The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GREEN VALLEY REHABILITATION HEALTH CENTER
EUGENE, OR · Medicare-certified · 110 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
GREEN VALLEY REHABILITATION HEALTH CENTER has an overall rating of 1 out of 5 stars, with 1-star health inspections and 2-star staffing, despite 4-star quality measures. It has had $53,024 in fines in the last 24 months and a recent federal penalty; reported nurse staffing is 4.32 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.3244 hrs/resident/day
Quality measures
Last inspection: February 2, 2026Penalties, last 24 months: $53,024recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3244.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.90
- Weekend nursing
- 3.76
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 70%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.1%9.5%Worsening
Residents with a fall causing major injury
1.6%4.3%Worsening
Residents with pressure ulcers (bedsores)
8.3%16.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.8%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.3%31.7%Worsening
Residents whose ability to walk got worse
18.3%52.5%Worsening
Long-stay residents on antianxiety or sleep medication
12.5%20.6%Worsening
Short-stay residents newly given an antipsychotic
0.5%0.6%No change
Residents with a long-term catheter
1.6%0.9%Improving
Residents with new or worsening incontinence
24%23.4%Improving
Residents with depressive symptoms
4.8%4.8%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.4%98.6%No change
Short-stay residents given the seasonal flu vaccine
—82.2%—
Short-stay residents given the pneumonia vaccine
90.8%86.8%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $53,024 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $53,024 in total fines.
- $53,024
Federal fine
Sep 13, 2024
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Kensington Rehabilitation Health Center LLC, previously Avalon Health Care - Green Valley LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VOLARE HEALTH · 16 homes · 1.7 stars avg
- Occupancy
- 120.5 residents on an average day (110% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.