Provider Details - Pilot Butte Rehabilitation Center | Licensed Long-Term Care Settings Search

Pilot Butte Rehabilitation Center

1876 NE HIGHWAY 20
Bend, OR 97701

(541) 382-5531

Administrator name: Sarah R Johnson

ID: 385138
Status: Open
Type: Nursing Facility
Licensed beds: 74
Accepts Medicaid: Yes
Memory Care: No

Owner: Bd Bend II, LLC

970 FIFTH AVENUE NW
Issaquah, 98027

(425) 392-4066

Owner since: 4/1/2010

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

Review Consumer Statements

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
9/15/2026	3445B5	Complaint, Re-Licensure	0
6/24/2026	23546C	Complaint, Re-Licensure	6
1/6/2026	1DFE95	Complaint	0
10/31/2025	1DA5A5	Re-Licensure	0
10/29/2025	1D9EF1	Complaint, Re-Licensure	0
9/19/2025	1D690B	Complaint, Re-Licensure, Recertification	11
10/16/2024	4T9U	Complaint, Licensure Complaint, State Licensure	0
9/9/2024	R9QB	Complaint, Licensure Complaint, State Licensure	2
5/31/2024	SCHJ	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	21
4/17/2024	44OM	Complaint, Licensure Complaint, State Licensure	5

11 records found | Page 1 of 2

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to assure resident rights Failed to protect resident from rough treatment Failed to provide safe environment	Level Level Between And	Type Type Abuse: Neglect Abuse: Physical Abuse
8/15/2024	OR0005329900	Failed to provide safe environment	3	Abuse: Neglect
5/14/2024	OR0005044700	Failed to assure resident rights	2	Abuse: Neglect
5/14/2024	OR0005044600	Failed to assure resident rights	2	Abuse: Neglect
5/14/2024	OR0005042000	Failed to assure resident rights	2	Abuse: Neglect
8/31/2023	OR0004600900	Failed to assure resident rights	2	Abuse: Neglect
7/6/2016	BO167736	Failed to adequately care plan related to falls	2	Abuse: Neglect
10/21/2013	BO135261	Failed to protect resident from rough treatment	3	Abuse: Physical Abuse

7 records found

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to assure resident rights Failed to provide a safe medication administration system Failed to provide appropriate staffing Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to submit timely or adequate staffing documentation	Level Level Between And	Type Type Licensing Violation
11/1/2024	CALMS - 00079478	Failed to provide appropriate staffing	2	Licensing Violation
9/3/2024	OR0005344005	Failed to administer medication as ordered	2	Licensing Violation
5/7/2024	CALMS - 00062658	Failed to provide appropriate staffing	2	Licensing Violation
11/2/2023	OR0004600903	Failed to provide appropriate staffing	2	Licensing Violation
8/15/2022	OR0003727300	Failed to assure resident rights	2	Licensing Violation
8/5/2021	OR0003222104	Failed to provide service	2	Licensing Violation
1/31/2019	NAS19106	Failed to provide appropriate staffing	2	Licensing Violation
11/20/2018	NAS19004	Failed to provide appropriate staffing	3	Licensing Violation
10/5/2018	NAS19077	Failed to provide appropriate staffing	2	Licensing Violation
7/5/2017	NAS17109	Failed to provide appropriate staffing	2	Licensing Violation

22 records found | Page 1 of 3

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Regulatory actions
	Sanction Sanction	Allegation Allegation Failed to provide safe environment	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	NFCD24-00072	Failed to provide safe environment	License Condition	9/26/2024	12/2/2024

1 record found

Provider Details - Pilot Butte Rehabilitation Center

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