Skip to the page
Get started free

Data / Nursing homes / Oregon / Royale Gardens Health & Rehabilitation Center

Royale Gardens Health & Rehabilitation Center, Grants Pass, OR: 2 star rating, fined $81,613 across 1 fine

Royale Gardens Health & Rehabilitation Center in Grants Pass, OR is owned by Pac 12 OPCO HOLDCO LLC, is rated 2 of 5 stars by Medicare, and was fined $81,613 across 1 fine in the three years to October 1, 2026. CMS lists 52 health citations from inspections in that time, the latest survey on July 15, 2026, and 5 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
2075 NW Highland Avenue, Grants Pass, OR 97526
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5
Certified beds
145
Residents per day
76 on average
Ownership type
For profit, limited liability company
Legal business name
Gilbert Creek Health & Rehabilitation Center LLC
Chain
Volare Health, 16 facilities
Fines
$81,613 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
52, of which 5 with actual harm or immediate jeopardy
Latest survey
July 15, 2026
CMS Certification Number
385148
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
January 25, 2024Fine$81,613Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 15, 2026F628Provide 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 harmCorrectedAugust 24, 2026data.cms.gov
July 15, 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 harmCorrectedAugust 24, 2026data.cms.gov
March 13, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F812Procure 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 harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
March 13, 2026F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2026data.cms.gov
January 28, 2026F812Procure 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 harmCorrectedFebruary 16, 2026data.cms.gov
July 23, 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 harmCorrectedAugust 25, 2025data.cms.gov
July 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 25, 2025data.cms.gov
May 1, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 3, 2025data.cms.gov
February 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
January 23, 2025F689Ensure 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 harmCorrectedFebruary 28, 2025data.cms.gov
October 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 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 harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F730Observe each nurse aide's job performance and give regular training.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 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 harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 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 harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
October 29, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2024data.cms.gov
January 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.G: isolated, actual harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G: isolated, actual harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
January 25, 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 harmCorrectedMarch 15, 2024data.cms.gov
January 25, 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 harmCorrectedMarch 15, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 owners, 4 managers, 2 officers, directors or trustees, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pac 12 OPCO HOLDCO LLCDirect owner100%March 1, 2023data.cms.gov
Knox Healthcare Pac 12 Holdings LLCIndirect ownerNot listedMarch 1, 2023data.cms.gov
Pac 12 Holdings LLCIndirect ownerNot listedMarch 1, 2023data.cms.gov
Pac 12 Pinnacle HOLDCO LLCIndirect ownerNot listedMarch 1, 2023data.cms.gov
Volare Health LLCOperational or managerial controlNot listedMarch 1, 2023data.cms.gov
Gilbert Creek PROPCO LLCMortgage interestNot listedMarch 1, 2023data.cms.gov
Gilbert Creek PROPCO LLCAdditional disclosable partyNot listedMarch 1, 2023data.cms.gov
Pac 12 Holdings LLCAdditional disclosable partyNot listedMarch 1, 2023data.cms.gov
Pac 12 Pinnacle HOLDCO LLCAdditional disclosable partyNot listedMarch 1, 2023data.cms.gov
Volare Health LLCAdditional disclosable partyNot listedAugust 19, 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.