Systems Deficiencies 3
- Egress Deficiencies 2
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 13 |
| Smoke Deficiencies | 6 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 3 |
| Egress Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 3, 2024 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (May 29, 2024) |
| K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Deficient, Provider has date of correction (May 29, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 29, 2024) |
| K-0932 | Meet other general requirements. | Deficient, Provider has date of correction (May 29, 2024) |
March 10, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (April 14, 2023) |
January 27, 2022 — 21 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (March 18, 2022) |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (March 18, 2022) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 18, 2022) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0163 | Install noncombustible or limited-combustible interior walls. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 18, 2022) |
| K-0932 | Meet other general requirements. | Deficient, Provider has date of correction (March 18, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.