Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avamere Rehabilitation Of Newport during CMS and state inspections, most recent first.
Inadequate staffing and poor coordination between dietary and nursing staff led to routine delays in meal service, with meal carts arriving up to 74 minutes late and impacting timely diabetic medication administration. Staff reported insufficient communication about delays and a lack of clear expectations for meal service timing.
Surveyors identified unsanitary conditions in the kitchen, including a cabinet door with exposed wood and removable paint, a detached baseboard with inaccessible debris, and an ice machine installed without a required air gap and surrounded by black debris. The Dietary Manager and Corporate Maintenance acknowledged these issues and improper installation practices.
A facility did not ensure that a resident was fully informed about the binding arbitration agreement at admission. The Medical Records Director incorrectly explained that the resident could still go to court if their rights were violated, which contradicted the actual terms of the agreement. The Administrator confirmed that the information provided to the resident was not accurate.
A resident with a history of stroke and aphasia, but cognitively intact, had important preferences for bathing and bedtime that were not documented in the care plan. Staff interviews revealed inconsistent awareness of these preferences, resulting in the resident being awakened earlier than desired and causing distress. The lack of clear documentation and communication led to the resident's choices not being consistently honored.
A resident with a history of stroke and hypertension had their Metoprolol held multiple times due to low blood pressure, but the physician was not notified as required by orders. Review of records and staff interviews confirmed the lack of provider notification and documentation, despite facility expectations for communication in such cases.
A resident with hemiplegia and a history of stroke was found to have long, jagged, and dirty fingernails and toenails, despite being dependent on staff for ADLs. Staff indicated that nail care was provided on shower days and as needed, but the resident's nails had not been trimmed for at least two weeks, resulting in unaddressed hygiene needs.
A resident with a history of stroke and aphasia, identified as at risk for skin impairment, developed a 5 cm dark lesion on the scalp. Despite care plan instructions and the resident expressing concern, staff did not monitor or document changes to the lesion, and no follow-up was recorded. Staff interviews confirmed awareness of the lesion but a lack of monitoring and documentation.
A resident with depression and recent suicidal ideations was not provided with an updated behavioral health care plan or safety interventions following a hospital evaluation. CNAs were unaware of the resident's mental health status due to lack of information in the Kardex and shift reports, and a required follow-up call to Mental Health was not completed.
A resident with diabetes and diabetic neuropathy was admitted with orders for daily insulin and fasting serum blood sugar (FSBS) monitoring, but FSBS results were not documented for two months. The resident reported infrequent monitoring, and staff confirmed the FSBS order was missed during admission. Staff also stated that FSBS are usually obtained weekly and that nurse managers are expected to review new orders within 24 hours.
The facility failed to ensure hair and beard restraints were worn during meal preparation. Staff were observed preparing food without the required restraints, contrary to the facility's policy. The Dietary Manager acknowledged the requirement for staff to wear these restraints.
The facility failed to ensure a system was in place to offer COVID-19 vaccines to staff. A CNA was not offered the COVID-19 vaccine, nor was there documentation of education related to the vaccine. The Resident Care Manager confirmed that she stopped offering the COVID-19 vaccine to staff in August 2023.
The facility failed to offer pneumonia vaccines to eligible residents, including those with heart disease, lung disease, diabetes, and stroke. Despite being eligible, these residents were not offered additional doses, as acknowledged by the Resident Care Manager.
The facility failed to ensure a resident was shaved, compromising the resident's hygiene. Despite being cognitively intact and expressing a preference for no facial hair, the resident was observed with facial hair on multiple occasions. Staff confirmed the resident should have been shaved but was not, and the Resident Care Manager and DNS acknowledged that staff were expected to shave the resident as soon as possible if missed on a shower day.
A resident with hearing loss was observed wearing only one hearing aid due to the other being broken. Despite informing staff, no appointment was made to fix the broken hearing aid. Staff confirmed the resident should have been wearing two hearing aids and acknowledged the oversight.
A resident with a genetic muscular disease and a contracture of the left hand was observed without the required brace on multiple occasions. The washable part of the brace was taken to the laundry and not returned, making it unavailable. The Resident Care Manager was unaware of the issue and confirmed the resident only had one brace that needed daily application.
The facility failed to follow the care plan for a fall-risk resident with a history of stroke, leaving them unattended in their room in a wheelchair on multiple occasions. Staff were unaware of the care plan requirements, and the Resident Care Manager confirmed the oversight.
Delayed Meal Service Due to Inadequate Staffing and Poor Coordination
Penalty
Summary
The facility failed to provide adequate staffing and coordination for meal service in the kitchen, resulting in significant delays in meal delivery to residents. Scheduled lunch service was to begin at 11:30 AM, but observations showed that meal carts arrived late to dining areas, with the final cart arriving up to 74 minutes after the scheduled start time. Staff interviews confirmed that such delays occurred routinely one to two times per week, with delays lasting up to 45 minutes. Staff responsible for meal preparation and delivery reported being unable to complete tasks on time due to limited personnel and space constraints in the kitchen. Communication between dietary and nursing staff was insufficient, as nursing staff were rarely notified of late meals, impacting the administration of diabetic medications that needed to be given prior to meals. The lack of clearly defined expectations for meal service timing between departments contributed to the ongoing delays. The facility administrator acknowledged the absence of established protocols for meal service timing and emphasized the need for improved teamwork, communication, and kitchen efficiency.
Sanitation and Plumbing Deficiencies in Kitchen Environment
Penalty
Summary
Surveyors observed multiple sanitation and maintenance deficiencies in the facility kitchen. A white painted cabinet door under the sink in the food preparation area had exposed wood and black marks around the edge, with paint that was easily removed when rubbed. The baseboard under a counter was detached from the cabinet, and black debris was visible between the baseboard and the cabinet in an area not accessible for cleaning. The ice machine was directly plumbed from the outside without a required one-inch air gap, and a metal plate attached to the floor beneath the ice machine had a one-inch-wide rim of black debris around it. The Dietary Manager acknowledged the presence of uncleanable surfaces and improper installation of the ice machine, and Corporate Maintenance confirmed the expectation for a one-inch air gap for correct installation.
Failure to Properly Inform Residents of Binding Arbitration Agreement
Penalty
Summary
The facility failed to ensure that residents were fully informed and understood the binding arbitration agreement, as required. The facility's Patient and Facility Arbitration Agreement stated that by signing, parties waive their constitutional right to have claims decided in court before a judge and jury. Interviews revealed that all residents had signed the agreement, and the Medical Records Director was responsible for explaining it upon admission. However, the explanation provided to residents was incorrect, as it included information that residents could still go to court if their rights were violated, which contradicts the terms of the binding arbitration agreement. The Administrator acknowledged that the facility was not providing correct information regarding the agreement.
Failure to Communicate and Honor Resident Preferences for Daily Routines
Penalty
Summary
A deficiency was identified when the facility failed to ensure that a resident's preferences regarding bathing and bedtime routines were communicated and honored. The resident, who had a history of stroke and aphasia but was assessed as cognitively intact, placed high importance on their bathing and bedtime preferences. Despite this, the care plan did not document these preferences, and staff interviews revealed inconsistent awareness and understanding of the resident's desired routines. One CNA reported that some staff were unaware of the resident's preference to sleep in, leading to the resident being awakened earlier than desired, which caused distress. Another CNA noted difficulty in understanding the resident's preferences due to the lack of detailed information in the care plan. Further interviews indicated that while the Activities Director had interviewed the resident about preferences, updates were only made to the care plan for recreational activities, not for daily routines such as bathing or bedtime. The Interim DNS/RNCM acknowledged insufficient oversight in ensuring the resident's preferences were addressed and expected a person-centered care plan to be in place. The lack of clear documentation and communication of the resident's preferences placed the resident at risk for not having their choices honored.
Failure to Notify Physician After Holding Antihypertensive Medication
Penalty
Summary
The facility failed to notify the physician after holding blood pressure medication for a resident with a history of stroke and hypertension. Physician orders specified that Metoprolol Tartrate should be held if the resident's blood pressure was less than 100/55, and the physician should be notified for further instructions. Medication administration records showed multiple instances where Metoprolol was held due to low blood pressure readings, but there was no documentation that the physician was notified as required. Interviews with staff revealed that the expected process was to inform the charge nurse and document the event in the provider's communication book. However, review of the communication book showed no entries regarding the held medication for this resident. The interim DNS and the physician assistant both confirmed there was no evidence of provider notification, and the physician assistant stated he would have adjusted the medication dosage if he had been informed of the low blood pressures.
Failure to Provide Timely Nail Care for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with a history of cerebral infarction and left-sided hemiplegia, who was dependent on staff for activities of daily living, was observed to have long, jagged, and dirty fingernails and toenails. The resident reported that their fingernails needed to be trimmed. Staff interviews revealed that nail care was typically provided on shower days, and a CNA stated that nail care for this resident had last been performed two weeks prior. Upon further observation with an LPN Resident Care Manager, the resident's nails remained in poor condition, and it was confirmed that CNA staff were expected to provide nail care during showers and as needed between showers.
Failure to Monitor and Document Resident's Skin Lesion
Penalty
Summary
Facility staff failed to monitor and document changes in a resident's skin condition as required by facility policy. The resident, who had a history of stroke and aphasia but was assessed as cognitively intact, was identified as being at risk for skin impairment. Despite a care plan instructing staff to report and monitor changes in skin condition, a 5 cm dark lesion was noted on the resident's scalp. The resident expressed concern about the lesion through nonverbal cues, but there was no documentation of ongoing monitoring or follow-up in the clinical record after the lesion was initially identified. Staff interviews confirmed that the registered nurse was aware of the scalp lesion but did not monitor it, and the resident care manager was unaware of any further physician follow-up. Weekly skin audits and the treatment administration record did not reflect the presence or monitoring of the lesion. This lack of monitoring and documentation resulted in a failure to provide appropriate treatment and care according to the resident's needs and preferences.
Failure to Update Behavioral Health Care Plan and Communicate Suicidal Ideation
Penalty
Summary
The facility failed to complete a baseline care plan and provide ongoing behavioral health services for a resident admitted with depression who experienced suicidal ideations. After being sent to the hospital for evaluation due to suicidal ideations, the resident returned to the facility, and documentation indicated the resident was not at risk for imminent harm. However, the resident declined to complete a safety plan but agreed to a follow-up call with Mental Health, which was not documented as completed. Interviews with CNAs revealed they were unaware of the resident's recent suicidal ideations, as this information was not included in the Kardex or communicated during shift reports. A review of the care plan and Kardex showed no evidence of a mental health or suicidal ideation care plan or safety interventions. The interim DNS/RNCM was also unaware of the relevant after-visit summary and mental health notes in the chart and confirmed that the care plan and Kardex were not updated and the follow-up call to Mental Health had not occurred.
Failure to Obtain Ordered Fasting Serum Blood Sugars for Diabetic Resident
Penalty
Summary
The facility failed to obtain fasting serum blood sugars (FSBS) as ordered for one resident with diabetes and diabetic neuropathy. Upon admission, the resident had hospital discharge orders for daily insulin injections and FSBS monitoring. A revised care plan also indicated the need for FSBS to be completed as ordered. However, diabetic administration records for two consecutive months showed no documented FSBS results for this resident. The resident reported that FSBS were rarely monitored, and staff interviews confirmed that the hospital discharge order for FSBS was missed during the admission process. Staff also indicated that FSBS were typically obtained weekly for diabetic residents, and nurse managers were expected to review new resident orders within 24 hours to ensure accuracy.
Failure to Use Hair and Beard Restraints During Meal Preparation
Penalty
Summary
The facility failed to ensure hair and beard restraints were worn during meal preparation, as observed on 4/3/24. Staff 13 (Dietary Manager), Staff 14 (Cook), and Staff 15 (Cook) were seen preparing food in the kitchen without hair and beard restraints. Staff 13 indicated that staff were told they were not required to wear hair restraints unless their hair was long and were also told they were not required to wear beard restraints. This was contrary to the facility's policy on Food Handling, revised in 1/2018, which required food and nutrition services staff to wear hair and beard restraints. Staff 13 acknowledged that staff were supposed to wear these restraints while working in the kitchen.
Failure to Offer COVID-19 Vaccine to Staff
Penalty
Summary
The facility failed to ensure a system was in place to offer COVID-19 vaccines to staff. Specifically, it was found that a CNA was not offered the COVID-19 vaccine, nor was there documentation of education related to the vaccine. This was confirmed during an interview with the Resident Care Manager, who stated that she stopped offering the COVID-19 vaccine to staff in August 2023.
Failure to Offer Pneumonia Vaccines to Eligible Residents
Penalty
Summary
The facility failed to ensure residents were offered a pneumonia vaccine, placing them at risk for infections. Resident 1, admitted in 2023 with heart disease, received a pneumonia vaccine in 2015 but was not offered another vaccine despite being eligible. Similarly, Resident 9, admitted in 2017 with lung disease, received a pneumonia vaccine in 2016 but was not offered another dose despite eligibility. Staff 6, the Resident Care Manager, acknowledged these oversights on 4/3/24 at 9:19 AM. Resident 11, admitted in 2018 with diabetes, refused a pneumonia vaccine in 2018 but was not offered additional vaccines thereafter. Resident 13, admitted in 2018 with a stroke, received a pneumonia vaccine in 2013 but was not offered another vaccine despite being eligible. Staff 6 also acknowledged these deficiencies. The failure to offer pneumonia vaccines to these residents was identified through interviews and record reviews.
Failure to Assist Resident with Shaving
Penalty
Summary
The facility failed to ensure a resident was shaved, which compromised the resident's hygiene. Resident 4, who was admitted in 2023 with a diagnosis of a stroke and was cognitively intact, expressed a preference for no facial hair and required staff assistance to shave on shower days. On multiple occasions, Resident 4 was observed with facial hair despite being assisted with showers. Staff 4 confirmed that the resident should have been shaved but was not. The Resident Care Manager and DNS acknowledged that if a resident was not shaved on their shower day, staff were expected to shave the resident as soon as possible and not wait for the next scheduled shower day.
Failure to Assist Resident with Hearing Aid Device
Penalty
Summary
The facility failed to assist a resident with a hearing aid device, leading to a deficiency. Resident 30, who was admitted in 2023 with a diagnosis of hearing loss, was observed on multiple occasions to have difficulty hearing staff and her/his roommate. The resident was wearing only one hearing aid, and upon interview, stated that the other hearing aid was broken and that staff had been informed but no appointment was made to fix it. Staff members confirmed that the resident was supposed to wear two hearing aids and acknowledged that the broken hearing aid should have been reported to the Resident Care Manager or Social Services for repair.
Failure to Apply Brace for Resident with Contracture
Penalty
Summary
The facility failed to apply a brace for a resident with a genetic muscular disease, leading to a deficiency in maintaining or improving the resident's range of motion (ROM). The resident, who had a contracture of the left hand, was observed without the required brace on multiple occasions. A CNA reported that the washable part of the brace was dirty and taken to the laundry, but it had not been returned, making the brace unavailable for use. The Resident Care Manager was unaware of the missing brace and confirmed that the resident only had one brace, which needed to be applied daily.
Failure to Follow Care Plan for Fall-Risk Resident
Penalty
Summary
The facility failed to provide care and services as care planned for a resident who was at risk for falls due to a stroke, incontinence, gait/balance problems, and left-sided paralysis. The resident's care plan indicated that they should not be left unattended in their room while in a wheelchair. However, the resident was observed unattended in their room in a wheelchair on multiple occasions. Interviews with CNAs revealed that they were not aware of the care plan requirement. The Resident Care Manager acknowledged that the resident was a fall risk and should not have been left unattended, confirming that staff were not following the care plan.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Newport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Corvallis Manor | 39.9 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.