Federal inspection record · CMS data as of October 1, 2026
South Hills Rehabilitation Center
1166 E. 28th Avenue, Eugene, OR · (503) 523-8380
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 110
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- Volare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 17, 1985
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Oregon homes
South Hills Rehabilitation Center carries 353.25 inspection points. That is fewer than 0% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
76 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Quality of Life and Care18E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
Resident Rights15E
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation10D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning8E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration5E
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nutrition and Dietary5E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- E
Dispose of garbage and refuse properly.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nursing and Physician Services5E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Observe each nurse aide's job performance and give regular training.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-08-11
27 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-03-22
41 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2019-04-05
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5
Fines and payment denials
$165,996 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-15 | Fine | $57,888 |
| 2026-02-09 | Fine | $28,870 |
| 2025-08-11 | Fine | $79,238 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse | 92.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 91.4% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 3.5% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.8 pts better | 1.1% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 3.0% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts worse | 15.1% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts worse | 15.7% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.9 pts worse | 24.5% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts worse | 24.7% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.0% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 21.7% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 4.8% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.2 pts worse | 74.6% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts worse | 18.8% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.4 pts worse | 53.5% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.3 pts better | 13.6% | 21.9% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 12 facilities |
| Camas Ridge Propco LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Camas Ridge Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Dunham, Sarah | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Dunham, Sarah | Adp Of The SNF · Individual | 0% | 5 facilities |
| Hagar, Chaim | Adp Of The SNF · Individual | 0% | 18 facilities |
| Hagler, Alexander | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Knox Healthcare Pac 12 Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Knox, Donald | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 16 facilities |
| Knox, Donald | Corporate Officer · Individual | 0% | 16 facilities |
| Knox, Donald | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Knox, Donald | Adp Of The SNF · Individual | 0% | 16 facilities |
| Murer, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Murer, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pac 12 Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Pac 12 Holdings LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Pac 12 Pinnacle Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Pac 12 Pinnacle Holdco LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Schwartz, Eliezer | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Schwartz, Eliezer | Adp Of The SNF · Individual | 0% | 26 facilities |
| Smith, Brian | Corporate Officer · Individual | 0% | 14 facilities |
| Smith, Brian | Adp Of The SNF · Individual | 0% | 14 facilities |
| Volare Health LLC | Operational/Managerial Control · Organization | 0% | 16 facilities |
| Volare Health LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have exits that are accessible at all times.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke2F
- D
Provide properly protected cooking facilities.
- F
Install an approved automatic sprinkler system.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
Gas, Vacuum, and Electrical Systems1F
- F
Have power receptacles that are properly grounded.
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Other homes nearby
-
Cascade Manor
Eugene, OR · Pacific Retirement Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 8 h 9 min
- Fines
- $10,033
-
Creekside Health and Rehabilitation of Cascadia
Eugene, OR · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 54 min
- Fines
- $0
-
Hillside Heights Rehabilitation Center
Eugene, OR · Volare Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0