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Avamere At Three Fountains

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About Avamere At Three Fountains

General Information

Legal Business NameWaterford Operations, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1975 (42 years)
Capacity156
Residents80
Percent Occupied51%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Avamere At Three Fountains

Avamere At Three Fountains
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oregon Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 2, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

July 25, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionPut firmly secured handrails on each side of hallways.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

July 24, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionA written emergency evacuation plan.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of portable space heaters.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.

February 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintKeep each resident free from physical restraints, unless needed for medical treatment.

November 12, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 1, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmComplaint+InspectionPut firmly secured handrails on each side of hallways.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionA separate and independent backup electrical power source.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

June 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 20, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$650 fine
---Fine$975 fine
---Fine$2,275 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Avamere At Three Fountains require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 20min
2hr 35min
ReportedExpected
CNA
1hr 10min
50min
ReportedExpected
LPN
35min
1hr 30min
ReportedExpected
RN
5hr 5min
4hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.3%
92.6%
92.6%
92.8%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
92.7%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.6%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
16.7%
18.9%
10.3%
17.4%
Q1 2015Q2 2015Q3 2015OR
Received an Antipsychotic Medication
8.3%
5.1%
12.2%
11.6%
Q1 2015Q2 2015Q3 2015OR
Need for Help with ADLs has Increased
-
18.7%
18.2%
14.2%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
10.8%
4.9%
0.0%
7.2%
Q1 2015Q2 2015Q3 2015OR
Lose Too Much Weight
18.8%
13.3%
18.2%
6.9%
Q1 2015Q2 2015Q3 2015OR
High Risk Residents With Pressure Ulcers
2.9%
2.6%
2.5%
4.4%
Q1 2015Q2 2015Q3 2015OR
Have Depressive Symptoms
0.0%
4.9%
2.4%
5.9%
Q1 2015Q2 2015Q3 2015OR
With a Urinary Tract Infection
2.6%
2.4%
2.4%
2.7%
Q1 2015Q2 2015Q3 2015OR
Experiencing One or More Falls with Major Injury
16.5%
12.5%
23.7%
4.9%
Q1 2015Q2 2015Q3 2015OR
With a Catheter Inserted and Left in Their Bladder
2.6%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015OR
Were Physically Restrained

Quality Measures for Short Stay Residents

98.7%
99.5%
98.3%
80.1%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
81.1%
79.2%
79.2%
78.8%
Q1 2015Q2 2015Q3 2015OR
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
36.2%
34.8%
43.0%
23.6%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
0.8%
0.8%
0.4%
1.5%
Q1 2015Q2 2015Q3 2015OR
Newly Received an Antipsychotic Medication
0.3%
1.0%
0.8%
1.4%
Q1 2015Q2 2015Q3 2015OR
With Pressure Ulcers That Are New or Worsened