Hearth Record

Avamere at Three Fountains

A nursing home in Medford, Oregon 97504

835 Crater Lake Avenue, Medford, Oregon 97504. (541) 773-7717.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 13 citations in 3 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

5 health citations at the latest inspection cycle

The Oregon average is 9.2.

Last standard inspection Jul 9, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Apr 1, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

13 citations in 3 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

13 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 13 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 3 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 9, 2026: standard inspection5 citations
  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 6, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 6, 2026.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 6, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 6, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 6, 2026.

Jan 16, 2025: standard inspection5 citations
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 14, 2025.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 14, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 14, 2025.

  • Implement a program that monitors antibiotic use.

    Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 14, 2025.

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 14, 2025.

Apr 1, 2024: complaint inspection3 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 30, 2023.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 30, 2023.

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 27, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jun 1, 1975.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 117 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 3 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

5.24 nurse hours per resident per day

The Oregon average is 5.13.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOregon average
Nurse hours per resident per day5.245.13
Of which registered nurses0.700.76
At weekends4.704.56
Nursing staff turnover40.2%43.5%
Registered nurse turnover42.9%49.5%
Administrators who left0Not given

Who owns it?

  • Ariso LLC owns 100% directly since Oct 6, 2006.
  • Avamere Health Services LLC and Avamere Skilled Advisors LLC and Midcap Finco LLC run it.
  • 58 owners or officers are people: Karl Rickard Miller (owns 5% or more through other companies, 100%); Michelle Funderberg (on the governing body (managing control)); Michelle Funderberg (additional disclosable party (controls, leases property to, or provides services to the home)); Lori Brockbank (additional disclosable party (controls, leases property to, or provides services to the home)); Katherine Fowler (runs it (operational or managerial control)); Katherine Fowler (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Simpson (runs it (operational or managerial control)); Andrew Simpson (on the governing body (managing control)); Andrew Simpson (additional disclosable party (controls, leases property to, or provides services to the home)); Glen Robert Cavallo (on the governing body (managing control)); Carolyn Staples (on the governing body (managing control)); Carolyn Staples (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Loewen (runs it (operational or managerial control)); Michelle Loewen (additional disclosable party (controls, leases property to, or provides services to the home)); Holly Sutton (runs it (operational or managerial control)); Holly Sutton (additional disclosable party (controls, leases property to, or provides services to the home)); Ike Okoli (on the governing body (managing control)); Todd Inskeep (on the governing body (managing control)); Todd Inskeep (additional disclosable party (controls, leases property to, or provides services to the home)); Colby Strunk (on the governing body (managing control)); Colby Strunk (additional disclosable party (controls, leases property to, or provides services to the home)); Justin Polson (on the governing body (managing control)); Justin Polson (additional disclosable party (controls, leases property to, or provides services to the home)); Karen T Kahn (runs it (operational or managerial control)); Karen T Kahn (additional disclosable party (controls, leases property to, or provides services to the home)); Shannon Becerra (runs it (operational or managerial control)); Shannon Becerra (additional disclosable party (controls, leases property to, or provides services to the home)); Kim Games (additional disclosable party (controls, leases property to, or provides services to the home)); Michele Powelson (runs it (operational or managerial control)); Michele Powelson (on the governing body (managing control)); Michele Powelson (additional disclosable party (controls, leases property to, or provides services to the home)); Tonia Hoskins (on the governing body (managing control)); Tonia Hoskins (additional disclosable party (controls, leases property to, or provides services to the home)); Naomi Prevatt (runs it (operational or managerial control)); Naomi Prevatt (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Kofstad (runs it (operational or managerial control)); Mary Kofstad (on the governing body (managing control)); Mary Kofstad (additional disclosable party (controls, leases property to, or provides services to the home)); Yolanda Presley (runs it (operational or managerial control)); Yolanda Presley (additional disclosable party (controls, leases property to, or provides services to the home)); Jolynn Munro (runs it (operational or managerial control)); Jolynn Munro (on the governing body (managing control)); Jolynn Munro (additional disclosable party (controls, leases property to, or provides services to the home)); Marlon Bothwell (runs it (operational or managerial control)); Marlon Bothwell (additional disclosable party (controls, leases property to, or provides services to the home)); Cody Feakin (runs it (operational or managerial control)); Cody Feakin (on the governing body (managing control)); Cody Feakin (additional disclosable party (controls, leases property to, or provides services to the home)); Misty Dawn Reid (runs it (operational or managerial control)); Misty Dawn Reid (on the governing body (managing control)); Misty Dawn Reid (additional disclosable party (controls, leases property to, or provides services to the home)); Amanda Sanders (on the governing body (managing control)); Kevin Hill (on the governing body (managing control)); Kevin Hill (additional disclosable party (controls, leases property to, or provides services to the home)); Damien Haskins (on the governing body (managing control)); Damien Haskins (additional disclosable party (controls, leases property to, or provides services to the home)); Carrie Vanderzanden (on the governing body (managing control)); Carrie Vanderzanden (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Avamere (27 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • A real-estate investment trust is among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Ari Operations LLCOwns 5% or more through other companies100%Oct 6, 2006
Midcap Finco LLCHolds 5% or more security interest100%Jan 22, 2010
Ariso LLCOwns 5% or more directly100%Oct 6, 2006
Karl Rickard Miller Jr Revocable TrustOwns 5% or more through other companies100%Jul 11, 2011
Avamere Health Services LLCRuns it (operational or managerial control)100%Oct 1, 2006
Avamere Group LLCOwns 5% or more through other companies100%Jan 6, 2006
Avamere Skilled Advisors LLCRuns it (operational or managerial control)Oct 1, 2006
Avamere Skilled Advisors LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 3, 2025
Sabra Health Care Reit Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
Midcap Finco LLCRuns it (operational or managerial control)Jan 22, 2010
Kevala Technologies, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Aug 7, 2015
Triage LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 17, 2023
Avamere Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 12, 2025
Consolidated Billing Services Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 24, 1998
Ventura Medstaff, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 7, 2015
Rande Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2024
Sabra Health Care Limited PartnershipAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
National Staffing Solutions, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Nov 22, 2023
Aequor Healthcare Services, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 20, 2023
Incovate Solutions, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 21, 2022
Sabra Health Care, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 17, 2017
Moss Adams LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 1, 2009
Pioneer Healthcare Services, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 8, 2024

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Oregon average 3.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating5 of 5
Health inspections4 of 5
Staffing5 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 66.7 miles, this one had the 10th most health citations at the latest inspection cycle (5; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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