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Medicare-certifiedSkilled Nursing

Royale Gardens Health & Rehabilitation Center

Grants Pass, OregonMedicare inspection record
(541) 476-8891

About Royale Gardens Health & Rehabilitation Center

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.

Community at a glance

Capacity

145 residents

Location

Grants Pass, OR

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2075 NW HIGHLAND AVENUE, Grants Pass, Oregon 97526

(541) 476-8891

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 55 minutes
Registered nurse time per resident, per day34 minutesBelow the Oregon average
Nursing staff who left in the past year57%Above the Oregon average

2 administrators have left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 24, 2026
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 24, 2026

March 13, 2026 · Standard inspection · 10 citations

  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceCorrected Apr 29, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 29, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Apr 29, 2026
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 29, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 29, 2026
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 29, 2026
  • Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 29, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 29, 2026
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 29, 2026
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 29, 2026
January 28, 2026 · Complaint investigation · 1 citation+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Feb 16, 2026
July 23, 2025 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 25, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 25, 2025
May 1, 2025 · Complaint investigation · 1 citation+
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 3, 2025
February 28, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 14, 2025
January 23, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 28, 2025
October 29, 2024 · Standard inspection · 21 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Dec 18, 2024
  • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Dec 18, 2024
  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Dec 18, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 18, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Dec 18, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 18, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 18, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 18, 2024
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Dec 18, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 18, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 18, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 18, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 18, 2024
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 18, 2024
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 18, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 18, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 18, 2024
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Dec 18, 2024
October 29, 2024 · Complaint investigation · 1 citation+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 18, 2024
January 25, 2024 · Complaint investigation · 12 citations+
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 15, 2024
  • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 15, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 15, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 15, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 15, 2024
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Mar 15, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Mar 15, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 15, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 15, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 15, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 15, 2024

Fines and payment denials

1 fine totaling $81,613 in the last three years.

  • January 25, 2024Fine: $81,613

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Gilbert Creek Health & Rehabilitation Center LLC
Medicare-certified beds
145
Average residents per day
68
Accepts
Medicare and Medicaid
First certified
April 15, 1981
Part of a chain
Volare Health, 16 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
385148

Location

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2075 NW HIGHLAND AVENUEGrants Pass, OR 97526

12 other communities within 10 miles

Senior living near Grants Pass

Questions about Royale Gardens Health & Rehabilitation Center

How did Royale Gardens Health & Rehabilitation Center do on its last inspection?+

State inspectors visited on March 13, 2026 and cited 13 health deficiencies, 4 of them from complaint investigations. The Oregon average is 9.2.

How much nursing care does each resident get at Royale Gardens Health & Rehabilitation Center?+

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.

Has Royale Gardens Health & Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Royale Gardens Health & Rehabilitation Center once in the last three years, totaling $81,613.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Grants Pass Skilled Nursing in Oregon Skilled Nursing guide Information last updated October 2026