Highland House Nursing & Rehabilitation Center
Medicare-certified2201 NW HIGHLAND AVENUE, Grants Pass, OR 97526
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Royale Gardens Health & Rehabilitation Center brings skilled nursing and rehabilitation expertise to Grants Pass, Oregon, where experienced staff focus on recovery and comfort. Our team provides specialized care designed to help patients regain independence and return home whenever possible.
Capacity
145 residents
Location
Grants Pass, OR
Status
Listed in a public registry
2075 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 March 13, 2026, state inspectors cited 13 health deficiencies (the Oregon average is 9.2).
Nurses and nurse aides spend 4 hours 55 minutes with each resident a day, about the same as the Oregon average.
Medicare fined Royale Gardens Health & Rehabilitation Center once in the last three years, $81,613 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 55 minutes |
| Registered nurse time per resident, per day | 34 minutesBelow the Oregon average |
| Nursing staff who left in the past year | 57%Above the Oregon average |
2 administrators have left the home in the past year.
52 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 15, 2026 · Complaint investigation · 2 citations
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
March 13, 2026 · Standard inspection · 10 citations
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Allow residents to self-administer drugs if determined clinically appropriate.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide activities to meet all resident's needs.
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Provide activities to meet all resident's needs.
Ensure medication error rates are not 5 percent or greater.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Observe each nurse aide's job performance and give regular training.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide or obtain dental services for each resident.
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.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Provide care or services that was trauma informed and/or culturally competent.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Post nurse staffing information every day.
Reasonably accommodate the needs and preferences of each resident.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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.
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.
Keep all essential equipment working safely.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Respond appropriately to all alleged violations.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
1 fine totaling $81,613 in the last three years.
2075 NW HIGHLAND AVENUEGrants Pass, OR 97526
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State inspectors visited on March 13, 2026 and cited 13 health deficiencies, 4 of them from complaint investigations. The Oregon average is 9.2.
Nurses and aides spend 4 hours 55 minutes with each resident per day, including 34 minutes from registered nurses. 57% of nursing staff left over the past year.
Yes. Medicare fined Royale Gardens Health & Rehabilitation Center once in the last three years, totaling $81,613.
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.