Jackson County, Oregon · Nursing home
Avamere at Three Fountains
5 of 5 overall from CMS
835 Crater Lake Avenue, Medford, OR 97504
At a glance
- Overall rating 5 of 5 Above the state average of 3.1
- Nurse time per resident, per day 5.06 hours Above the state average of 5.03
- Nursing staff who left in a year 44.0% Below the state average of 47.4%
- Health citations, last 3 inspection cycles 24 2 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 64.2% of 117 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avamere at Three Fountains is a 117-bed nursing home in Medford, Oregon (Jackson County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 5.06 nurse staffing hours per resident per day, above the Oregon average of 5.03. CMS lists no fines in the past three years.
- Certified beds
- 117
- Residents per day (average)
- 75.1
- Certified since
- 1975 (51 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Avamere (27 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avamere at Three Fountains
Chosen from this home's public data.
- Reported nurse staffing is 4.53 hours per resident on weekends against 5.06 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 64.2% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.59 hours per resident per day; the Oregon average is 0.72. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Oregon average 3.1
- Health inspections 4 of 5 Oregon average 2.8
- Staffing 4 of 5 Oregon average 3.9
- Quality measures 5 of 5 Oregon average 3.5
The vertical line marks the Oregon average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.06 h Oregon average 5.03
- Nurse aides 3.61 h Oregon average 3.40
- Licensed practical nurses 0.86 h Oregon average 0.91
- Registered nurses 0.59 h Oregon average 0.72
- All staff, weekends 4.53 h Oregon average 4.51
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Oregon average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover44.0%
- Oregon average47.4%
- Registered nurse turnover45.5%
- Oregon average51.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oregon and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 6.9% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.0% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.4% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.3% | 4.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.5% | 20.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 95.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.2% | 5.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.9% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 6.7% | 13.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.39 | 1.48 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.16 | 2.35 | 1.78 |
Short-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% | 85.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 81.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.3% | 21.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% | 16.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 24 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 1, 2024: Ensure services provided by the nursing facility meet professional standards of quality.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 9, 2026 | 5 | 0 |
| Jan 16, 2025 | 5 | 3 |
| Aug 25, 2023 | 14 | 10 |
Oregon homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (24)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has plan of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has plan of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has plan of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has plan of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has plan of correction (Aug 6, 2026)
Show 19 more
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 14, 2025)
-
GActual harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance (Aug 30, 2023)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Past Non-Compliance (Aug 30, 2023)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Nov 27, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 30, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 30, 2023)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2023)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Sep 30, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Oregon homes averaged 0.8 fines and $27,522 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oregon
Common questions
What is the CMS star rating for Avamere at Three Fountains?
Avamere at Three Fountains has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 5.
How many beds does Avamere at Three Fountains have?
Avamere at Three Fountains has 117 certified beds. It averages 75.1 residents per day, about 64.2% of its certified beds.
How much nursing care do residents get at Avamere at Three Fountains?
The home reports 5.06 hours of nurse staffing per resident per day, including 0.59 hours from registered nurses. The Oregon average is 5.03 hours and 0.72 hours from registered nurses.
Has Avamere at Three Fountains been fined?
CMS lists no fines for this home in the past three years.
Does Avamere at Three Fountains accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Avamere Health Services of Rogue Valley 91beds 72.3%in use 4.55nurse hours a day
- 1 of 5 Hearthstone Nursing & Rehabilitation Center 87beds 92.6%in use 4.41nurse hours a day
- 5 of 5 Rogue Valley Manor 68beds 42.4%in use 6.56nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jackson County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 385126. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.