Nursing homes › Oregon › Pilot Butte Rehabilitation Center
1876 Ne Highway 20, Bend, OR 97701 · (541) 382-5531 · 74 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 127 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Regency Pacific Management, a group operating 27 facilities in 3 states. Group record: average rating 3.9/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $857,967 in federal fines. This facility rates below its group average (3.9/5).
Total nurse staffing: 4.89 (Oregon median: 4.95). RN hours: 0.94. Weekend total: 3.94. Nursing staff turnover: 51%.
In the downloaded CMS dataset: 50 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2026-07-14 |
| 2026-06-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-07-14 |
| 2026-06-24 | Respond appropriately to all alleged violations. | E | complaint | corrected 2026-07-14 |
| 2026-06-24 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-01-18 |
| 2026-06-24 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2026-07-14 |
| 2025-09-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-10-21 |
| 2025-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-10-21 |
| 2025-09-19 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-10-21 |
| 2025-09-19 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-10-21 |
| 2025-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-10-21 |
| 2025-09-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-10-21 |
| 2025-09-19 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-10-21 |
| 2025-09-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-10-21 |
| 2024-09-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-09-10 |
| 2024-05-31 | 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 2024-07-20 |
| 2024-05-31 | Ensure 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. | E | Health | corrected 2024-07-20 |
| 2024-05-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-07-20 |
| 2024-05-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-07-20 |
| 2024-05-31 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | 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 2024-07-20 |
| 2024-05-31 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-07-20 |
| 2024-05-31 | 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 2024-07-20 |
| 2024-05-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | 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 | Health | corrected 2024-07-20 |
| 2024-05-31 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-07-20 |
| 2024-05-31 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-07-20 |
| 2024-04-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-14 |
| 2024-04-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-05-14 |
| 2024-04-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-05-14 |
| 2023-02-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2023-04-03 |
| 2023-02-25 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Health | corrected 2023-04-03 |
| 2023-02-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-04-03 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-09 | Fine | $8,827 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BD FACILITIES LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2010 |
| BEDDOE, MARVIN | 5% Or Greater Indirect Ownership Interest | Individual | 99% | since 04/01/2017 |
| BEDDOE, SANDRA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 05/01/2017 |
| REGENCY PACIFIC MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2010 |
| BEDDOE, MARVIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2016 |
| JOHNSON, SARAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/05/2023 |
| RAPP, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/08/2016 |
| SUAREZ, YOLANDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2026 |
How to cite this page: CareRecords, “Pilot Butte Rehabilitation Center — compliance, penalty and ownership record” (CCN 385138), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/pilot-butte-rehabilitation-center-bend-or/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385138. Corrections: data@carerecords.org.