ROYALE GARDENS HEALTH & REHABILITATION CENTER
GRANTS PASS, OR · 145 beds · For profit - Corporation
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
Violation Timeline
July 22, 2025
2 deficiencyiesResident Rights Deficiencies
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Ensure that residents are fully informed and understand their health status, care and treatments.
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 deficiencyNursing 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 deficiencyQuality 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 deficiencyQuality 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 deficiencyiesResident 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.
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.
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.
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.
Quality of Life and Care Deficiencies
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Provide activities to meet all resident's needs.
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.
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.
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.
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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care Deficiencies
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Provide or obtain dental services for each resident.
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.
Nutrition and Dietary Deficiencies
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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.
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
Staffing
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
Ownership
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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