Nursing HomeInspections

Royale Gardens Health & Rehabilitation Center

Nursing home in Grants Pass, OR

Medicare & Medicaid certified2★ overall (CMS)

Call (541) 476-8891Send a messageMap ↗

Public-record details

Address
2075 Nw Highland Avenue, Grants Pass, OR 97526
Phone
(541) 476-8891
Listed under
For-profit
Medicare CCN
385148
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
145
Average residents per day
68
Ownership
For-profit, limited Liability company
Legal business name
Gilbert Creek Health & Rehabilitation Center LLC
Chain
Volare Health (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 15, 1981
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 385148. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2026. CMS lists 67 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to Mar 13, 2026): 27 from complaint inspections, 7 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 13, 2026Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 13, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2026Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2026Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration		D
Potential for more than minimal harm, isolated
Mar 13, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 13, 2026Procure 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
Mar 13, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 13, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		G
Actual harm, isolated
Jan 28, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 23, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 67. 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 2 fines totalling $182,193 in the last three years.

Mar 13, 2026Fine: $100,580
Jan 25, 2024Fine: $81,613

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
4.91 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
3.38 hours
Total nurse staffing on weekends
4.26 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
67%
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 Grants Pass

Regency Care of Rogue Valley1710 Ne Fairview Avenue · Grants Pass, OR 97526 · (541) 479-2606 · For-profit12 health citations in 3 inspection cycles · last standard inspection Mar 27, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Laurel Hill Nursing Center859 Ne 6th Street · Grants Pass, OR 97526 · (541) 479-3700 · For-profit29 health citations in 3 inspection cycles · last standard inspection Mar 28, 2025 · $23,465 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Highland House Nursing & Rehabilitation Center2201 Nw Highland Avenue · Grants Pass, OR 97526 · (541) 474-1901 · For-profit70 health citations in 3 inspection cycles · last standard inspection Dec 3, 2025 · $36,852 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Grants Pass →