Nursing home report
BEND, OR · Medicare-certified · 74 beds
Pilot Butte Rehabilitation Center in Bend, OR has an overall 2-star rating, with a 2-star health inspection rating, a 3-star quality rating, and a stronger 4-star staffing rating above the federal benchmark (4.99 vs. 4.1 hours per resident per day). Recent warning signs include $8,827 in fines in the last 24 months, a recent abuse citation, and cited issues with accident prevention, pressure ulcer care, and food handling.
Health inspections
Staffing
4.9933 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9933.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2023 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2023 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited February 2023 — widespread issue, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: F
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 8 health deficiencies.
A federal fine of $8,827 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 20 health deficiencies.
On record with Medicare: 1 fine · $8,827 in total fines.
Federal fine
Sep 9, 2024
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.
