Pilot Butte Rehabilitation Center
Nursing Home · Bend, OR
CMS certification number385138
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1876 NE Highway 20Bend, OR 97701
Deschutes County
- Phone
- (541) 382-5531
- ZIP code
- 97701 – all care providers
Facility details
- Certified beds
- 74
- Residents per day
- 40.9 (55% occupied)
- Ownership
- For profit - Corporation
- Legal name
- BD Bend II LLC
- Chain
- Regency Pacific Management (27 facilities, avg 3.9★)
- Medicare certified since
- May 1, 1978
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.89 (state 5.03 · U.S. 3.86)
- Registered nurses (RN)
- 0.94 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.86 (state 0.91 · U.S. 0.86)
- Nurse aides
- 3.09 (state 3.40 · U.S. 2.32)
- Weekend total
- 3.94 (state 4.51 · U.S. 3.42)
- Nursing staff turnover
- 50.8 (state 47.4 · U.S. 45.8)%
- RN turnover
- 27.3 (state 51.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- September 19, 2025
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 50 health · 18 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-14 |
| 2026-06-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-14 |
| 2026-06-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-14 |
| 2026-06-24 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0627 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-21 |
| 2025-09-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-21 |
| 2025-09-19 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-21 |
| 2025-09-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-21 |
| 2025-09-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-05-31 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-20 |
| 2024-04-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-14 |
| 2024-04-17 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-14 |
| 2023-02-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-04-03 |
| 2023-02-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Perform COVID19 testing on residents and staff. F0886 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Provide care by qualified persons according to each resident's written plan of care. F0659 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
| 2023-02-25 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-03 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,827 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-09 | Fine | $8,827 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| BD Facilities LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Beddoe, Marvin (individual) | 5%+ Indirect Ownership Interest · 99% | |
| BD Facilities LLC (organization) | Administrator · NOT APPLICABLE | |
| Beddoe, Marvin (individual) | Administrator · NOT APPLICABLE | |
| Beddoe, Sandra (individual) | Administrator · NOT APPLICABLE | |
| Johnson, Sarah (individual) | Administrator · NOT APPLICABLE | |
| Omnicare LLC (organization) | Administrator · NOT APPLICABLE | |
| Rapp, Andrew (individual) | Administrator · NOT APPLICABLE | |
| Regency Pacific Management LLC (organization) | Administrator · NOT APPLICABLE | |
| Suarez, Yolanda (individual) | Administrator · NOT APPLICABLE | |
| Beddoe, Sandra (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Beddoe, Marvin (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Beddoe, Marvin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Johnson, Sarah (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rapp, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Regency Pacific Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Suarez, Yolanda (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Pilot Butte Rehabilitation Center?
Pilot Butte Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Oregon.
How many beds does Pilot Butte Rehabilitation Center have?
It has 74 certified beds and cares for about 41 residents per day.
Has Pilot Butte Rehabilitation Center been fined?
Yes. CMS lists 1 penalty totaling $8,827 in the last three years.
Who owns Pilot Butte Rehabilitation Center?
It is part of Regency Pacific Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Pilot Butte Rehabilitation Center?
(541) 382-5531. The facility is located at 1876 NE Highway 20, Bend, OR 97701.
Other nursing homes in Bend
-
Bend Transitional Care
Nursing Home · Bend, OR · 60 beds
★★★★★ -
Regency Care of Central Oregon
Nursing Home · Bend, OR · 46 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.