F

ROYALE GARDENS HEALTH & REHABILITATION CENTER

2075 NW HIGHLAND AVENUE, GRANTS PASS, OR 97526
Score: 23 / 100

With a score of 23/100, Royale Gardens Health & Rehabilitation Center ranks in the bottom tier of Oregon nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Royale Gardens Health & Rehabilitation Center exceed national averages, with 4.72 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.51 hours per resident per day is near the national average of 0.7 hours.

Recent inspections identified 73 deficiencies at Royale Gardens Health & Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.72 3.8 Above Average
Registered Nurses (RN) 0.51 0.7 Below Average
Licensed Practical Nurses (LPN) 0.86 0.7 Above Average
Certified Nursing Assistants (CNA) 3.35 2.4 Above Average
Weekend Total Nursing 4.14 3.8 Average
Weekend RN Hours 0.15 0.7 Below Average

🔍 Inspection & Deficiency History

73
Total Deficiencies
Jan 27, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 72 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 27, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Jul 22, 2025 · Resident Rights Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Apr 30, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Feb 27, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.8% 4.5% Average
Falls with major injury 1.0% 3.0% Better
On antipsychotic medication 8.9% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 13.8% 14.0% Average
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 18.0% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $200,505

How This Grade Was Calculated

This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
145
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 28, 2024
Deficiencies (Cycle 1)
25