Royale Gardens Health & Rehabilitation Center
Grants Pass, Oregon
Skilled nursing facility in Grants Pass, OR with 145 certified beds and a 2-star CMS overall rating.
Royale Gardens Health & Rehabilitation Center is a skilled nursing facility in Grants Pass, Oregon (Josephine County), with 145 Medicare/Medicaid-certified beds.
Address: 2075 Nw Highland Avenue, Grants Pass, OR 97526. Phone: (541) 476-8891.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Volare Health chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 2 of 5, health inspections 1, staffing 3, quality measures 5.
Levels of care
- Skilled nursing
Facility details
- Street address
- 2075 Nw Highland Avenue
- City
- Grants Pass
- State
- Oregon
- ZIP code
- 97526
- Phone
- (541) 476-8891
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 385148
- County
- Josephine
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 145
- Avg Daily Residents
- 67.7
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1981-04-15
- Chain Name
- Volare Health
- Overall Rating
- 2
- Health Inspection Rating
- 1
- Staffing Rating
- 3
- Quality Measure Rating
- 5
- Total Nurse Hours Per Resident Day
- 4.91152
- Rn Hours Per Resident Day
- 0.56069
- Latitude
- 42.4652
- Longitude
- -123.33
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 385148. Ratings compare this home with other nursing homes; they are not a pass or fail.
How does it compare in Grants Pass? · Lowest-rated in Oregon
CMS overall rating
2 / 5
Below average- Certified beds
- 145
- Residents per day
- 76
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 13
- Fines
- 1 ($81,613)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.2 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Much below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 3.9 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much above averageHow residents are actually doing.
✓ Better than the state average. State 3.7 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
126.0 points — in OR that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in OR [10]
- 5 ★
- 0.000-14.000
- 4 ★
- 14.001-41.000
- 3 ★
- 41.001-65.000
- 2 ★
- 65.001-95.250
- 1 ★ (this home)
- >95.250
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Mar 13, 2026 | 13 (4) | 80 | 1 | 0 | 80 |
| Prior cycles (2 and 3) | Oct 29, 2024 | 39 (25) | 264 | 1 | 0 | 264 |
Health citations per inspection
Mar 13, 2026
Oct 29, 2024
Jul 14, 2023
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Mar 13, 2026
Oct 29, 2024
Jul 14, 2023
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Resident Rights 4
- Quality of Life and Care 3
- Nutrition and Dietary 2
- Resident Assessment and Care Planning 1
- Pharmacy Service 1
- Environmental 1
- Administration 1
What the latest fire-safety inspection cited
- Smoke 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 0 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 7 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 45 | E · 8 pts 15 | F · 16 pts 1 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (69) [2]
Inspection on Jul 15, 2026 · 2 citations
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 24, 2026) · From a complaint
-
D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 24, 2026) · From a complaint
Inspection on Mar 13, 2026 · 10 citations
-
D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
E
Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026) · From a complaint
-
D
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.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
G
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
-
D
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 29, 2026)
Inspection on Jan 28, 2026 · 1 citation
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Feb 16, 2026) · From a complaint
Inspection on Jul 23, 2025 · 2 citations
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 25, 2025) · From a complaint
-
D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Aug 25, 2025) · From a complaint
Inspection on May 1, 2025 · 1 citation
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jun 3, 2025) · From a complaint
Inspection on Feb 28, 2025 · 1 citation
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 14, 2025) · From a complaint
Inspection on Jan 23, 2025 · 1 citation
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025) · From a complaint
Inspection on Oct 29, 2024 · 22 citations
-
E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
E
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
D
Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
D
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
Inspection on Jan 25, 2024 · 12 citations
-
E
Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
G
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
E
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
-
D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 15, 2024) · From a complaint
Inspection on Jul 14, 2023 · 17 citations
-
D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 29, 2023)
All fire-safety citations (8) [3]
Inspection on Mar 13, 2026 · 1 citation
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · No revisit needed (Oct 15, 2026)
Inspection on Oct 29, 2024 · 1 citation
-
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024)
Inspection on Jul 14, 2023 · 6 citations
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
-
F
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
-
D
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
-
F
Develop Emergency Preparedness policies and procedures.
