Starfile / Oregon

PILOT BUTTE REHABILITATION CENTER

1876 NE HIGHWAY 20, BEND, OR 97701 · CCN 385138

Abuse icon

Inspection history vs Oregon & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$8,827

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

REGENCY PACIFIC MANAGEMENT

Facilities in chain

27

Chain avg overall

3.60 / 5

Inspection citations (45)1 immediate jeopardy1 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

4. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

6. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

7. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

8. EF0880Provide and implement an infection prevention and control program.2025-09-19 · Health · corrected 2025-10-21

   Potential for more than minimal harm

9. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-09 · Health · corrected 2024-09-10

   Immediate jeopardy

10. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

11. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

12. DF0578Honor 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.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

13. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

14. EF0584Honor 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.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

18. DF0685Assist a resident in gaining access to vision and hearing services.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

19. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

21. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

22. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

23. DF0758Implement 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.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

24. DF0760Ensure that residents are free from significant medication errors.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

25. EF0803Ensure 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.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

26. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

27. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

29. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-31 · Health · corrected 2024-07-20

    Potential for more than minimal harm

30. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-17 · Health · corrected 2024-05-14

    Potential for more than minimal harm

31. DF0610Respond appropriately to all alleged violations.2024-04-17 · Health · corrected 2024-05-14

    Potential for more than minimal harm

32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-17 · Health · corrected 2024-05-14

    Potential for more than minimal harm

33. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

35. FF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

36. DF0659Provide care by qualified persons according to each resident's written plan of care.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

39. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-25 · Health · corrected 2023-04-03

    Actual harm

40. DF0687Provide appropriate foot care.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

41. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

43. FF0880Provide and implement an infection prevention and control program.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

44. FF0886Perform COVID19 testing on residents and staff.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

45. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-25 · Health · corrected 2023-04-03

    Potential for more than minimal harm

Ownership

Other facilities in BEND

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.