Royale Gardens Health & Rehabilitation Center
Nursing Home · Grants Pass, OR
CMS certification number385148
Contact & location
2075 NW Highland AvenueGrants Pass, OR 97526
Josephine County
- Phone
- (541) 476-8891
- ZIP code
- 97526 – all care providers
Facility details
- Certified beds
- 145
- Residents per day
- 67.7 (47% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Gilbert Creek Health & Rehabilitation Center LLC
- Chain
- Volare Health (16 facilities, avg 1.8★)
- Medicare certified since
- April 15, 1981
- 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
- 4.91 (state 5.03 · U.S. 3.86)
- Registered nurses (RN)
- 0.56 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.98 (state 0.91 · U.S. 0.86)
- Nurse aides
- 3.38 (state 3.40 · U.S. 2.32)
- Weekend total
- 4.26 (state 4.51 · U.S. 3.42)
- Nursing staff turnover
- 56.6 (state 47.4 · U.S. 45.8)%
- RN turnover
- 66.7 (state 51.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- March 13, 2026
- Health deficiencies (last cycle)
- 11.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 67 health · 8 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-13 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
G Actual harm |
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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-03-13 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-03-13 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-03-13 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-03-13 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-16 |
| 2025-07-23 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-03 |
| 2025-02-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0711 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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 F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-18 |
| 2024-10-29 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2024-12-18 |
| 2024-01-25 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-15 |
| 2024-01-25 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-15 |
| 2024-01-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-15 |
| 2024-01-25 | 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 |
G Actual harm |
Corrected 2024-03-15 |
| 2024-01-25 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-25 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-25 | 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 2024-03-15 |
| 2024-01-25 | 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 2024-03-15 |
| 2024-01-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-25 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-01-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
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
2 penalties in the last three years, including $182,193 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-13 | Fine | $100,580 |
| 2024-01-25 | Fine | $81,613 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Pac 12 Opco Holdco LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Hagler, Alexander (individual) | 5%+ Indirect Ownership Interest | |
| Knox Healthcare Pac 12 Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Knox, Donald (individual) | 5%+ Indirect Ownership Interest | |
| Pac 12 Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Pac 12 Pinnacle Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Gilbert Creek Propco LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Gilbert Creek Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Hagar, Chaim (individual) | Administrator · NOT APPLICABLE | |
| Hart, Kevin (individual) | Administrator · NOT APPLICABLE | |
| Kahn, Karen (individual) | Administrator · NOT APPLICABLE | |
| Knox, Donald (individual) | Administrator · NOT APPLICABLE | |
| Pac 12 Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Pac 12 Pinnacle Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Schwartz, Eliezer (individual) | Administrator · NOT APPLICABLE | |
| Smith, Brian (individual) | Administrator · NOT APPLICABLE | |
| Volare Health LLC (organization) | Administrator · NOT APPLICABLE | |
| Knox, Donald (individual) | Corporate Officer · NOT APPLICABLE | |
| Smith, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Hart, Kevin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kahn, Karen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Knox, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Schwartz, Eliezer (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Volare Health LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Royale Gardens Health & Rehabilitation Center?
Royale Gardens Health & Rehabilitation Center has a 2-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 Royale Gardens Health & Rehabilitation Center have?
It has 145 certified beds and cares for about 68 residents per day.
Has Royale Gardens Health & Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $182,193 in the last three years.
Who owns Royale Gardens Health & Rehabilitation Center?
It is part of Volare Health and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Royale Gardens Health & Rehabilitation Center?
(541) 476-8891. The facility is located at 2075 NW Highland Avenue, Grants Pass, OR 97526.
Other nursing homes in Grants Pass
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Regency Care of Rogue Valley
Nursing Home · Grants Pass, OR · 102 beds
★★★★★ -
Laurel Hill Nursing Center
Nursing Home · Grants Pass, OR · 44 beds
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Highland House Nursing & Rehabilitation Center
Nursing Home · Grants Pass, OR · 119 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.