Nursing homes › Oregon › Highland House Nursing & Rehabilitation Center
2201 Nw Highland Avenue, Grants Pass, OR 97526 · 5414741901 · 119 certified beds
Per CMS filings, this facility is affiliated with Volare Health, a group operating 16 facilities in 3 states. Group record: average rating 1.7/5, 2 abuse citation icons, 5 facilities on the Special Focus list, $1,414,045 in federal fines. This facility rates below its group average (1.7/5).
Total nurse staffing: 4.41 (Oregon median: 4.96). RN hours: 0.20. Weekend total: 3.98. Nursing staff turnover: 46%.
All-time on record: 70 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-05-01 |
| 2025-12-03 | 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 | Health | corrected 2026-01-22 |
| 2025-12-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-01-22 |
| 2025-12-03 | 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 | Health | corrected 2026-01-22 |
| 2025-12-03 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-01-22 |
| 2025-12-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2026-01-22 |
| 2025-12-03 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Health | corrected 2026-01-22 |
| 2025-04-03 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2025-04-25 |
| 2025-04-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-04-25 |
| 2025-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-25 |
| 2025-04-03 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-04-25 |
| 2024-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-07-24 |
| 2024-07-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-06-16 |
| 2024-06-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-08-03 |
| 2024-06-14 | 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 | corrected 2024-08-03 |
| 2024-06-14 | 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. | E | complaint | corrected 2024-08-03 |
| 2024-06-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-08-03 |
| 2024-06-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-08-03 |
| 2024-06-14 | Post nurse staffing information every day. | E | complaint | corrected 2024-08-03 |
| 2024-06-14 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-08-03 |
| 2024-06-14 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-08-03 |
| 2024-06-14 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | complaint | corrected 2024-08-03 |
| 2024-06-14 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-08-03 |
| 2024-06-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-09-20 |
| 2024-06-14 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-08-03 |
| 2024-06-14 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-08-03 |
| 2024-06-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-08-03 |
| 2024-06-14 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-09-20 |
| 2024-06-14 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-08-03 |
| 2024-06-14 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-08-03 |
| 2024-06-14 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-08-03 |
| 2024-06-14 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-08-03 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-08 | Fine | $36,852 |
| 2024-06-14 | Payment Denial | 6 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/01/2023 |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 PINNACLE HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| HAGLER, ALEXANDER | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| KNOX, DONALD | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| KNOX, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| SMITH, BRIAN | Corporate Officer | Individual | NOT APPLICABLE | since 03/27/2023 |
| VOLARE HEALTH LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2023 |
| COSSELL, PATRICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/07/2025 |
| KAHN, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/03/2023 |
| KNOX, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| SCHWARTZ, ELIEZER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385149. Corrections: data@carerecords.org.