SOUTH HILLS REHABILITATION CENTER
1166 E. 28TH AVENUE, EUGENE, OR 97403 · CCN 385167
SFF Candidate Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 110
- Avg residents/day
- 63.6
- Phone
- 5413450534
Inspection history vs Oregon & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oregon avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-11 | 13 | 10.4 | 9.5 | +2.6 worse |
| 2 | 2024-03-22 | 41 | 12.7 | 9.8 | +28.3 worse |
| 3 | 2019-04-05 | 10 | 10.9 | 9.3 | -0.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 4 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.51 | 73.0% |
| RN staffing (reported) | 0.34 | 90.0% |
| Total nurse staffing (adjusted) | 5.74 | — |
Fines & penalties
- Total fines
- $121,905
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- VOLARE HEALTH
- Facilities in chain
- 16
- Chain avg overall
- 1.70 / 5
Inspection citations (64)1 immediate jeopardy1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-09 · Health · corrected 2026-01-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-09 · Health · corrected 2026-01-05
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-08-11 · Health · corrected 2025-09-29
Potential for more than minimal harm
- LF0880Provide and implement an infection prevention and control program.2025-08-11 · Health · corrected 2025-09-29
Immediate jeopardy
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-16 · Health · corrected 2024-12-05
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0584Honor 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.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- 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.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-22 · Health · corrected 2024-06-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0688Provide 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.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0758Implement 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.2024-03-22 · Health · corrected 2024-06-22
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-03-22 · Health · corrected 2024-06-22
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-03-22 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-28 · Health · corrected 2023-04-24
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-28 · Health · corrected 2023-03-07
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-04-05 · Health · corrected 2019-05-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| PAC 12 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| PAC 12 PINNACLE HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| HAGAR, CHAIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| HAGLER, ALEXANDER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| KNOX, DONALD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| SCHWARTZ, ELIEZER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 |
| VOLARE HEALTH LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| DUNHAM, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| KNOX, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| MURER, EMILY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-10 |
| SCHWARTZ, ELIEZER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| KNOX, DONALD | Individual | CORPORATE OFFICER | — | 2023-03-01 |
| SMITH, BRIAN | Individual | CORPORATE OFFICER | — | 2023-03-27 |
| CAMAS RIDGE PROPCO LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2023-03-01 |
Other facilities in EUGENE
| Name | Overall | Beds |
|---|---|---|
| CREEKSIDE HEALTH AND REHAB OF CASCADIA | ★★★★★ | 106 |
| HILLSIDE HEIGHTS REHABILITATION CENTER | ★★★☆☆ | 83 |
| CASCADE MANOR | ★★★☆☆ | 32 |
| VALLEY WEST HEALTH CARE CENTER | ★★☆☆☆ | 121 |
| GREEN VALLEY REHABILITATION HEALTH CENTER | ★★☆☆☆ | 110 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.