Royale Gardens Health & Rehabilitation Center
Medicare-certified2075 NW HIGHLAND AVENUE, Grants Pass, OR 97526
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Highland House Nursing & Rehabilitation Center in Grants Pass, Oregon provides skilled nursing and rehabilitation care focused on healing and recovery. Our compassionate team supports patients through their medical needs and therapeutic goals, helping them regain strength and independence during critical transitions.
Capacity
119 residents
Location
Grants Pass, OR
Status
Listed in a public registry
2201 NW HIGHLAND AVENUE, Grants Pass, Oregon 97526
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 3, 2025, state inspectors cited 15 health deficiencies (the Oregon average is 9.2).
Nurses and nurse aides spend 4 hours 25 minutes with each resident a day, below the Oregon average of 5 hours 2 minutes.
Medicare fined Highland House Nursing & Rehabilitation Center once in the last three years, $36,852 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 25 minutesBelow the Oregon average |
| Registered nurse time per resident, per day | 12 minutesBelow the Oregon average |
| Nursing staff who left in the past year | 46% |
2 administrators have left the home in the past year.
50 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 22, 2026 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
December 3, 2025 · Standard inspection · 14 citations
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.
Provide and implement an infection prevention and control program.
Respond appropriately to all alleged violations.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Honor 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.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that residents are free from significant medication errors.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure medication error rates are not 5 percent or greater.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Post nurse staffing information every day.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Assist a resident in gaining access to vision and hearing services.
Provide safe, appropriate pain management for a resident who requires such services.
Implement a program that monitors antibiotic use.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure services provided by the nursing facility meet professional standards of quality.
Keep residents' personal and medical records private and confidential.
Assess the resident when there is a significant change in condition
Provide care or services that was trauma informed and/or culturally competent.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Respond appropriately to all alleged violations.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide enough food/fluids to maintain a resident's health.
1 fine totaling $36,852 and 1 Medicare payment denial in the last three years.
2201 NW HIGHLAND AVENUEGrants Pass, OR 97526
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State inspectors visited on December 3, 2025 and cited 15 health deficiencies, 2 of them from complaint investigations. The Oregon average is 9.2.
Nurses and aides spend 4 hours 25 minutes with each resident per day, including 12 minutes from registered nurses. 46% of nursing staff left over the past year.
Yes. Medicare fined Highland House Nursing & Rehabilitation Center once in the last three years, totaling $36,852.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.