E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
-
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K0346 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 6, 2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 1 State avg 0.8 · National 0.9
- Total fined
- $81,613 State avg 25,643 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Jan 25, 2024 | Fine | $81,613 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 99.0
✓ Better than the state average. State 95.3 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 92.7
≈ About the state average. State 94.0 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.5
✓ Better than the state average. State 2.4 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 4.7
✓ Better than the state average. State 4.9 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 0.7
✓ Better than the state average. State 4.6 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 7.1
✓ Better than the state average. State 12.2 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 10.2
✓ Better than the state average. State 14.3 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 4.3
✓ Better than the state average. State 18.6 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 9.2
✓ Better than the state average. State 14.2 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 1.3 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 2.0 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 13.5
✓ Better than the state average. State 20.8 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 3.4
✓ Better than the state average. State 5.6 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 89.1
✓ Better than the state average. State 85.8 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.8
✓ Better than the state average. State 1.4 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 70.2
✗ Worse than the state average. State 80.9 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.7
- 1.6
✗ Worse than the state average. State 1.5 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.0
- 3.9
✗ Worse than the state average. State 2.3 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 11.2
- 10.8
✓ Better than the state average. State 16.0 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 23.0
- 19.7
✓ Better than the state average. State 21.9 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- GILBERT CREEK HEALTH & REHABILITATION CENTER LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 145
- Residents per day (average)
- 76.1
- In Medicare/Medicaid since
- Apr 15, 1981
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Josephine
- Located in a hospital
- No
Company profiles: Volare Health LLC (16 homes, average 1.6 stars), Volare Health (16 homes, average 1.6 stars), Pac 12 Pinnacle Holdco LLC (12 homes, average 1.8 stars), Knox Healthcare Pac 12 Holdings LLC (12 homes, average 1.8 stars), Pac 12 Holdings LLC (12 homes, average 1.8 stars), Pac 12 Opco Holdco LLC (12 homes, average 1.8 stars)
Part of VOLARE HEALTH
One of 16 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 1.6
- Health inspections
- 1.5
- Staffing
- 1.0
- Quality
- 3.5
Owners, officers and managers (24) [6]
5% Or Greater Mortgage Interest
- GILBERT CREEK PROPCO LLC (organization, NOT APPLICABLE, since 03/01/2023)
Adp Of The Snf
- GILBERT CREEK PROPCO LLC (organization, NOT APPLICABLE, since 03/01/2023)
- HAGAR, CHAIM (individual, NOT APPLICABLE, since 03/01/2023)
- HART, KEVIN (individual, NOT APPLICABLE, since 08/22/2025)
- KAHN, KAREN (individual, NOT APPLICABLE, since 07/03/2023)
- KNOX, DONALD (individual, NOT APPLICABLE, since 03/01/2023)
- PAC 12 HOLDINGS LLC (organization, NOT APPLICABLE, since 03/01/2023)
- PAC 12 PINNACLE HOLDCO LLC (organization, NOT APPLICABLE, since 03/01/2023)
- SCHWARTZ, ELIEZER (individual, NOT APPLICABLE, since 03/01/2023)
- SMITH, BRIAN (individual, NOT APPLICABLE, since 03/27/2023)
- VOLARE HEALTH LLC (organization, NOT APPLICABLE, since 08/19/2025)
5% Or Greater Indirect Ownership Interest
- HAGLER, ALEXANDER (individual, since 03/01/2023)
- KNOX HEALTHCARE PAC 12 HOLDINGS LLC (organization, since 03/01/2023)
- KNOX, DONALD (individual, since 03/01/2023)
- PAC 12 HOLDINGS LLC (organization, since 03/01/2023)
- PAC 12 PINNACLE HOLDCO LLC (organization, since 03/01/2023)
Operational/Managerial Control
- HART, KEVIN (individual, NOT APPLICABLE, since 08/22/2025)
- KAHN, KAREN (individual, NOT APPLICABLE, since 07/03/2023)
- KNOX, DONALD (individual, NOT APPLICABLE, since 03/01/2023)
- SCHWARTZ, ELIEZER (individual, NOT APPLICABLE, since 03/01/2023)
- VOLARE HEALTH LLC (organization, NOT APPLICABLE, since 03/01/2023)
Corporate Officer
- KNOX, DONALD (individual, NOT APPLICABLE, since 03/01/2023)
- SMITH, BRIAN (individual, NOT APPLICABLE, since 03/27/2023)
5% Or Greater Direct Ownership Interest
- PAC 12 OPCO HOLDCO LLC (organization, 100%, since 03/01/2023)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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