ROYALE GARDENS HEALTH & REHABILITATION CENTER

GRANTS PASS, OR · 145 beds · For profit - Corporation

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 25 deficiencies — 2.4x the state average
  • 7 citation(s) where residents suffered actual harm
  • $200,505 in fines over 3 years
  • 62% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
25
2.4x state avg
Deficiencies
$200,505
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

July 22, 2025

2 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Ensure that residents are fully informed and understand their health status, care and treatments.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

April 30, 2025

1 deficiency
F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

February 27, 2025

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

January 22, 2025

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

October 28, 2024

15 deficiencyies
F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0679 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0711 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0712 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Ensure that the resident and his/her doctor meet face-to-face at all required visits.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0791 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide or obtain dental services for each resident.

F0805 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F0810 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Provide special eating equipment and utensils for residents who need them and appropriate assistance.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

See full violation history →

Staffing

0.51
RN hrs/res/day
0.86
LPN hrs/res/day
3.36
CNA hrs/res/day
4.15
Weekend hrs/res/day
62%
Total nurse turnover
46%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

  • Fine Jan 24, 2024
    $81,613
  • Fine Jul 13, 2023
    $71,065
  • Fine Apr 11, 2023
    $47,827
Total $200,505

Ownership

For profit - Corporation Chain: VOLARE HEALTH
  • PAC 12 OPCO HOLDCO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    100% Organization
  • KNOX HEALTHCARE PAC 12 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PAC 12 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PAC 12 PINNACLE HOLDCO LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Organization
  • HAGAR, CHAIM

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Individual
  • HAGLER, ALEXANDER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Individual
  • KNOX, DONALD

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Individual
  • SCHWARTZ, ELIEZER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2023

    NO PERCENTAGE PROVIDED Individual
  • PAC 12 OPCO HOLDCO LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2023

    Organization
  • PAC 12 PINNACLE HOLDCO LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2023

    Organization
  • VOLARE HEALTH LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2023

    Organization
  • SCHWARTZ, ELIEZER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2023

    Individual
  • KNOX, DONALD

    CORPORATE OFFICER

    Since since 01/01/2023

    Individual
  • SPARKS, BENJAMIN

    CORPORATE OFFICER

    Since since 01/01/2023

    Individual

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