Rose Haven Nursing Center
Roseburg · 1.0 mi · 193 beds
Citations0Substantiated0
Umpqua Valley Nursing & Rehabilitation Center
525 W. UMPQUA STREET, Roseburg, OR, 97471
Nursing home118 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 6 deficiencies against Umpqua Valley Nursing & Rehabilitation Center in Roseburg, Oregon at its most recent standard inspection on 2025-08-22, 1 of them arising from complaints. Medicare has fined it 1 time, totalling $8,824. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
118certified beds
6deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $8,824
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.44
Potential for minimal harmThe least serious band.0
Most recentEDDDDDEEEEEEEDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · F0825 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-22 · standard survey · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2025-08-22 · from a complaint · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Resident Rights Deficiencies · F0560 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2024-05-17 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies · F0624 · 2024-05-17 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.57629
Nursing staff turnoverShare of nursing staff who left in a year42.7%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$8,824
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Umpqua Valley Nursing & Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | Organization | 100% | since 01/01/2023 |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| PAC 12 HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| PAC 12 PINNACLE HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| HAGLER, ALEXANDER | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| KNOX, DONALD | Individual | NO PERCENTAGE PROVIDED | since 01/01/2023 |
| KNOX, DONALD | Individual | NOT APPLICABLE | since 01/01/2023 |
| SPARKS, BENJAMIN | Individual | NOT APPLICABLE | since 01/01/2023 |
| PAC 12 OPCO HOLDCO LLC | Organization | NOT APPLICABLE | since 01/01/2023 |
| PAC 12 PINNACLE HOLDCO LLC | Organization | NOT APPLICABLE | since 01/01/2023 |
| VOLARE HEALTH LLC | Organization | NOT APPLICABLE | since 01/01/2023 |
| SCHWARTZ, ELIEZER | Individual | NOT APPLICABLE | since 01/01/2023 |
Part of the VOLARE HEALTH group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Umpqua Valley Nursing & Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 385143.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction