Senior Home Review
Home›Browse›Oregon›Grants Pass›Royale Gardens Health & Rehabilitation Center
Nursing homeFAID #10617

Royale Gardens Health & Rehabilitation Center

2075 NW HIGHLAND AVENUE, GRANTS PASS, OR, 97526
(541) 476-8891
145 licensed beds

CMS rates Royale Gardens Health & Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 77 citations across 15 inspections in the last three years, with $81,613 in fines. Listing last updated 2026-11-06.

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

Generate this report

Delivered within 24–48 hours
Photo of ROYALE GARDENS HEALTH & REHABILITATION CENTER
Photo via Google · Royale Gardens Health & Rehabilitation Center

Address

2075 Nw Highland Avenue
Grants Pass, OR 97526
Get directions
What we can show you for free.
Bed capacity
145
State license
385148
CMS facility ID
385148
Care type
Nursing home
Facility name
Royale Gardens Health & Rehabilitation Center
Street address
2075 NW HIGHLAND AVENUE
City / state / ZIP
Grants Pass, OR 97526
Phone
(541) 476-8891
State license #
385148

Royale Gardens Health & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Grants Pass, Oregon. It is licensed for 145 beds — well 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 Royale Gardens Health & Rehabilitation Center 77 times across 15 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $81,613 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
Gilbert Creek Propco Llc
Mortgage holder · Additional disclosable party — since 2023
Hagar, Chaim
Additional disclosable party — since 2023
Hagler, Alexander
Indirect owner — since 2023
Hart, Kevin
Operational control · Additional disclosable party — since 2025
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
1981-04-15
CMS overall rating
2 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$81,613 total
Last standard inspection
2026-03-13
Nurse staffing
4.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$697 per day (≈ $21,190/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
62% Medicaid · 11% Medicare · 27% private/other
Occupancy
49% (fiscal year 2023)
Vs. state median
15% above the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds
145
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 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-15Health inspectionComplaint-triggered2 citations
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-08-24
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-08-24
2026-03-13Health inspectionComplaint-triggered10 citations
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2026-04-29
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-04-29
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-04-29
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2026-04-29
F-0688
D · No harm found
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.
Corrected 2026-04-29
F-0760
G · Actual harm
Ensure that residents are free from significant medication errors.
Corrected 2026-04-29
F-0776
D · No harm found
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2026-04-29
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 2026-04-29
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-29
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-04-29
11 earlier / fire-safety inspections (65 citations)
2026-01-28Health inspectionComplaint-triggered1 citation
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-16
2025-07-23Health inspectionComplaint-triggered2 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-25
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 2025-08-25
2025-05-01Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-03
2025-02-28Health 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 2025-03-14
2025-01-23Health inspectionComplaint-triggered1 citation
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 2025-02-28
2024-10-29Health inspectionComplaint-triggered22 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-18
F-0585
D · No harm found
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 2024-12-18
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-18
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-18
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 2024-12-18
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 2024-12-18
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-18
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-12-18
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-18
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-18
F-0699
D · No harm foundFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-12-18
F-0711
E · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-12-18
F-0712
E · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-12-18
F-0730
D · No harm foundFrom a complaint
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-18
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-12-18
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-18
F-0758
D · No harm found
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.
Corrected 2024-12-18
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-18
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2024-12-18
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-12-18
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-12-18
F-0812
F · 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 2024-12-18
2024-01-25Health inspectionComplaint-triggered12 citations
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 2024-03-15
F-0603
G · Actual harmFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-03-15
F-0604
G · Actual harmFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-03-15
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 2024-03-15
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-03-15
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-15
F-0661
D · No harm foundFrom a complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-03-15
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-15
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-15
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-15
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-03-15
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2024-03-15
2023-07-14Health inspection17 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-29
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-08-29
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-29
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-08-29
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-29
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-08-29
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 2023-08-29
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 2023-08-29
F-0658
G · Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-29
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-29
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 2023-08-29
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-29
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 2023-08-29
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-08-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-29
F-0882
E · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-08-29
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-08-29
2026-03-13Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-10-15
2024-10-29Fire-safety inspection1 citation
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 2024-12-18
2023-07-14Fire-safety inspection6 citations
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2023-09-06
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-09-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-06
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-06
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-09-06
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-09-06

Federal penalties

2024-01-25Fine$81,613
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 385148.
How it compares in Oregon.
Inspection citations, 3 years
77
More than 91% of nursing homes in the state
State median: 43
Federal fines, 3 years
$81,613
More than 89% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.9
Higher than 47% of nursing homes in the state
State median: 4.9
Nursing staff turnover, annual
57%
Higher than 82% of nursing homes in the state
State median: 42%

Resident outcomes

On 21 federal quality measures, this facility does better than the Oregon average on 14 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased9.2%14.2%13.5%Better than state
Lose too much weight0.7%4.6%5.1%Better than state
With a catheter inserted and left in their bladder0.0%1.3%0.7%Better than state
With a urinary tract infection0.0%2.0%1.5%Better than state
Have depressive symptoms4.7%4.9%13.5%Near state average
Were physically restrained0.0%0.1%0.1%Better than state
Experiencing one or more falls with major injury1.5%2.4%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.0%95.3%93.7%Near state average
Ability to walk independently worsened4.3%18.6%12.7%Better than state
Received an antianxiety or hypnotic medication7.1%12.2%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine92.7%94.0%95.3%Near state average
With pressure ulcers3.4%5.6%4.5%Better than state
With new or worsened bowel or bladder incontinence13.5%20.8%18.3%Better than state
Received an antipsychotic medication10.2%14.3%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.631.461.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.932.271.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine89.1%85.8%82.3%Near state average
Newly received an antipsychotic medication0.8%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine70.2%80.9%80.1%Worse than state
Were rehospitalized after a nursing home admission19.7%21.9%23.4%Better than state
Had an outpatient emergency department visit10.8%16.0%11.8%Better 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-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0686 3 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  • F-0553 2 inspections. Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  • F-0554 2 inspections. Allow residents to self-administer drugs if determined clinically appropriate.

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 3.2 miles. CMS rating 3 of 5.
  • Providence Medford Medical Center, about 25 miles. CMS rating 2 of 5.
  • Asante Rogue Regional Medical Center, about 28 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.454 ratings on Google
★★★Angel Pease · 2026-05-22 · via Google

“Left 3 messages and after leaving a bad review i got a call back and talked with Lexy. (Absolutely an amazing woman. Very kind and compassionate and helpful) She explained alot to me and help me understand that some of it was that mom refused services and because we didn't have a advanced detective or power of attorney and didnt ask the right questions they could tell us because of the HIPA law. …”

★★★★★Debi Scarfone · 2026-04-01 · via Google

“My mother was placed at Royale Gardens after suffering a fall that resulted in a broken hip. With her dementia, the transition was especially difficult, as she was understandably confused by her new surroundings. The staff has been incredibly helpful, supportive, and communicative throughout this process, consistently keeping our family informed and at ease. I would especially like to recognize …”

★★★★★Jeanette McPherson · 2026-03-31 · via Google

“My Mom stayed at Royal Gardens Rehabilitation Center. She loved it There. She loved all the staff, and said they were all very helpful with her stay. The atmosphere was very inviting when I would visit her. Also I don’t want to forget about Social Services. She was very Knowledgeable and helpful with all my questions. I would refer anyone to them in the future for any family members.”

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 77 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