Highland House Nursing & Rehabilitation Center
Grants Pass · 0.0 mi · 119 beds
Citations0Substantiated0
Royale Gardens Health & Rehabilitation Center
2075 NW HIGHLAND AVENUE, Grants Pass, OR, 97526
Nursing home145 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 13 deficiencies against Royale Gardens Health & Rehabilitation Center in Grants Pass, Oregon at its most recent standard inspection on 2026-03-13, 4 of them arising from complaints. 7 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $81,613. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
145certified beds
13deficiencies at the last inspection
0immediate-jeopardy findings on record
7actual-harm findings on record
1federal fines, $81,613
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.7
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.59
Potential for minimal harmThe least serious band.1
Most recentGEEDDDDDDDEDDEDDFEEE
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.
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-03-13 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2026-03-13 · from a complaint · No actual harm, potential for more than minimal harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · F0553 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · F0676 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0688 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · F0776 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-03-13 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-01-28 · 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 · 2025-07-23 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-07-23 · 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 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-02-28 · from a complaint · 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 · 2025-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-10-29 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2024-10-29 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-10-29 · from a complaint · No actual harm, potential for more than minimal harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · F0711 · 2024-10-29 · standard survey · 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 below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.91152
Nursing staff turnoverShare of nursing staff who left in a year56.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$81,613
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Royale Gardens Health & 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 03/01/2023 |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 HOLDINGS LLC | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| PAC 12 PINNACLE HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| HAGLER, ALEXANDER | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| KNOX, DONALD | Individual | NO PERCENTAGE PROVIDED | since 03/01/2023 |
| GILBERT CREEK PROPCO LLC | Organization | NOT APPLICABLE | since 03/01/2023 |
| KNOX, DONALD | Individual | NOT APPLICABLE | since 03/01/2023 |
| SMITH, BRIAN | Individual | NOT APPLICABLE | since 03/27/2023 |
| VOLARE HEALTH LLC | Organization | NOT APPLICABLE | since 03/01/2023 |
| HART, KEVIN | Individual | NOT APPLICABLE | since 08/22/2025 |
| KAHN, KAREN | Individual | NOT APPLICABLE | since 07/03/2023 |
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.
Laurel Hill Nursing Center
Grants Pass · 1.5 mi · 44 beds
Citations0Substantiated0
Regency Care of Rogue Valley
Grants Pass · 2.5 mi · 102 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 385148.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction