Royale Gardens Health & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 2075 NW Highland Avenue, Grants Pass, OR 97526
- CCN
- 385148
- Ownership type
- For-profit, limited liability company
- Certified beds
- 145
- Chain
- Volare Health
- Residents per day
- 68
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Royale Gardens Health & Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 13 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Oregon is 9. CMS lists 2 fines with a total of $182,193 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Josephine County median | Oregon median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 128 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Oregon median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Mar 2026 | 11 | 9 |
| Cycle 2 | 29 Oct 2024 | 27 | 11 |
| Cycle 3 | No date | 29 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2026 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0688 | 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. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Apr 2026 |
| 13 Mar 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 29 Apr 2026 |
| 28 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 16 Feb 2026 |
Survey cycle 2: 27 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jul 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 25 Aug 2025 |
| 23 Jul 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 | 25 Aug 2025 |
| 1 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 3 Jun 2025 |
| 28 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Mar 2025 |
| 23 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2025 |
| 29 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0585 | 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. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 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 | 18 Dec 2024 |
| 29 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 18 Dec 2024 |
| 29 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 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 | 18 Dec 2024 |
| 29 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 18 Dec 2024 |
| 29 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Dec 2024 |
Survey cycle 3: 29 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Jan 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 | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 15 Mar 2024 |
| 25 Jan 2024 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 15 Mar 2024 |
| 14 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0625 | 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. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 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. | E | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | 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 | 29 Aug 2023 |
| 14 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 29 Aug 2023 |
| 14 Jul 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 29 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Mar 2026 | Fine | $100,580 | |
| 25 Jan 2024 | Fine | $81,613 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Oregon median | Oregon average (CMS) |
|---|---|---|---|
| All nurse staff | 4.91 | 5.00 | 5.03 |
| Registered nurses (RN) | 0.56 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.98 | 0.91 | |
| Nurse aides | 3.38 | 3.40 | |
| All nurse staff, weekends | 4.26 | 4.40 | 4.51 |
- Nurse staff turnover in a year
- 56.6%
- Nurse staff turnover, Oregon median
- 45.9%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.6% | 13.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Gilbert Creek Health & Rehabilitation Center LLC
- Chain
- Volare Health (16 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 1 Mar 2023 |
| Knox Healthcare Pac 12 Holdings LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Pac 12 Holdings LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Pac 12 Pinnacle Holdco LLC | 5% or greater indirect ownership interest | 1 Mar 2023 | |
| Gilbert Creek Propco LLC | 5% or greater mortgage interest | 1 Mar 2023 | |
| Volare Health LLC | Operational/managerial control | 1 Mar 2023 | |
| Gilbert Creek Propco LLC | Adp of the snf | 1 Mar 2023 | |
| Pac 12 Holdings LLC | Adp of the snf | 1 Mar 2023 | |
| Pac 12 Pinnacle Holdco LLC | Adp of the snf | 1 Mar 2023 | |
| Volare Health LLC | Adp of the snf | 19 Aug 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Josephine County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Highland House Nursing & Rehabilitation Center | Grants Pass | 1 of 5 | 15 | $36,852 | 3 Dec 2025 | |
| Laurel Hill Nursing Center | Grants Pass | 3 of 5 | 10 | $23,465 | 28 Mar 2025 | |
| Regency Care of Rogue Valley | Grants Pass | 5 of 5 | 1 | $0 | 27 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Royale Gardens Health & Rehabilitation Center (CCN 385148). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/royale-gardens-health-rehabilitation-center-grants-pass-or-385148/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Royale Gardens Health & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 13 Mar 2026. It was a standard survey and a complaint investigation. It gave 10 citations. The standard survey before the last one was on 29 Oct 2024.
- Who operates Royale Gardens Health & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Volare Health. The CMS ownership file names Volare Health LLC for operational or managerial control. This site does not show the names of persons.
- Is Royale Gardens Health & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Oregon as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.