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Nursing homeFAID #10630

South Hills Rehabilitation Center

1166 E. 28TH AVENUE, EUGENE, OR, 97403
(541) 345-0534
110 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of SOUTH HILLS REHABILITATION CENTER
Photo via Google · South Hills Rehabilitation Center
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Bed capacity
110
State license
385167
CMS facility ID
385167
Care type
Nursing home
Facility name
South Hills Rehabilitation Center
Street address
1166 E. 28TH AVENUE
City / state / ZIP
Eugene, OR 97403
Phone
(541) 345-0534
State license #
385167

South Hills Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Eugene, Oregon. It is licensed for 110 beds — above the median for skilled nursing facilities in Oregon (80 beds).

It is one of 87 senior care facilities in Eugene and 128 skilled nursing facilities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited South Hills Rehabilitation Center 75 times across 11 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $165,996 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 August 31, 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
Camas Ridge Propco Llc
Mortgage holder · Additional disclosable party — since 2023
Dunham, Sarah
Operational control · Additional disclosable party — since 2025
Hagar, Chaim
Additional disclosable party — since 2023
Hagler, Alexander
Indirect owner — since 2023
Knox Healthcare Pac 12 Holdings Llc
Indirect owner — since 2023
Knox, Donald
Indirect owner · Officer · Operational control · Additional disclosable party — since 2023
Murer, Emily
Operational control · Additional disclosable party — since 2025
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
1985-05-17
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$165,996 total
Last standard inspection
2025-08-11
Nurse staffing
4.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$740 per day (≈ $22,500/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 7% Medicare · 34% private/other
Occupancy
62% (fiscal year 2023)
Vs. state median
22% above the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds
110
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 2026-08-31. 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 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-13Health inspectionComplaint-triggered3 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 2026-06-02
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-02
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-06-02
2026-02-09Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-24
8 earlier / fire-safety inspections (71 citations)
2025-12-09Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-05
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-05
2025-08-11Health inspection11 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-09-29
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-29
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 2025-09-29
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-29
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-09-29
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 2025-09-29
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-29
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 2025-09-29
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 2025-09-29
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-09-29
F-0880
L · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2025-09-29
2024-10-16Health inspectionComplaint-triggered8 citations
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 2024-12-05
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 2024-12-05
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-12-05
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-05
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 2024-12-05
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 2024-12-05
F-0732
E · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2024-12-05
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-05
2024-03-22Health inspectionComplaint-triggered33 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-05-08
F-0561
E · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-08
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-05-08
F-0576
E · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-05-08
F-0577
E · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-05-08
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 2024-05-08
F-0584
D · 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 2024-05-08
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 2024-05-08
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-08
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 2024-05-08
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-05-08
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 2024-05-08
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 2024-06-22
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-08
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 2024-05-08
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-08
F-0690
D · No harm found
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 2024-05-08
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-05-08
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-08
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 2024-05-08
F-0727
E · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-05-08
F-0730
E · No harm foundFrom a complaint
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-08
F-0756
D · 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 2024-05-08
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-08
F-0758
E · 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 2024-06-22
F-0776
D · No harm found
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-05-08
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2024-05-08
F-0809
D · No harm foundFood safety
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-05-08
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-05-08
F-0849
D · No harm foundFrom a complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-05-08
F-0851
E · No harm foundFrom a complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-05-08
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-06-22
F-0881
D · No harm foundFrom a complaint
Implement a program that monitors antibiotic use.
Corrected 2024-05-08
2019-04-05Health inspection8 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 2019-05-21
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2019-05-21
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 2019-05-21
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 2019-05-21
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-05-21
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-05-21
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2019-05-21
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-05-21
2025-08-11Fire-safety inspection2 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-09-29
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2025-09-29
2024-03-22Fire-safety inspection3 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-08
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-08
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-08
2019-04-05Fire-safety inspection4 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-05-21
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-05-21
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2019-05-21
K-0912
F · No harm found
Have power receptacles that are properly grounded.
Corrected 2019-05-21

Federal penalties

2026-07-15Fine$57,888
2026-02-09Fine$28,870
2025-08-11Fine$79,238
Total fines$165,996
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 385167.
What people say on Google.
3.172 ratings on Google
★Lori McMillan · 2026-02-12 · via Google

“They weren't watching my mom properly.. she fell and hit her head..making her wait for 2 hours before contacting us!!? DO NOT LEAVE YOUR FAMILY HERE!!! They manipulated me into leaving my mom there because of some famous ice skater they have there. Most of their staff is amazing, but their noc shift nurses suck!! We had to bring her food and her own bedding.”

★Myri · 2026-05-11 · via Google

“Poor care provided. Call lights ignored for 30+ minutes while staff visit with each other. Rampant pressure injuries. Administer is abusive towards staff. Building sanctioned for poor practices around infection control Lots of good people work here and I am thankful to all of them, but I wouldn't trust the facility with my family.”

★BambiLuckyQuinn · 2026-07-16 · via Google

“This place should be shut down, I have heard so many horror stories I will never send a family member or friend there for care. The state needs to do something about this place.”

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 75 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 2026-08-31
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