Starfile / Oregon

ROYALE GARDENS HEALTH & REHABILITATION CENTER

2075 NW HIGHLAND AVENUE, GRANTS PASS, OR 97526 · CCN 385148

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

$200,505

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

VOLARE HEALTH

Facilities in chain

16

Chain avg overall

1.70 / 5

Inspection citations (73)7 actual harm

1. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-28 · Health · corrected 2026-02-16

   Potential for more than minimal harm

2. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-07-23 · Health · corrected 2025-08-25

   Potential for more than minimal harm

3. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-23 · Health · corrected 2025-08-25

   Potential for more than minimal harm

4. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-01 · Health · corrected 2025-06-03

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-28 · Health · corrected 2025-03-14

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-23 · Health · corrected 2025-02-28

   Potential for more than minimal harm

7. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-29 · Health · corrected 2024-12-18

   Potential for more than minimal harm

8. DF0585Honor 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.2024-10-29 · Health · corrected 2024-12-18

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-29 · Health · corrected 2024-12-18

   Potential for more than minimal harm

10. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

11. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

14. EF0679Provide activities to meet all resident's needs.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

15. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

16. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

17. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

18. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

19. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

20. DF0730Observe each nurse aide's job performance and give regular training.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

21. CF0732Post nurse staffing information every day.2024-10-29 · Health · corrected 2024-12-18

    Potential for minimal harm

22. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-29 · Health · corrected 2024-12-18

    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.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

24. EF0759Ensure medication error rates are not 5 percent or greater.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

25. DF0791Provide or obtain dental services for each resident.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

26. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

27. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-29 · Health · corrected 2024-12-18

    Potential for more than minimal harm

29. 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.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

30. GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-01-25 · Health · corrected 2024-03-15

    Actual harm

31. GF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-01-25 · Health · corrected 2024-03-15

    Actual harm

32. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

33. DF0610Respond appropriately to all alleged violations.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

35. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

36. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

37. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-25 · Health · corrected 2024-03-15

    Actual harm

38. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-25 · Health · corrected 2024-03-15

    Actual harm

39. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

40. EF0908Keep all essential equipment working safely.2024-01-25 · Health · corrected 2024-03-15

    Potential for more than minimal harm

41. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

42. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

43. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

44. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

45. DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

46. DF0625Notify 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.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

47. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

48. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

49. GF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-14 · Health · corrected 2023-08-29

    Actual harm

50. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-14 · Health · corrected 2023-08-29

    Actual harm

51. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

52. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

53. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

54. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

55. DF0880Provide and implement an infection prevention and control program.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

56. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

57. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-07-14 · Health · corrected 2023-08-29

    Potential for more than minimal harm

58. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-07 · Health · corrected 2023-07-13

    Potential for more than minimal harm

59. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-12 · Health · corrected 2022-07-13

    Potential for more than minimal harm

60. DF0610Respond appropriately to all alleged violations.2023-04-12 · Health · corrected 2023-05-25

    Potential for more than minimal harm

61. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-04-12 · Health · corrected 2023-05-25

    Potential for more than minimal harm

62. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-12 · Health · corrected 2023-05-25

    Potential for more than minimal harm

63. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-04-12 · Health · corrected 2023-05-25

    Potential for more than minimal harm

64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-12 · Health · corrected 2023-05-25

    Potential for more than minimal harm

65. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-12 · Health · corrected 2023-05-25

    Actual harm

66. 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.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

67. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

68. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

69. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

70. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

71. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

72. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

73. FF0880Provide and implement an infection prevention and control program.2022-04-09 · Health · corrected 2022-05-29

    Potential for more than minimal harm

Ownership

Other facilities in GRANTS PASS

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