Nursing HomeInspections

Pilot Butte Rehabilitation Center

Nursing home in Bend, OR

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (541) 382-5531Send a messageMap ↗

Public-record details

Address
1876 Ne Highway 20, Bend, OR 97701
Phone
(541) 382-5531
Listed under
For-profit
Medicare CCN
385138
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
74
Average residents per day
41
Ownership
For-profit, corporation
Legal business name
Bd Bend II LLC
Chain
Regency Pacific Management (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 385138. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 19, 2025. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 25, 2023 to Jun 24, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 24, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 24, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 24, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 19, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 19, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 19, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 19, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Sep 19, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,827 in the last three years.

Sep 9, 2024Fine: $8,827

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.89 hours
Registered nurse (RN) time per resident per day
0.94 hours
Nurse aide time per resident per day
3.09 hours
Total nurse staffing on weekends
3.94 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
27%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Bend

Bend Transitional Care900 Ne 27th Street · Bend, OR 97701 · (541) 382-0479 · For-profit11 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Regency Care of Central Oregon119 Se Wilson Avenue · Bend, OR 97702 · (541) 382-7161 · For-profit22 health citations in 3 inspection cycles · last standard inspection Dec 5, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

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