Grants Pass, OR

Regency Care Of Rogue Valley

5-star overall rating with 4-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1710 Ne Fairview Avenue, Grants Pass, OR

(541) 479-2606

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Regency Pacific Management

Operator or chain grouping

Approved since

1968-04-01

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.64

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

5.13

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.54

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

5.17

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

22%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,205

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

58.82

Composite VBP score used to determine payment impact.

Payment multiplier

1.0140

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.74

Baseline 16.41% · Performance 18.77% · Measure score 5.74 · Achievement 5.74 · Improvement 0

Healthcare-associated infections

0.74

Baseline 4.76% · Performance 7.61% · Measure score 0.74 · Achievement 0.74 · Improvement 0

Total nurse turnover

Baseline 25.49% · Performance 21.67% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

7.04

Baseline 4.48 hours · Performance 5.08 hours · Measure score 7.04 · Achievement 7.04 · Improvement 4.11

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.44%	10.72% 2.3 pts better	No Different than the National Rate · Eligible stays 185 · Observed rate 3.78% · Lower 95% interval 6.2%
Discharge to community	68.09%	50.57% 17.5 pts better	Better than the National Rate · Eligible stays 183 · Observed rate 69.4% · Lower 95% interval 63.12%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 120 · Denominator 120
Falls with major injury	1.67%	0.77% 0.9 pts worse	Numerator 2 · Denominator 120
Discharge self-care score	29.7%	53.69% 24 pts worse	Numerator 30 · Denominator 101
Discharge mobility score	47.52%	50.94% 3.4 pts worse	Numerator 48 · Denominator 101
Pressure ulcers or injuries, new or worsened	5.83%	2.29% 3.5 pts worse	Numerator 7 · Denominator 120 · Adjusted rate 6.08%
Healthcare-associated infections requiring hospitalization	7.61%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 120 · Observed rate 6.67% · Lower 95% interval 4.31%
Staff COVID-19 vaccination coverage	3.16%	8.2% 5 pts worse	Numerator 3 · Denominator 95
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	40.59%	56.45% 15.9 pts worse	Numerator 41 · Denominator 101
Transfer of health information to provider	98.75%	95.95% 2.8 pts better	Numerator 79 · Denominator 80
Transfer of health information to patient	96.15%	96.28% 0.1 pts worse	Numerator 25 · Denominator 26
Resident COVID-19 vaccinations up to date	22.58%	25.2% 2.6 pts worse	Numerator 14 · Denominator 62

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.5% 4.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.9%	95.2% 1.7 pts better	95.5% 1.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of long-stay residents experiencing one or more falls with major injury	8.6%	2.4% 6.2 pts worse	3.3% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.1% · Q3 16.0% · Q4 11.5% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	4.7% 3.7 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	12.9%	5.0% 7.9 pts worse	5.4% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 11.5% · Q3 8.7% · Q4 18.2% · 4Q avg 12.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.8%	12.5% 1.3 pts worse	19.6% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 19.2% · Q3 12.5% · Q4 9.1% · 4Q avg 13.8%
Percentage of long-stay residents who received an antipsychotic medication	7.8%	14.7% 6.9 pts better	16.7% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 5.0% · 4Q avg 7.8% · 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	18.5%	24.1% 5.6 pts better	16.3% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.5%	15.8% 2.3 pts better	14.9% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 12.5% · Q3 18.2% · Q4 18.2% · 4Q avg 13.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.8%	2.0% 1.8 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.1%	22.2% 0.9 pts worse	19.8% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 31.7% · Q3 15.3% · Q4 30.4% · 4Q avg 23.1%
Percentage of long-stay residents with pressure ulcers	5.3%	6.5% 1.2 pts better	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 4.8% · Q3 5.0% · Q4 3.8% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	85.4% 14.6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	10.2%	15.1% 4.9 pts better	12.0% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 8.8% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.7% 0.9 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.9%	81.2% 11.7 pts better	79.7% 13.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.5%	21.6% 5.1 pts better	23.9% 7.4 pts better	Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 13.7% · Expected 19.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2020-01-16 · Fire 2020-01-16

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2018-05-01 · Fire 2018-05-01

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-21

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-11-21

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-11-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-07

F · Potential for more than minimal harm 2024-11-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-07

F · Potential for more than minimal harm 2020-01-16

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2020-02-28

F · Potential for more than minimal harm 2020-01-16

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-16

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-02-07

D · Potential for more than minimal harm 2020-01-16

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2020-02-07

D · Potential for more than minimal harm 2020-01-16

K223 · Egress Deficiencies

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 2020-02-28

D · Potential for more than minimal harm 2020-01-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-07

F · Potential for more than minimal harm 2018-05-01

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2018-06-05

F · Potential for more than minimal harm 2018-05-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2018-06-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-07

E · Potential for more than minimal harm 2024-11-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-07

D · Potential for more than minimal harm 2024-11-21

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-01-07

E · Potential for more than minimal harm 2020-01-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-02-07

E · Potential for more than minimal harm 2020-01-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2020-02-07

E · Potential for more than minimal harm 2020-01-16

F808 · Nutrition and Dietary Deficiencies

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 2020-02-07

G · Actual harm 2018-05-01

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2018-06-05

E · Potential for more than minimal harm 2018-05-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-06-05

E · Potential for more than minimal harm 2018-05-01

F761 · Pharmacy Service Deficiencies

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 2018-06-05