Hearth Record

Royale Gardens Health & Rehabilitation Center

A nursing home in Grants Pass, Oregon 97526

2075 NW Highland Avenue, Grants Pass, Oregon 97526. (541) 476-8891.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 52 citations in 9 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

13 health citations at the latest inspection cycle

The Oregon average is 9.2.

Last standard inspection Mar 13, 2026.

Most serious in three years: actual harm (G), at a standard inspection on Mar 13, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

52 citations in 9 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

52 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 52 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 29 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 15, 2026: complaint inspection2 citations
  • Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 24, 2026.

  • Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

    Rule F0628. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 24, 2026.

Mar 13, 2026: standard inspection9 citations
  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Rule F0553. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Allow residents to self-administer drugs if determined clinically appropriate.

    Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Rule F0776. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 29, 2026.

Mar 13, 2026: standard and complaint inspection1 citation
  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2026.

Jan 28, 2026: complaint inspection1 citation
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2026.

Jul 23, 2025: complaint inspection2 citations
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 25, 2025.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 25, 2025.

May 1, 2025: complaint inspection1 citation
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 3, 2025.

Feb 28, 2025: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2025.

Jan 23, 2025: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 28, 2025.

Oct 29, 2024: standard inspection14 citations
  • 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.

    Rule F0585. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide activities to meet all resident’s needs.

    Rule F0679. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.

    Rule F0711. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Rule F0712. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide or obtain dental services for each resident.

    Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Rule F0810. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 18, 2024.

Oct 29, 2024: standard and complaint inspection7 citations
  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Provide care or services that was trauma informed and/or culturally competent.

    Rule F0699. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

Oct 29, 2024: complaint inspection1 citation
  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

Jan 25, 2024: complaint inspection12 citations
  • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Rule F0603. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Rule F0604. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Rule F0661. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

  • Keep all essential equipment working safely.

    Rule F0908. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Apr 15, 1981.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 145 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $81,613 in all.
  • No Medicare payment denials in the last three years.
  • 29 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jan 25, 2024Fine$81,613

Who does the caring?

Staffing measures
MeasureThis homeOregon average
Nurse hours per resident per dayNot given5.13
Of which registered nursesNot given0.76
At weekendsNot given4.56
Nursing staff turnoverNot given43.5%
Registered nurse turnoverNot given49.5%
Administrators who leftNot givenNot given

Who owns it?

  • Pac 12 Opco Holdco LLC owns 100% directly since Mar 1, 2023.
  • Volare Health LLC runs it.
  • 21 owners or officers are people: Brian Smith (corporate officer, 100%); Donald Knox (corporate officer, 100%); Eliezer Schwartz (runs it (operational or managerial control), 100%); Eliezer Schwartz (owns 5% or more through other companies, 34.25%); Chaim Hagar (owns 5% or more through other companies, 30.83%); Alexander Hagler (owns 5% or more through other companies, 24%); Donald Knox (owns 5% or more through other companies, 7.5%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Smith (additional disclosable party (controls, leases property to, or provides services to the home)); Karen T Kahn (runs it (operational or managerial control)); Karen T Kahn (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Chaim Hagar (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin Hart (runs it (operational or managerial control)); Kevin Hart (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Donald Knox (runs it (operational or managerial control)); Donald Knox (additional disclosable party (controls, leases property to, or provides services to the home)); Eliezer Schwartz (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Volare Health (16 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Pac 12 Opco Holdco LLCOwns 5% or more directly100%Mar 1, 2023
Gilbert Creek Propco LLCHolds 5% or more of the mortgage100%Mar 1, 2023
Pac 12 Pinnacle Holdco LLCOwns 5% or more through other companies69.17%Mar 1, 2023
Pac 12 Holdings LLCOwns 5% or more through other companies61.67%Mar 1, 2023
Knox Healthcare Pac 12 Holdings LLCOwns 5% or more through other companies7.5%Mar 1, 2023
An organisation CMS lists without a nameOwns a share through other companies3.42%Mar 1, 2023
Pac 12 Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
Pac 12 Pinnacle Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 28, 2025
Gilbert Creek Propco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
Volare Health LLCRuns it (operational or managerial control)Mar 1, 2023
Volare Health LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 19, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2023

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Oregon average 3.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 56.3 miles, this one had the 3rd most health citations at the latest inspection cycle (13; the middle value was 6.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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