Nursing home
Royale Gardens Health & Rehabilitation Center
2075 Nw Highland Avenue, Grants Pass, OR 97526 · Map
For profit - Corporation · Part of Volare Health (16 facilities) · 145 certified beds
Royale Gardens Health & Rehabilitation Center is a Medicare-certified nursing home in Grants Pass, Oregon. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.72 hours per resident per day, below the Oregon average of 4.95. Its most recent inspection on Oct 29, 2024 cited 25 deficiencies.
- 3 fines totaling $200,505In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Royale Gardens Health & Rehabilitation Center compares
This facility vs. the Oregon and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Oregon avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.72 | 4.95 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.68 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.35 | 3.37 | 2.34 | below avg |
| Nursing staff turnover | 61.7% | 49.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 25.0 | 10.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $200,505, 3 total penalties.
What inspectors found at Royale Gardens Health & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Mar 13, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 23, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jul 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 23, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 29, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 29, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Oct 29, 2024 · Full report (PDF) - Potential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Oct 29, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2075 Nw Highland Avenue
Grants Pass, OR 97526 - CMS certification #
- 385148
- Ownership
- For profit - Corporation
- Certified beds
- 145
- Avg residents/day
- 70.8
- Provider type
- Medicare and Medicaid
- First certified
- 1981-04-15
- Chain
- Volare Health (16 facilities)
- Setting
- Urban
Part of Volare Health
Volare Health operates 16 nursing facilities across the United States. View all Volare Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Royale Gardens Health & Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, diabetes care, transportation
- Workplace safety 2 OSHA workplace safety inspections since 2022, 9 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Royale Gardens Health & Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
When someone is facing a life-limiting or serious illness, our personalized hospice and palliative services can provide residents and their families the comfort and respect they deserve.
(page, checked Oct 12, 2026) - Offers diabetes care.
Diabetes management services
(page, checked Oct 12, 2026) - Provides transportation.
Transportation to medical appointments
(page, checked Oct 12, 2026) - Apartment types named: private room.
Private rooms are available for individuals during their transition from the hospital to their home.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 28, 2026: programmed (planned) inspection, complete (safety). Case open. 3 violations cited (3 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317744346 - Gilbert Creek Health & Rehabilitation Center LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Jul 21, 2026.
- Other than serious: Electrical wiring methods and equipment (1910.305(a)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Jul 21, 2026.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Jul 21, 2026.
- Sep 15, 2022: programmed (planned) inspection, complete (safety). Case closed May 2, 2023. 6 violations cited (5 serious, 1 other). Penalties: $1,470 proposed, $1,470 now. OSHA record. OSHA recorded the employer as 317731342 - Avalon Health Care-royale Gardens LLC.
Details
- Serious: Cited rule 1910.30(a)(3)(i). Penalty $525 proposed, $525 now. To be fixed by Dec 9, 2022.
- Serious: Fall protection (1910.28(b)(1)(i)). Penalty $0 proposed, $0 now. To be fixed by Dec 9, 2022.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $525 proposed, $525 now. To be fixed by Dec 13, 2022.
- Serious: Cited rule OAR. Penalty $210 proposed, $210 now. To be fixed by Dec 20, 2022.
- Serious: Lockout of equipment during maintenance (1910.147(c)(4)(i)). Penalty $210 proposed, $210 now. To be fixed by Dec 13, 2022.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 20, 2022.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Asante Three Rivers Medical Center, Grants Pass. 3.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Highland House Nursing & Rehabilitation Center, Grants Pass. 0.1 miles away, straight line.
- Nearest home health agency office
- Riverside Home Health Care, Grants Pass. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Grants Pass Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97526 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Redwood Dialysis, Grants Pass, 2.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Grants Pass Ii Dialysis, Grants Pass, 3.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 97526.
Riverside Hospice, office in Grants Pass, 1.9 miles away, straight line
Bristol Hospice- Rogue Valley, LLC, office in Grants Pass, 3.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Signature Healthcare At Home, office in Central Point, 22.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Peacehealth Medical Group, Eugene. 112.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Royale Gardens Health & Rehabilitation Center a good nursing home?
CMS gives Royale Gardens Health & Rehabilitation Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Royale Gardens Health & Rehabilitation Center staffed?
Royale Gardens Health & Rehabilitation Center reports 4.72 total nurse hours per resident per day, compared with the Oregon average of 4.95.
Has Royale Gardens Health & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 25 deficiencies.
How many beds does Royale Gardens Health & Rehabilitation Center have?
Royale Gardens Health & Rehabilitation Center is certified for 145 beds.