CCN 385203 · Clackamas County, Oregon
Avamere Rehabilitation of Clackamas
220 E. Hereford, Gladstone, OR 97027
Avamere Rehabilitation of Clackamas is a 87-bed for-profit nursing home in Gladstone, Oregon, first certified for Medicare or Medicaid in 1989. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 43.0 residents a day, about 49% 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
- 87
- Average residents per day
- 43.0 (49.4% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Clackamas Rehabilitation, LLC
- Certified since
- Aug 3, 1989
- 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.
| Measure | This facility | Oregon median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 22 at 1, 25 at 2, 24 at 3, 28 at 4, 28 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 5.15 | 4.95 | 3.68 |
| RN hours per resident per day | 0.97 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 4.57 | ||
| Nursing staff turnover | 47.5% | 45.8% | 44.9% |
| Occupancy (residents / beds) | 49.4% | 74.4% | 85.7% |
| Fines reported by CMS | 3 totaling $175,773 | ||
| Health deficiencies, latest standard survey | 4 (Dec 4, 2025) | ||
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 Rehabilitation of Clackamas meets that part today: 4 stars overall, 3 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.
| Name | Role | Share | Since |
|---|---|---|---|
| Midcap Finco LLCOrganization | Security Interest | n/a | 01/22/2010 |
| Avamere Health Services LLCOrganization | Operational / Managerial Control | n/a | 01/01/2005 |
| Avamere Skilled Advisors LLCOrganization | Operational / Managerial Control | n/a | 01/01/2005 |
| Midcap Finco LLCOrganization | Operational / Managerial Control | n/a | 01/22/2010 |
| Angerhofer, NicoleIndividual | Operational / Managerial Control | n/a | 12/01/2023 |
| Dana, JenniferIndividual | Operational / Managerial Control | n/a | 05/01/2022 |
| Doepker, AndreaIndividual | Operational / Managerial Control | n/a | 09/28/2023 |
| Feakin, CodyIndividual | Operational / Managerial Control | n/a | 07/15/2025 |
| Garrett, MichelleIndividual | Operational / Managerial Control | n/a | 08/21/2019 |
| Hamm, BenIndividual | Operational / Managerial Control | n/a | 07/16/2024 |
| Hoskins, ToniaIndividual | Operational / Managerial Control | n/a | 07/19/2024 |
| Kofstad, MaryIndividual | Operational / Managerial Control | n/a | 02/13/2024 |
| Munro, JolynnIndividual | Operational / Managerial Control | n/a | 09/01/2023 |
| Powelson, MicheleIndividual | Operational / Managerial Control | n/a | 03/25/2015 |
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.
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.
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