Nursing homes › Oregon › Royale Gardens Health & Rehabilitation Center
2075 Nw Highland Avenue, Grants Pass, OR 97526 · 5414768891 · 145 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 above its group average (1.7/5).
Total nurse staffing: 4.91 (Oregon median: 4.96). RN hours: 0.56. Weekend total: 4.26. Nursing staff turnover: 57%.
All-time on record: 67 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-13 | Ensure that residents are free from significant medication errors. | G | Health | corrected 2026-04-29 |
| 2026-03-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-29 |
| 2026-03-13 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2026-04-29 |
| 2026-03-13 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Provide 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. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Health | corrected 2026-04-29 |
| 2026-03-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-04-29 |
| 2026-01-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-02-16 |
| 2025-07-23 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2025-08-25 |
| 2025-07-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-08-25 |
| 2025-05-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-06-03 |
| 2025-02-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-14 |
| 2025-01-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-28 |
| 2024-10-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-12-18 |
| 2024-10-29 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-12-18 |
| 2024-10-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-12-18 |
| 2024-10-29 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Health | corrected 2024-12-18 |
| 2024-10-29 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Health | corrected 2024-12-18 |
| 2024-10-29 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-12-18 |
| 2024-10-29 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | 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. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | 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 2024-12-18 |
| 2024-10-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | Observe each nurse aide's job performance and give regular training. | D | complaint | corrected 2024-12-18 |
| 2024-10-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | 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 2024-12-18 |
| 2024-10-29 | Provide or obtain dental services for each resident. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Health | corrected 2024-12-18 |
| 2024-10-29 | Post nurse staffing information every day. | C | complaint | corrected 2024-12-18 |
| 2024-01-25 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | complaint | corrected 2024-03-15 |
| 2024-01-25 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | complaint | corrected 2024-03-15 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-25 | Fine | $81,613 |
| 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 |
| HART, KEVIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/22/2025 |
| 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 385148. Corrections: data@carerecords.org.