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Nursing homeFAID #10618

Highland House Nursing & Rehabilitation Center

2201 NW HIGHLAND AVENUE, GRANTS PASS, OR, 97526
(541) 474-1901
119 licensed beds

CMS rates Highland House Nursing & Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 90 citations across 13 inspections in the last three years, with $36,852 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall1/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
119
State license
385149
CMS facility ID
385149
Care type
Nursing home
Facility name
Highland House Nursing & Rehabilitation Center
Street address
2201 NW HIGHLAND AVENUE
City / state / ZIP
Grants Pass, OR 97526
Phone
(541) 474-1901
State license #
385149

Highland House Nursing & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Grants Pass, Oregon. It is licensed for 119 beds — above the median for skilled nursing facilities in Oregon (80 beds).

It is one of 55 senior care facilities in Grants Pass and 128 skilled nursing facilities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Volare Health, a group of 16 facilities on this site.

Federal inspectors have cited Highland House Nursing & Rehabilitation Center 90 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $36,852 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Volare Health
Ownership type
For profit - Limited Liability company

Registered owners & officers

Pac 12 Opco Holdco Llc
Direct owner — 100% stake — since 2023
Cossell, Patrick
Operational control · Additional disclosable party — since 2025
Grants Pass Propco Llc
Mortgage holder · Additional disclosable party — since 2023
Hagar, Chaim
Additional disclosable party — since 2023
Hagler, Alexander
Indirect owner — since 2023
Kahn, Karen
Operational control · Additional disclosable party — since 2023
Knox Healthcare Pac 12 Holdings Llc
Indirect owner — since 2023
Knox, Donald
Indirect owner · Officer · Operational control · Additional disclosable party — since 2023
Pac 12 Holdings Llc
Indirect owner · Additional disclosable party — since 2023
Pac 12 Pinnacle Holdco Llc
Indirect owner · Additional disclosable party — since 2023
Schwartz, Eliezer
Operational control · Additional disclosable party — since 2023
Smith, Brian
Officer · Additional disclosable party — since 2023
Volare Health Llc
Operational control · Additional disclosable party — since 2023

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1981-08-21
CMS overall rating
2 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$36,852 total
Last standard inspection
2025-12-03
Nurse staffing
4.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$731 per day (≈ $22,220/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
46% Medicaid · 14% Medicare · 40% private/other
Occupancy
64% (fiscal year 2023)
Vs. state median
20% above the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds
119
Licensed as
NF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-22Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-01
2025-12-03Health inspectionComplaint-triggered14 citations
F-0578
D · No harm found
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.
Corrected 2026-01-22
F-0584
E · No harm found
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.
Corrected 2026-01-22
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-22
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-01-22
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-22
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-22
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-22
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-22
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-22
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-22
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-22
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-01-22
F-0808
D · No harm foundFood safety
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.
Corrected 2026-01-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-22
9 earlier / fire-safety inspections (75 citations)
2025-04-03Health inspectionComplaint-triggered4 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-04-25
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-25
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-25
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-04-25
2024-08-07Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-24
2024-07-16Health inspectionComplaint-triggered1 citation
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-16
2024-06-14Health inspectionComplaint-triggered29 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-03
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-03
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-20
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-03
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2024-08-03
F-0585
E · No harm foundFrom a complaint
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.
Corrected 2024-08-03
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-08-03
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-03
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-09-20
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-08-03
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-08-03
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-08-03
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-03
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-03
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-03
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-03
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-03
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-03
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-08-03
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-03
F-0732
E · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-08-03
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-08-03
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-03
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-03
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-03
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-08-03
F-0947
E · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-08-03
2023-03-10Health inspection20 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-04-29
F-0578
E · No harm found
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.
Corrected 2023-04-29
F-0584
E · No harm found
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.
Corrected 2023-04-29
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-29
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-04-29
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-04-29
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-29
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-29
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-29
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2023-04-29
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-29
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-29
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-29
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-04-29
F-0732
E · No harm found
Post nurse staffing information every day.
Corrected 2023-04-29
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-04-29
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-04-29
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-04-29
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-29
2025-12-03Fire-safety inspection2 citations
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-22
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-22
2024-10-08Fire-safety inspectionComplaint-triggered8 citations
E-0013
F · No harm foundFrom a complaint
Develop Emergency Preparedness policies and procedures.
Corrected 2024-11-27
E-0020
F · No harm foundFrom a complaint
Establish policies and procedures including evacuation.
Corrected 2024-11-27
E-0037
F · No harm foundFrom a complaint
Establish staff and initial training requirements.
Corrected 2024-11-27
K-0211
E · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-27
K-0353
F · No harm foundFrom a complaint
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-27
K-0354
F · No harm foundFrom a complaint
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-27
K-0372
E · No harm foundFrom a complaint
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-27
K-0712
L · Immediate jeopardyFrom a complaint
Have simulated fire drills held at unexpected times.
Corrected 2024-11-27
2024-06-14Fire-safety inspection4 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-08-01
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-08-01
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-08-01
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-01
2023-03-10Fire-safety inspection6 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-29
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-04-29
K-0255
D · No harm found
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2023-04-29
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-29
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-29
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-29

Federal penalties

2024-10-08Fine$36,852
2024-06-14Medicare payment denial — 6 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 385149.
How it compares in Oregon.
Inspection citations, 3 years
90
More than 96% of nursing homes in the state
State median: 43
Federal fines, 3 years
$36,852
More than 79% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.4
Higher than 7% of nursing homes in the state
State median: 4.9
Nursing staff turnover, annual
46%
Higher than 58% of nursing homes in the state
State median: 42%

Resident outcomes

On 19 federal quality measures, this facility does better than the Oregon average on 9 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.1%14.2%13.5%Better than state
Lose too much weight0.4%4.6%5.1%Better than state
With a catheter inserted and left in their bladder0.7%1.3%0.7%Better than state
With a urinary tract infection1.1%2.0%1.5%Better than state
Have depressive symptoms0.0%4.9%13.5%Better than state
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury0.4%2.4%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine97.8%95.3%93.7%Near state average
Ability to walk independently worsened14.7%18.6%12.7%Better than state
Received an antianxiety or hypnotic medication14.8%12.2%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine86.7%94.0%95.3%Near state average
With pressure ulcers6.4%5.6%4.5%Worse than state
With new or worsened bowel or bladder incontinence28.1%20.8%18.3%Worse than state
Received an antipsychotic medication21.7%14.3%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine90.8%85.8%82.3%Near state average
Newly received an antipsychotic medication1.4%1.4%1.5%Near state average
Were assessed and appropriately given the seasonal influenza vaccine80.2%80.9%80.1%Near state average
Were rehospitalized after a nursing home admission16.1%21.9%23.4%Better than state
Had an outpatient emergency department visit27.6%16.0%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0584 3 inspections. 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.
  • F-0610 3 inspections. Respond appropriately to all alleged violations.
  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.

What its owners also hold

  • Pac 12 Pinnacle Holdco Llc has an ownership stake on file at 12 nursing homes, averaging 1.8 of 5 on CMS's overall rating.
  • Pac 12 Opco Holdco Llc has an ownership stake on file at 12 nursing homes, averaging 1.8 of 5 on CMS's overall rating.
  • Pac 12 Holdings Llc has an ownership stake on file at 12 nursing homes, averaging 1.8 of 5 on CMS's overall rating.
  • Knox Healthcare Pac 12 Holdings Llc has an ownership stake on file at 12 nursing homes, averaging 1.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Oregon

  • Licensing: Oregon Department of Human Services (ODHS)
  • File a complaint: 877-280-4555 · Online
  • Long-Term Care Ombudsman: 800-522-2602. A free advocate for residents and families.
  • Adult Protective Services: 855-503-7233. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Asante Three Rivers Medical Center, about 3.1 miles. CMS rating 3 of 5.
  • Providence Medford Medical Center, about 25 miles. CMS rating 2 of 5.
  • Asante Rogue Regional Medical Center, about 27 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.152 ratings on Google
★Lori Foley · 2026-05-07 · via Google

“I’ve been hearing some horrific things about the new administrator, Patrick Cossel. She has taken away peanut butter, hot cocoa, cheese, sticks, sandwiches, Ice cream, and phones from the patients. He has fired all the long-term and best employees so that he could replace them with inexperienced lazy employees who will Look the other way and not turn him in! The patients are being neglected and …”

★Sandi McClure · 2026-02-08 · via Google

“Horrible place. Food served there looks a lot like what my cat pukes on the floor. 95% of the CNA's are rude and don't care about the residents. Doctors orders for meds are not followed. Seems like all they really care about is being paid for services not rendered. Physical abuse of residents does occur. NEVER put your loved one in this facility”

★Blvd BombS · 2025-06-29 · via Google

“When we arrived to visit our loved one, we were devastated to see that he was not being fed, nor did he have an IV in place. I asked the staff why he wasn’t receiving IV fluids and was told that in hospice care, patients typically do not receive them. However, we requested mashed potatoes and gravy, and he was able to eat some of it. He also drank a good amount of water, had some root beer, and at…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 90 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered