Bend, OR
2-star overall rating with 2-star inspections with abuse icon flag with $8,827 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1876 Ne Highway 20, Bend, OR
(541) 382-5531
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
74
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Regency Pacific Management
Operator or chain grouping
Approved since
1978-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
27 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.11
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.94
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.86
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.01
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.76
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.99
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
7,803
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.31% · Performance 21.47% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.47
Baseline 6.08% · Performance 6.80% · Measure score 3.47 · Achievement 3.47 · Improvement 0
Total nurse turnover
2.82
Baseline 76.92% · Performance 59.65% · Measure score 2.82 · Achievement 0.99 · Improvement 2.82
Adjusted total nurse staffing
5.20
Baseline 4.15 hours · Performance 4.56 hours · Measure score 5.20 · Achievement 5.20 · Improvement 2
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.21% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 8.76% · Lower 95% interval 7.4% |
| Discharge to community | 51.14% |
50.57%
0.6 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 47.45% · Lower 95% interval 42.55% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 89.02% |
95.27%
6.2 pts worse
|
Numerator 73 · Denominator 82 |
| Falls with major injury | 1.22% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 82 |
| Discharge self-care score | 68.42% |
53.69%
14.7 pts better
|
Numerator 39 · Denominator 57 |
| Discharge mobility score | 59.65% |
50.94%
8.7 pts better
|
Numerator 34 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 2.44% |
2.29%
0.1 pts worse
|
Numerator 2 · Denominator 82 · Adjusted rate 2.44% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 6.25% · Lower 95% interval 3.5% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 67 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 70.18% |
56.45%
13.7 pts better
|
Numerator 40 · Denominator 57 |
| Transfer of health information to provider | 85.71% |
95.95%
10.2 pts worse
|
Numerator 24 · Denominator 28 |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 40 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 47 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
95.5%
2.8 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 96.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.8% |
95.2%
26.4 pts worse
|
95.5%
26.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
4.7%
3.5 pts worse
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 7.7% · Q3 9.5% · Q4 3.6% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
5.0%
3 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.1% |
12.5%
6.4 pts better
|
19.6%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 12.0% · Q3 4.5% · Q4 3.2% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.5% |
14.7%
8.2 pts better
|
16.7%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.5% |
24.1%
12.4 pts worse
|
16.3%
20.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 36.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
15.8%
10 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 20.8% · Q3 31.8% · Q4 13.3% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.7% |
1.7%
5 pts worse
|
1.0%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.3% · Q3 10.8% · Q4 4.7% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.0%
1.5 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.3% · Q3 0.0% · Q4 2.9% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6% |
22.2%
4.4 pts worse
|
19.8%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.6% · Q2 24.1% · Q3 18.2% · Q4 12.1% · 4Q avg 26.6% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
6.5%
2.9 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 6.3% · Q3 14.6% · Q4 8.5% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
85.4%
10.4 pts better
|
81.7%
14.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.2% · Q2 95.3% · Q3 97.1% · Q4 97.5% · 4Q avg 95.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
15.1%
5.7 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 9.2% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.7%
0.5 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.6% |
81.2%
4.6 pts worse
|
79.7%
3.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
21.6%
0.4 pts worse
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 20.7% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-21
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-19
Fire Safety
Meet other general requirements.
Corrected 2024-07-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-19
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-03
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-04-03
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-03
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-03
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-21
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-10-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-21
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-10
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 2024-07-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-20
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-07-20
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-07-20
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 2024-07-20
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-07-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-20
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 2024-07-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-20
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-07-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-20
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-07-20
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-07-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-20
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-07-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-14
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-03
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-03
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-04-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-03
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 2023-04-03
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2023-04-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-03
Health
Provide appropriate foot care.
Corrected 2023-04-03
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-04-03
Penalties and ownership
Fine · fine $8,827
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Bend, OR
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Bend, OR
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Redmond, OR
4-star overall rating with 3-star inspections with $13,204 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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