The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
ROYALE GARDENS HEALTH & REHABILITATION CENTER
GRANTS PASS, OR · Medicare-certified · 145 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
ROYALE GARDENS HEALTH & REHABILITATION CENTER has an overall rating of 2 out of 5 stars. The strongest concerns are a 1-star health inspection rating and recent inspection citations for medication errors, accident hazards/supervision, and pressure ulcer care, while staffing is 3 stars with 4.91 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9115 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 4.9115.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.98
- Nurse aides
- 3.38
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 67%
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
5.7%9.7%Worsening
Residents with a fall causing major injury
0%2.2%Worsening
Residents with pressure ulcers (bedsores)
6.5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.6%11.1%Improving
Residents whose ability to walk got worse
—8.4%—
Long-stay residents on antianxiety or sleep medication
8.5%5.3%Improving
Short-stay residents newly given an antipsychotic
0%1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.9%8.7%Improving
Residents with depressive symptoms
5.6%2.3%Improving
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
—98.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.7%—
Short-stay residents given the pneumonia vaccine
96.3%85.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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
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: 1 fine · $81,613 in total fines.
- $81,613
Federal fine
Jan 25, 2024
Operator & ownership
Recent ownership change · Mar 1, 2023
Now operated by Gilbert Creek Health & Rehabilitation Center LLC, previously Avalon Health Care - Royale Gardens LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VOLARE HEALTH · 16 homes · 1.7 stars avg
- Occupancy
- 67.7 residents on an average day (47% 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.