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Data / Nursing homes / Oregon / Pilot Butte Rehabilitation Center

Pilot Butte Rehabilitation Center, Bend, OR: 1 star rating, fined $8,827 across 1 fine

Pilot Butte Rehabilitation Center in Bend, OR is owned by BD Facilities LLC, is rated 1 of 5 stars by Medicare, and was fined $8,827 across 1 fine in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on June 24, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Oregon
Address
1876 NE Highway 20, Bend, OR 97701
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5
Certified beds
74
Residents per day
42 on average
Ownership type
For profit, corporation
Legal business name
BD Bend II LLC
Chain
Regency Pacific Management, 27 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$8,827 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
37, of which 1 with actual harm or immediate jeopardy
Latest survey
June 24, 2026
CMS Certification Number
385138
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
September 9, 2024Fine$8,827Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 24, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
June 24, 2026F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
June 24, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
June 24, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 18, 2026data.cms.gov
June 24, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
September 19, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 19, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 21, 2025data.cms.gov
September 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedSeptember 10, 2024data.cms.gov
May 31, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 31, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
April 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2024data.cms.gov
April 17, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2024data.cms.gov
April 17, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 14, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (2 owners, 4 managers, 1 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
BD Facilities LLCDirect owner100%April 1, 2010data.cms.gov
Regency Pacific Management LLCOperational or managerial controlNot listedJanuary 1, 2010data.cms.gov
BD Facilities LLCAdditional disclosable partyNot listedFebruary 19, 2026data.cms.gov
Omnicare LLCAdditional disclosable partyNot listedSeptember 1, 2013data.cms.gov
Regency Pacific Management LLCAdditional disclosable partyNot listedAugust 26, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.