CCN 385126 · Jackson County, Oregon

Avamere at Three Fountains

835 Crater Lake Avenue, Medford, OR 97504

Avamere at Three Fountains is a 117-bed for-profit nursing home in Medford, Oregon, first certified for Medicare or Medicaid in 1975. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 75.1 residents a day, about 64% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
117
Average residents per day
75.1 (64.2% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Waterford Operations, LLC
Certified since
Jun 1, 1975
Chain or affiliated group
Avamere (27 facilities, chain average 3.0 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityOregon medianUS median
Overall rating5 of 5State spread: 22 at 1, 25 at 2, 24 at 3, 28 at 4, 28 at 5
Health inspections4 of 5
Quality measures5 of 5
Staffing4 of 5
Total nurse hours per resident per day5.064.953.68
RN hours per resident per day0.590.600.58
Weekend nurse hours per resident per day4.53
Nursing staff turnover44.0%45.8%44.9%
Occupancy (residents / beds)64.2%74.4%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey5 (Jul 9, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avamere at Three Fountains meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Midcap Finco LLCOrganizationSecurity Interestn/a01/22/2010
Avamere Health Services LLCOrganizationOperational / Managerial Controln/a10/01/2006
Avamere Skilled Advisors LLCOrganizationOperational / Managerial Controln/a10/01/2006
Midcap Finco LLCOrganizationOperational / Managerial Controln/a01/22/2010
Becerra, ShannonIndividualOperational / Managerial Controln/a02/01/2025
Bothwell, MarlonIndividualOperational / Managerial Controln/a02/19/2024
Feakin, CodyIndividualOperational / Managerial Controln/a07/15/2025
Fowler, KatherineIndividualOperational / Managerial Controln/a02/28/2025
Kahn, KarenIndividualOperational / Managerial Controln/a10/01/2008
Kofstad, MaryIndividualOperational / Managerial Controln/a02/13/2024
Loewen, MichelleIndividualOperational / Managerial Controln/a10/09/2023
Munro, JolynnIndividualOperational / Managerial Controln/a09/01/2023
Powelson, MicheleIndividualOperational / Managerial Controln/a03/25/2015
Presley, YolandaIndividualOperational / Managerial Controln/a01/06/2025

In its Medicare enrollment record, the facility reported a real estate investment trust owner: Sabra Health Care REIT Inc. Those flags are self-reported to CMS and many PE and REIT ties go unflagged.

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Avamere at Three Fountains: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.