The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROYALE GARDENS HEALTH & REHABILITATION CENTER
GRANTS PASS, OR · Medicare-certified · 145 beds
In good standing
For-profitChain member
2 of 5 overall
2 of 5 stars overall. The health inspection rating is 1 of 5 stars, while staffing is 3 of 5 stars and quality measures are 5 of 5 stars; reported nurse staffing is 4.83 hours per resident per day, above the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.828 hrs/resident/day
Quality measures
Last inspection: March 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.828.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.91
- Nurse aides
- 3.39
- Weekend nursing
- 4.35
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8%Worsening
Residents with a fall causing major injury
1%Steady
Residents with pressure ulcers (bedsores)
4.9%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14%Improving
Residents whose ability to walk got worse
17.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.3%Worsening
Short-stay residents newly given an antipsychotic
0.3%Worsening
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
20%Improving
Residents with depressive symptoms
6.1%Worsening
Long-stay residents given the seasonal flu vaccine
98.2%Steady
Long-stay residents given the pneumonia vaccine
99%Worsening
Short-stay residents given the seasonal flu vaccine
89.7%Steady
Short-stay residents given the pneumonia vaccine
92.1%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to protect residents from being separated from others or confined to their rooms. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 603 — 42 CFR §483.12 — S/S: G
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $152,678 in total fines.
- $81,613
Federal fine
Jan 25, 2024
- $71,065
Federal fine
Jul 14, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of VOLARE HEALTH · 16 homes · 1.9 stars avg
- Occupancy
- 66.2 residents on an average day (46% of 145 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.