Royale Gardens Health & Rehabilitation Center
A nursing home in Grants Pass, Oregon 97526
2075 NW Highland Avenue, Grants Pass, Oregon 97526. (541) 476-8891.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 13 health citations at the latest inspection cycle Oregon average: 9.2
- 1 fine in the last three years (needs attention)
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
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.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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 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)., from A, the least serious, to L, the most. 29 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 15, 2026: complaint inspection2 citations
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Mar 13, 2026: standard inspection9 citations
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Ensure that residents are free from significant medication errors.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Allow residents to self-administer drugs if determined clinically appropriate.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide activities to meet all resident’s needs.
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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.
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 13, 2026: standard and complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jan 28, 2026: complaint inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jul 23, 2025: complaint inspection2 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 1, 2025: complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Feb 28, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 23, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 29, 2024: standard inspection14 citations
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide activities to meet all resident’s needs.
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Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Provide or obtain dental services for each resident.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 29, 2024: standard and complaint inspection7 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide care or services that was trauma informed and/or culturally competent.
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Observe each nurse aide’s job performance and give regular training.
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Post nurse staffing information every day.
Oct 29, 2024: complaint inspection1 citation
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Reasonably accommodate the needs and preferences of each resident.
Jan 25, 2024: complaint inspection12 citations
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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Keep all essential equipment working safely.
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.
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.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 25, 2024 | Fine | $81,613 |
Who does the caring?
| Measure | This home | Oregon average |
|---|---|---|
| Nurse hours per resident per day | Not given | 5.13 |
| Of which registered nurses | Not given | 0.76 |
| At weekends | Not given | 4.56 |
| Nursing staff turnover | Not given | 43.5% |
| Registered nurse turnover | Not given | 49.5% |
| Administrators who left | Not given | Not 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.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | Owns 5% or more directly | 100% | Mar 1, 2023 |
| Gilbert Creek Propco LLC | Holds 5% or more of the mortgage | 100% | Mar 1, 2023 |
| Pac 12 Pinnacle Holdco LLC | Owns 5% or more through other companies | 69.17% | Mar 1, 2023 |
| Pac 12 Holdings LLC | Owns 5% or more through other companies | 61.67% | Mar 1, 2023 |
| Knox Healthcare Pac 12 Holdings LLC | Owns 5% or more through other companies | 7.5% | Mar 1, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.42% | Mar 1, 2023 |
| Pac 12 Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| Pac 12 Pinnacle Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 28, 2025 | |
| Gilbert Creek Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| Volare Health LLC | Runs it (operational or managerial control) | Mar 1, 2023 | |
| Volare Health LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 19, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional 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).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 5 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).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Royale Gardens Health & Rehabilitation Center This nursing home | 13 | |
| Highland House Nursing & Rehabilitation Center | 0.1 | 15 |
| Laurel Hill Nursing Center | 1.4 | 4 |
| Regency Care of Rogue Valley | 2.1 | 1 |
| Avamere Health Services of Rogue Valley | 25.1 | 12 |
| Avamere at Three Fountains | 25.6 | 5 |
| Rogue Valley Manor | 27.3 | 6 |
| Hearthstone Nursing & Rehabilitation Center | 27.5 | 11 |
| Ashland Post Acute | 35.9 | 23 |
| Umpqua Valley Nursing & Rehabilitation Center | 51.9 | 6 |
| Rose Haven Nursing Center | 52.9 | 7 |
| Curry Village Health and Rehab of Cascadia | 56.3 | 6 |
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
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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).
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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).
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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).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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.
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.