Provider Details - Avamere at Three Fountains | Licensed Long-Term Care Settings Search

Avamere at Three Fountains

835 CRATER LAKE AVENUE
Medford, OR 97504

(541) 773-7717

hsutton@avamere.com

Administrator name: Holly Sutton

ID: 385126
Status: Open
Type: Nursing Facility
Licensed beds: 117
Accepts Medicaid: Yes
Memory Care: No

Owner: Waterford Operations, LLC

760 Spring Street
Medford, OR 97504

Owner since: 10/7/2006

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

Review Consumer Statements

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
7/9/2026	25C5A9	Complaint, Licensure Complaint, Recertification	6
4/28/2026	22F97E	Complaint, Re-Licensure	0
10/28/2025	1DA0F0	Complaint, Licensure Complaint	0
1/16/2025	3HOT	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	6
4/1/2024	SEC1	Complaint, Licensure Complaint, State Licensure	4
8/25/2023	K43G	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	12
7/15/2022	L02E	Complaint, Licensure Complaint, Re-Licensure, Recertification	2
3/11/2022	C8KT	Complaint, Licensure Complaint, State Licensure	4
11/24/2021	V3BV	Focused Infection Control, Other-Fed, Other-State, State Licensure	0

9 records found

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to assist with transfer Failed to assure resident rights Failed to assure timely medical treatment Failed to follow care plan Failed to intervene when resident's condition changed Failed to obtain medical order Failed to perform adequate screening or assessment Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from involuntary seclusion Failed to protect resident from rough treatment Failed to provide a safe medication administration system Failed to provide appropriate pain control Failed to provide medical treatment as ordered Failed to provide oversight and monitoring of change of condition Failed to provide peri care Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Involuntary Seclusion Abuse: Neglect Abuse: Verbal/Mental abuse
11/27/2023	OR0004644600	Failed to protect resident from financial exploitation	2	Abuse: Neglect
11/14/2023	OR0004626300	Failed to protect resident from financial exploitation	2	Abuse: Neglect
8/15/2018	MS189735	Failed to protect resident from involuntary seclusion	3	Abuse: Involuntary Seclusion
4/26/2018	MS187616	Failed to follow care plan	3	Abuse: Neglect
12/14/2017	MS175024	Failed to administer medication as ordered	2	Abuse: Financial abuse
9/26/2017	OR0001370500	Failed to adequately care plan related to falls	3	Abuse: Neglect
4/18/2017	MS170971	Failed to follow care plan	3	Abuse: Neglect
4/13/2017	MS170851	Failed to assure resident rights	2	Abuse: Neglect
6/3/2016	MS166069	Failed to provide appropriate pain control	2	Abuse: Neglect
2/23/2015	MS150336	Failed to follow care plan	3	Abuse: Neglect

43 records found | Page 1 of 5

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to adequately plan discharge Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assist with toileting Failed to assure resident rights Failed to assure resident was safe Failed to assure timely medical treatment Failed to comply with move-out, transfer or discharge requirements Failed to follow care plan Failed to intervene when resident's condition changed Failed to investigate injury of unknown origin to rule out abuse Failed to keep medication record current or accurate Failed to notify family Failed to perform adequate screening or assessment Failed to properly plan care Failed to properly use restraint Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to protect resident from verbal abuse Failed to provide a safe medication administration system Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide or assist with hygiene Failed to provide or maintain resident care equipment Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to submit timely or adequate staffing documentation Failure to provide a system that prevents theft or misuse of medication	Level Level Between And	Type Type Licensing Violation
4/27/2026	2718922 - 4475753	Failed to answer call light in a timely manner	2	Licensing Violation
6/23/2025	OR0005764902	Failed to assist with toileting	2	Licensing Violation
6/23/2025	OR0005764900	Failed to answer call light in a timely manner	2	Licensing Violation
5/20/2025	CALMS - 00079157	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
3/10/2025	CALMS - 00073890	Failed to provide appropriate staffing	2	Licensing Violation
2/19/2025	919413 - 1411436	Failed to administer medication as ordered	2	Licensing Violation
1/6/2025	OR0005556600	Failed to provide safe environment	2	Licensing Violation
9/25/2024	CALMS - 00063150	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
8/17/2023	OR0004429900	Failed to administer medication as ordered	3	Licensing Violation
8/2/2023	OR0004540300	Failed to administer medication as ordered	3	Licensing Violation

86 records found | Page 1 of 9

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Regulatory actions
	Sanction Sanction	Allegation Allegation	Type Type	Effective date Effective date From To	End date End date From To	Actions
No Results Found

0 records found

Provider Details - Avamere at Three Fountains

Warning