Oregon › Deschutes County › Bend
Pilot Butte Rehabilitation Center
1876 Ne Highway 20, Bend, OR 97701
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pilot Butte Rehabilitation Center, in Bend, Oregon, is certified for 74 beds under for-profit, corporation ownership and belongs to the Regency Pacific Management chain.
CMS gives it 1 of 5 stars overall, below the Oregon median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (13, 21, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 67.6 per 100 beds, more than the state median of 40.0.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 4.9 hours per resident per day (0.9 RN), close to the Oregon median of 5.0; nursing staff turnover is 50.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Deschutes Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 30 | 32 | 28.7 |
| Citations per 100 beds | 67.6 | 60.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 4.9 | 5.7 | 5.0 | 3.9 |
| RN hours per resident day | 0.9 | 1.4 | 0.6 | 0.7 |
| Nursing staff turnover | 50.8% | 50.8% | 45.9% | 45.8% |
| Fines listed | $8,827 | $0 | $4,194 | — |
County and state figures are medians across facilities (4 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Sep 2025, 31 May 2024.
Severity mix: J ×1 G ×1 D ×33 E ×11 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 14 Jul 2026 |
| 24 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 14 Jul 2026 |
| 24 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 14 Jul 2026 |
| 24 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 18 Jan 2026 |
| 24 Jun 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 14 Jul 2026 |
| 19 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 21 Oct 2025 |
| 19 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Oct 2025 |
| 19 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Oct 2025 |
| 19 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 Oct 2025 |
| 19 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Oct 2025 |
| 19 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Oct 2025 |
| 19 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 21 Oct 2025 |
| 19 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Oct 2025 |
| 9 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Sep 2024 |
| 31 May 2024 | F0584 | 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. | E | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Jul 2024 |
| 31 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0758 | 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. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 20 Jul 2024 |
| 31 May 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 20 Jul 2024 |
| 17 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 May 2024 |
| 17 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 May 2024 |
| 17 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 May 2024 |
| 25 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 3 Apr 2023 |
| 25 Feb 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 3 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Sep 2024 | Fine | $8,827 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 50.8%, RNs 27.3%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.8% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 8.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.5% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.8% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Chain: Regency Pacific Management (27 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bd Facilities LLC | 5% or greater direct ownership interest | 100% | 04/01/2010 |
| Regency Pacific Management LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2010 |
| Bd Facilities LLC | Adp of the snf | NOT APPLICABLE | 02/19/2026 |
| Omnicare LLC | Adp of the snf | NOT APPLICABLE | 09/01/2013 |
| Regency Pacific Management LLC | Adp of the snf | NOT APPLICABLE | 08/26/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Deschutes County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bend Transitional Care | Bend | 60 | 5 | 5 | 5 | 11 | 18.3 | — | 27 Jun 2025 |
| Regency Care of Central Oregon | Bend | 46 | 5 | 4 | 5 | 22 | 47.8 | — | 5 Dec 2025 |
| Regency Redmond Rehabilitation and Nursing Center | Redmond | 50 | 5 | 4 | 5 | 30 | 60.0 | — | 16 Jan 2026 |
All 4 facilities in Deschutes County
Questions and answers
How many deficiencies has Pilot Butte Rehabilitation Center been cited for?
50 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.
Has Pilot Butte Rehabilitation Center been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Pilot Butte Rehabilitation Center compare?
Reported total nurse staffing is 4.9 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Pilot Butte Rehabilitation Center?
It is part of the Regency Pacific Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bd Facilities LLC and Regency Pacific Management LLC. Individual owners and managers are not listed on this site.
When was Pilot Butte Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 19 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.