18 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Grants Pass, OR
1-star overall rating with 1-star inspections with $36,852 in total fines with 18 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2201 Nw Highland Avenue, Grants Pass, OR
(541) 474-1901
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
119
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Volare Health
Operator or chain grouping
Approved since
1981-08-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.34
Registered nurse staffing
LPN hours / resident day
1.08
Licensed practical nurse staffing
Aide hours / resident day
2.99
Nurse aide staffing
Weekend hours
3.71
Weekend nurse staffing
RN turnover
70%
Annual RN turnover
Total nurse turnover
55%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
95.5%
1.9 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
95.2%
2 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.4%
2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
4.7%
2.3 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.0%
5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.9% |
12.5%
4.4 pts worse
|
19.6%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
14.7%
6.3 pts worse
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.8% |
24.1%
2.7 pts worse
|
16.3%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.8% |
15.8%
1 pts better
|
14.9%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.7%
0.6 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
2.0%
1.6 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
22.2%
5.7 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.5%
1 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% |
85.4%
2.4 pts worse
|
81.7%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
15.1%
0.1 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.7%
1.2 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.7% |
81.2%
8.5 pts worse
|
79.7%
7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
21.6%
1.1 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-27
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-11-27
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-11-27
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-27
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-11-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-27
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-27
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-08-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-29
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-04-29
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2023-04-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-29
Inspection history
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-01-22
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-22
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2026-01-22
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-22
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-22
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-22
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-22
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-01-22
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2026-01-22
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-04-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-25
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-03
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-08-03
Health
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.
Corrected 2024-08-03
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-03
Health
Post nurse staffing information every day.
Corrected 2024-08-03
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-03
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-03
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-08-03
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-20
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-03
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-08-03
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-03
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-20
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-08-03
Health
Assess the resident when there is a significant change in condition
Corrected 2024-08-03
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-08-03
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-03
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-08-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-08-03
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-08-03
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-08-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-03
Health
Implement a program that monitors antibiotic use.
Corrected 2024-08-03
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-04-29
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-29
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-29
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-04-29
Health
Post nurse staffing information every day.
Corrected 2023-04-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-29
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-04-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-29
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-29
Health
Provide appropriate foot care.
Corrected 2023-04-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-04-29
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-04-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-29
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-04-29
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-29
Penalties and ownership
Fine · fine $36,852
Fine
Payment Denial · denial start 2024-09-14 · 6 days
6 day denial
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
Grants Pass, OR
2-star overall rating with 1-star inspections with $200,505 in total fines with 25 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Grants Pass, OR
3-star overall rating with 3-star inspections with $23,465 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Grants Pass, OR
5-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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