Provider Details - Royale Gardens Health and Rehabilitation Center

Royale Gardens Health and Rehabilitation Center

2075 NW HIGHLAND AVENUE
Grants Pass, OR 97526

(541) 476-8891

Administrator name: Charles Small

ID: 385148
Status: Open
Type: Nursing Facility
Licensed beds: 155
Accepts Medicaid: Yes
Memory Care: No

Owner: Gilbert Creek Health & Rehabilitation Center LLC

2075 Northwest Highland Avenue
Grants Pass, OR 97526

(541) 476-8891

Owner since: 3/1/2023

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
7/15/2026	25D98D	Complaint, Re-Licensure	3
3/13/2026	1F2744	Complaint, Re-Licensure, Recertification	14
1/28/2026	1E18B1	Complaint, Re-Licensure	3
7/23/2025	OH7X	Complaint, Licensure Complaint, State Licensure	3
5/1/2025	78U8	Complaint, Licensure Complaint, State Licensure	5
2/28/2025	K5B0	Complaint, Licensure Complaint, State Licensure	2
1/23/2025	PW5E	Complaint, Licensure Complaint, State Licensure	2
10/29/2024	D86S	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	25
8/7/2024	XRGO	Complaint, Licensure Complaint, State Licensure	0
1/25/2024	OXER	Complaint, Licensure Complaint, State Licensure	13

15 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 assist with dressing or grooming Failed to properly plan care Failed to protect resident from corporal punishment Failed to protect resident from financial exploitation Failed to protect resident from inappropriate sexual contact Failed to protect resident from involuntary seclusion Failed to protect resident from physical abuse Failed to protect resident from verbal abuse Failed to provide a safe medication administration system Failed to provide appropriate skin care Failed to provide proper food/nutrition	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Involuntary Seclusion Abuse: Neglect Abuse: Physical Abuse Abuse: Verbal Abuse
10/3/2024	OR0005534600	Failed to properly plan care	2	Abuse: Neglect
12/10/2023	OR0004677505	Failed to protect resident from involuntary seclusion	3	Abuse: Involuntary Seclusion
12/10/2023	OR0004677504	Failed to protect resident from involuntary seclusion	3	Abuse: Involuntary Seclusion
12/8/2023	OR0004678802	Failed to protect resident from involuntary seclusion	3	Abuse: Involuntary Seclusion
9/26/2023	OR0004506300	Failed to provide appropriate skin care	3	Abuse: Neglect
12/21/2022	OR0003940601	Failed to provide appropriate skin care	3	Abuse: Neglect
5/13/2022	OR0003586200	Failed to protect resident from verbal abuse	2	Abuse: Verbal Abuse
5/12/2022	OR0003585000	Failed to protect resident from verbal abuse	2	Abuse: Verbal Abuse
2/24/2020	OR0002363200	Failed to protect resident from physical abuse	3	Abuse: Neglect
2/5/2020	OR0002370800	Failed to provide proper food/nutrition	3	Abuse: Neglect

15 records found | Page 1 of 2

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 administer medication as ordered Failed to answer call light in a timely manner Failed to assist with dressing or grooming Failed to assist with eating Failed to assist with toileting Failed to assist with transfer Failed to assure resident rights Failed to assure timely medical treatment Failed to care plan in accordance with assessment Failed to communicate necessary information Failed to comply with move-out, transfer or discharge requirements Failed to comply with nursing delegation requirement Failed to follow care plan Failed to intervene when resident's condition changed Failed to investigate injury of unknown origin to rule out abuse Failed to maintain a safe physical environment Failed to properly plan care Failed to protect resident from financial exploitation Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide or assist with hygiene Failed to provide proper food/nutrition Failed to provide sanitary food service conditions Failed to provide service Failed to report potential or suspected abuse Failed to submit timely or adequate staffing documentation	Level Level Between And	Type Type Licensing Violation
7/13/2026	CALMS - 00117449	Failed to provide appropriate staffing	2	Licensing Violation
5/6/2026	CALMS - 00108782	Failed to provide appropriate staffing	2	Licensing Violation
1/16/2026	2719549 - 4476848	Failed to provide sanitary food service conditions	2	Licensing Violation
1/16/2026	2719549 - 4476819	Failed to provide proper food/nutrition	2	Licensing Violation
12/25/2025	2710992 - 4465514	Failed to provide medical treatment as ordered	2	Licensing Violation
12/1/2025	2722763 - 4481761	Failed to protect resident from financial exploitation	2	Licensing Violation
10/30/2025	CALMS - 00092587	Failed to provide appropriate staffing	2	Licensing Violation
9/17/2025	CALMS - 00087851	Failed to provide appropriate staffing	2	Licensing Violation
9/3/2025	2719549 - 4476828	Failed to provide appropriate staffing	2	Licensing Violation
5/28/2025	CALMS - 00079595	Failed to provide appropriate staffing	2	Licensing Violation

107 records found | Page 1 of 11

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 administer medication as ordered	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	NFCD24-00127	Failed to administer medication as ordered	License Condition	10/28/2024	1/8/2025

1 record found

Provider Details - Royale Gardens Health and Rehabilitation Center

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