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Nursing homeFAID #10669

Avamere Rehabilitation of Coos Bay

2625 KOOS BAY BLVD, COOS BAY, OR, 97420

(541) 267-2161

92 licensed beds

CMS rates Avamere Rehabilitation of Coos Bay 2 out of 5 overall. Federal inspectors issued 71 citations across 9 inspections in the last three years, with $15,593 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

2625 Koos Bay Blvd

Coos Bay, OR 97420

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Public record summary

What we can show you for free.

Bed capacity

State license

385239

CMS facility ID

385239

Care type

Nursing home

Facility name

Avamere Rehabilitation of Coos Bay

Street address

2625 KOOS BAY BLVD

City / state / ZIP

Coos Bay, OR 97420

Phone

(541) 267-2161

Website

avamere.com

State license #

385239

About this facility — Avamere Rehabilitation of Coos Bay

Avamere Rehabilitation of Coos Bay is a Medicare/Medicaid-certified skilled nursing facility in Coos Bay, Oregon. It is licensed for 92 beds — above the median for skilled nursing facilities in Oregon (80 beds).

It is one of 16 senior care facilities in Coos Bay and 128 skilled nursing facilities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avamere, a group of 27 facilities on this site.

Federal inspectors have cited Avamere Rehabilitation of Coos Bay 71 times across 9 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $15,593 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avamere

Ownership type

For profit - Limited Liability company

Regulatory standing

Federal court records

12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1994-01-25

CMS overall rating

2 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

$15,593 total

Last standard inspection

2025-08-25

Nurse staffing

4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$574 per day (≈ $17,450/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

62% Medicaid · 19% Medicare · 19% private/other

Occupancy

52% (fiscal year 2023)

Vs. state median

5% below the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2025-08-25Health inspectionComplaint-triggered17 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-11

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-11

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-11

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-09-11

F-0628

D · No harm foundFrom a complaint

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-11

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-11

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-11

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-11

F-0690

D · No harm found

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 2025-09-11

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-11

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-09-11

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-11

F-0760

G · Actual harm

Ensure that residents are free from significant medication errors.

Corrected 2025-09-11

F-0761

E · No harm found

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 2025-09-11

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2025-09-11

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-11

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-11

2024-05-03Health inspectionComplaint-triggered13 citations

F-0584

D · No harm found

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 2024-05-29

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-29

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-05-29

F-0688

D · No harm found

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 2024-05-29

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-29

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-29

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-05-29

F-0761

E · No harm found

Corrected 2024-05-29

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-29

F-0840

D · No harm found

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 2024-05-29

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-05-29

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-05-29

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-05-29

5 earlier / fire-safety inspections (41 citations)

2023-11-22Health inspectionComplaint-triggered2 citations

F-0658

J · Immediate jeopardyFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-14

F-0678

J · Immediate jeopardyFrom a 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 2023-11-14

2023-03-10Health inspection13 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-14

F-0584

E · No harm found

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 2023-04-14

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2023-04-14

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-04-14

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-04-14

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-14

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-04-14

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-04-14

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-04-14

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2023-04-14

F-0803

D · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-04-14

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-14

F-0888

D · No harm found

Ensure staff are vaccinated for COVID-19

Corrected 2023-04-14

2024-05-03Fire-safety inspection4 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-05-29

K-0342

F · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2024-05-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-29

K-0932

D · No harm found

Meet other general requirements.

Corrected 2024-05-29

2023-03-10Fire-safety inspection1 citation

K-0325

E · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-04-14

2022-01-27Fire-safety inspection21 citations

E-0001

F · No harm found

Establish an Emergency Preparedness Program (EP).

Corrected 2022-03-18

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-03-18

E-0009

E · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2022-03-18

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2022-03-18

E-0022

F · No harm found

Establish policies and procedures for sheltering.

Corrected 2022-03-18

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2022-03-18

E-0026

D · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2022-03-18

E-0029

F · No harm found

Develop a communication plan.

Corrected 2022-03-18

E-0031

D · No harm found

Provide emergency officials' contact information.

Corrected 2022-03-18

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2022-03-18

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2022-03-18

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2022-03-18

K-0163

F · No harm found

Install noncombustible or limited-combustible interior walls.

Corrected 2022-03-18

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-03-18

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-03-18

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-18

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-03-18

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-03-18

K-0911

D · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-03-18

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-03-18

K-0932

D · No harm found

Meet other general requirements.

Corrected 2022-03-18

Federal penalties

2023-11-22Fine$15,593

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 385239.

Quality of care & staffing

How it compares in Oregon.

Inspection citations, 3 years

More than 86% of nursing homes in the state

State median: 43

Federal fines, 3 years

$15,593

More than 64% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

4.6

Higher than 17% of nursing homes in the state

State median: 4.9

Nursing staff turnover, annual

36%

Higher than 20% of nursing homes in the state

State median: 42%

Resident outcomes

On 21 federal quality measures, this facility does better than the Oregon average on 10 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	14.4%	14.2%	13.5%	Near state average
Lose too much weight	3.4%	4.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	1.3%	0.7%	Better than state
With a urinary tract infection	2.6%	2.0%	1.5%	Worse than state
Have depressive symptoms	0.7%	4.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	3.9%	2.4%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	96.1%	95.3%	93.7%	Near state average
Ability to walk independently worsened	9.9%	18.6%	12.7%	Better than state
Received an antianxiety or hypnotic medication	8.7%	12.2%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	94.0%	95.3%	Near state average
With pressure ulcers	4.0%	5.6%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	27.3%	20.8%	18.3%	Worse than state
Received an antipsychotic medication	17.3%	14.3%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.05	1.46	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.96	2.27	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	93.2%	85.8%	82.3%	Near state average
Newly received an antipsychotic medication	0.4%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	92.7%	80.9%	80.1%	Better than state
Were rehospitalized after a nursing home admission	21.5%	21.9%	23.4%	Near state average
Had an outpatient emergency department visit	21.8%	16.0%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0558 2 inspections. Reasonably accommodate the needs and preferences of each resident.
F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.

Verify & compare

Where to check, and what's nearby.

Who to contact in Oregon

Licensing: Oregon Department of Human Services (ODHS)
File a complaint: 877-280-4555 · Online
Long-Term Care Ombudsman: 800-522-2602. A free advocate for residents and families.
Adult Protective Services: 855-503-7233. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Bay Area Hospital, about 0.7 miles. CMS rating 2 of 5.
Coquille Valley Hospital, about 14 miles.
Southern Coos Hospital & Health Center, about 21 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Melanie Forbes, North Bend, about 0.5 miles. 8 state visits on record.
Elmer Grubb, North Bend, about 0.6 miles. 8 state visits on record.
Melanie Forbes, North Bend, about 0.8 miles. 10 state visits on record.
Janice Miller, North Bend, about 1.1 miles. 9 state visits on record.
Inland Point Assisted Living, North Bend, about 1.2 miles. 2 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered