Avamere

PBJ Takeaway: Avamere

33 Facilities2 States100% For-ProfitAvg. Overall Rating: 2.9Avg. Staffing Rating: 3.8Staffing Rating: 3.8

Avamere operates 33 nursing homes across 2 states, all classified as for-profit. Its average CMS overall rating is 2.9 stars.

Across the portfolio, facilities report an average of 4.80 total nurse HPRD, including 0.70 RN hours, above the national ratio of 3.77 HPRD.

27% of Avamere facilities meet PBJ320 high-risk criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 30 fines ($1.4 million) for the chain's nursing homes.

320 Consulting

Avamere Key Metrics

Providers

States

Avg. Rating

2.9

Total Fines

$1.4 million

– Avamere

Special Focus Facilities (SFFs)

SFF Candidates

1-Star Overall

Cited for Abuse

Avg. CMS 5-Star Rating – Avamere

Overall

2.9

Health Inspection

2.5

Staffing

3.8

Quality Measures

3.6

Avamere Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

State	Provider	City	Total HPRD	RN HPRD	Overall Rating	Staffing Rating
OR	Laurelhurst Post Acute & Rehabilitation ⚠	Portland	5.12	0.96	3	5
OR	Avamere Rehabilitation of Hillsboro	Hillsboro	4.55	0.61	2	4
WA	Richmond Beach Rehab	Shoreline	3.94	0.31	5	3
WA	Avamere Rehabilitation of Cascade Park	Vancouver	4.60	1.01	5	5
WA	Avamere Olympic Rehabilitation of Sequim	Sequim	5.06	1.23	2	4
WA	Avalon Healthcare Bellingham	Bellingham	4.42	1.12	4	3
WA	Avamere Rehabilitation at Park West	Seattle	4.11	0.48	2	3
WA	Avamere at Pacific Ridge ⚠	Tacoma	5.93	0.65	1	4
WA	Avamere Rehabilitation of Burien	Burien	4.18	0.72	2	4
WA	Avamere Rehabilitation at Ridgemont	Port Orchard	4.30	0.60	4	2
WA	Queen Anne Healthcare	Seattle	4.70	1.12	5	5
WA	Avalon Healthcare - Tacoma ⚠	Tacoma	4.86	0.97	1	3
WA	Avamere Rehabilitation of Shoreline ⚠	Seattle	3.68	0.65	1	2
WA	Avamere Rehabilitation of Issaquah	Issaquah	4.40	0.64	2	2
OR	Pearl at Kruse Way, The	Lake Oswego	5.84	1.15	4	4
OR	Bend Transitional Care	Bend	4.91	1.28	5	5
OR	Avamere Rehabilitation of Coos Bay	Coos Bay	4.54	0.52	2	4
OR	Avamere Health Services of Rogue Valley	Medford	4.39	0.33	2	3
OR	Salem Transitional Care	Salem	5.24	0.62	2	4
OR	Avamere Court at Keizer	Keizer	4.48	0.52	4	4
OR	Avamere Rehabilitation of Junction City ⚠	Junction City	4.50	0.42	3	4
OR	Avamere Rehabilitation of Clackamas	Gladstone	5.14	0.83	3	4
OR	Beaverton Post Acute Care of Cascadia	Beaverton	4.90	0.71	5	5
OR	Avamere Transitional Care at Sunnyside	Salem	5.28	0.53	2	4
OR	Avamere Riverpark of Eugene ⚠	Eugene	5.54	0.72	1	4
OR	Avamere Rehabilitation of Lebanon ⚠	Lebanon	4.54	0.46	1	3
OR	Avamere Rehabilitation of Newport	Newport	4.46	0.62	5	5
OR	Avamere Rehabilitation of King City	Tigard	4.43	0.72	4	4
OR	Avamere at Three Fountains	Medford	4.79	0.54	5	4
OR	Avamere Rehabilitation of Oregon City	Oregon City	5.29	0.49	3	4
OR	Avamere Rehabilitation of Eugene ⚠	Eugene	5.53	0.48	1	4
OR	Avamere Crestview of Portland ⚠	Portland	4.97	0.63	1	4
WA	Avamere Transitional Care of Puget Sound	Tacoma	4.92	1.57	5	5

1–20 of 33

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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