Josephine County, Oregon · Nursing home
Royale Gardens Health & Rehabilitation Center
2 of 5 overall from CMS
2075 NW Highland Avenue, Grants Pass, OR 97526
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 4.91 hours Below the state average of 5.03
- Nursing staff who left in a year 56.6% Above the state average of 47.4%
- Health citations, last 3 inspection cycles 69 7 at the harm level or above
- Fines in 3 years $81,613 1 fine
- Certified beds in use 46.7% of 145 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Royale Gardens Health & Rehabilitation Center is a 145-bed nursing home in Grants Pass, Oregon (Josephine County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.91 nurse staffing hours per resident per day, below the Oregon average of 5.03. CMS lists 1 fine totaling $81,613 in the past three years.
- Certified beds
- 145
- Residents per day (average)
- 67.7
- Certified since
- 1981 (45 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Volare Health (16 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Royale Gardens Health & Rehabilitation Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $81,613 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Mar 13, 2026 plus complaint and infection-control inspections); the Oregon average is 9.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 56.6%, above the Oregon average of 47.4%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Oregon average 3.1
- Health inspections 1 of 5 Oregon average 2.8
- Staffing 3 of 5 Oregon average 3.9
- Quality measures 5 of 5 Oregon average 3.5
The vertical line marks the Oregon average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.91 h Oregon average 5.03
- Nurse aides 3.38 h Oregon average 3.40
- Licensed practical nurses 0.98 h Oregon average 0.91
- Registered nurses 0.56 h Oregon average 0.72
- All staff, weekends 4.26 h Oregon average 4.51
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Oregon average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover56.6%
- Oregon average47.4%
- Registered nurse turnover66.7%
- Oregon average51.6%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oregon and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.6% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 5.2% | 4.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 95.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.4% | 20.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.1% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% | 95.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.2% | 5.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.0% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.6% | 13.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.55 | 1.48 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 4.65 | 2.35 | 1.78 |
Short-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% | 85.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% | 81.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% | 21.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% | 16.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 69 health deficiencies in the three most recent inspection cycles. Of these, 7 involved actual harm; the rest were graded as no actual harm. 29 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 13, 2026: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 13, 2026 | 13 | 1 |
| Oct 29, 2024 | 27 | 1 |
| Jul 14, 2023 | 29 | 6 |
Oregon homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (69)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 24, 2026)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Apr 29, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 29, 2026)
-
EPotential for more than minimal harm, pattern
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Apr 29, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide 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 · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration · Deficient, Provider has date of correction (Apr 29, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 29, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 25, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 3, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 28, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 18, 2024)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2024)
-
EPotential for more than minimal harm, pattern
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 18, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 18, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 18, 2024)
Showing the 30 most recent of 69.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 25, 2024 | Fine | $81,613 |
Oregon homes averaged 0.8 fines and $27,522 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oregon
- Size8 of 128 by certified beds
- Oregon average residents per day58.1
- ChainVolare Health
- Chain average overall rating1.8 of 5
- Resident or family councilResident
- Homes in Grants Pass4
- Homes in Josephine County4
Common questions
What is the CMS star rating for Royale Gardens Health & Rehabilitation Center?
Royale Gardens Health & Rehabilitation Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 5.
How many beds does Royale Gardens Health & Rehabilitation Center have?
Royale Gardens Health & Rehabilitation Center has 145 certified beds. It averages 67.7 residents per day, about 46.7% of its certified beds.
How much nursing care do residents get at Royale Gardens Health & Rehabilitation Center?
The home reports 4.91 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The Oregon average is 5.03 hours and 0.72 hours from registered nurses.
Has Royale Gardens Health & Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $81,613 in the past three years.
Does Royale Gardens Health & Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Highland House Nursing & Rehabilitation Center 119beds 80.4%in use 4.41nurse hours a day
- 3 of 5 Laurel Hill Nursing Center 44beds 68.4%in use 5.14nurse hours a day
- 5 of 5 Regency Care of Rogue Valley 102beds 43.7%in use 5.14nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Josephine County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 385148. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.