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Royale Gardens Health And Rehabilitation Center

📍 2075 Nw Highland Avenue, Grants-pass, OR 97526 📞 (541) 476-8891 🛏️ 145 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 1 penalties totaling $10,650

$10,650
Dec 22, 2020

Fine

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Health Violations by Year

2025 3 violations

Tag 0725 E May 1, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 3, 2025
Tag 0684 D Feb 28, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 14, 2025
Tag 0689 D Jan 23, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 28, 2025

2024 12 violations

Tag 0584 E Jan 25, 2024

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.

✓ Corrected: Mar 15, 2024
Tag 0603 G Jan 25, 2024

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Mar 15, 2024
Tag 0604 G Jan 25, 2024

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 15, 2024
Tag 0609 D Jan 25, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 15, 2024
Tag 0610 D Jan 25, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Mar 15, 2024
Tag 0656 D Jan 25, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 15, 2024
Tag 0661 D Jan 25, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Mar 15, 2024
Tag 0684 E Jan 25, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 15, 2024
Tag 0686 G Jan 25, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 15, 2024
Tag 0689 G Jan 25, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 15, 2024
Tag 0690 D Jan 25, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 15, 2024
Tag 0908 E Jan 25, 2024

Keep all essential equipment working safely.

✓ Corrected: Mar 15, 2024
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2023 25 violations

Tag 0550 D Jul 14, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 29, 2023
Tag 0553 D Jul 14, 2023

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Aug 29, 2023
Tag 0554 D Jul 14, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Aug 29, 2023
Tag 0557 D Jul 14, 2023

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Aug 29, 2023
Tag 0558 D Jul 14, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 29, 2023
Tag 0625 D Jul 14, 2023

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Aug 29, 2023
Tag 0656 D Jul 14, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 29, 2023
Tag 0657 E Jul 14, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 29, 2023
Tag 0658 G Jul 14, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 29, 2023
Tag 0686 G Jul 14, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 29, 2023
Tag 0689 D Jul 14, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 29, 2023
Tag 0695 D Jul 14, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 29, 2023
Tag 0725 E Jul 14, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Aug 29, 2023
Tag 0806 D Jul 14, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Aug 29, 2023
Tag 0880 D Jul 14, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 29, 2023
Tag 0882 E Jul 14, 2023

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Aug 29, 2023
Tag 0947 D Jul 14, 2023

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Aug 29, 2023
Tag 0686 D Jun 7, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 13, 2023
Tag 0600 D Apr 12, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 13, 2022
Tag 0610 D Apr 12, 2023

Respond appropriately to all alleged violations.

✓ Corrected: May 25, 2023

2022 8 violations

Tag 0584 E Apr 9, 2022

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.

✓ Corrected: May 29, 2022
Tag 0636 E Apr 9, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: May 29, 2022
Tag 0656 E Apr 9, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 29, 2022
Tag 0657 D Apr 9, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 29, 2022
Tag 0686 D Apr 9, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 29, 2022
Tag 0695 E Apr 9, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 29, 2022
Tag 0698 D Apr 9, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 29, 2022
Tag 0880 F Apr 9, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: May 29, 2022
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2021 12 violations

Tag 0580 D Oct 11, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 7, 2021
Tag 0582 D Oct 11, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Dec 7, 2021
Tag 0600 D Oct 11, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 7, 2021
Tag 0610 D Oct 11, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Dec 7, 2021
Tag 0677 D Oct 11, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 7, 2021
Tag 0684 D Oct 11, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 7, 2021
Tag 0686 D Oct 11, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 7, 2021
Tag 0689 D Oct 11, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 7, 2021
Tag 0690 D Oct 11, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 7, 2021
Tag 0692 G Oct 11, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 7, 2021
Tag 0725 F Oct 11, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 7, 2022
Tag 0880 E Jan 21, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 9, 2021

2020 8 violations

Tag 0600 G Dec 22, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 8, 2021
Tag 0609 G Dec 22, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 8, 2021
Tag 0610 H Dec 22, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Feb 8, 2021
Tag 0645 D Dec 22, 2020

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Feb 8, 2021
Tag 0656 D Dec 22, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 8, 2021
Tag 0657 D Dec 22, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 8, 2021
Tag 0658 E Dec 22, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Feb 8, 2021
Tag 0742 D Dec 22, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Feb 8, 2021
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2019 5 violations

Tag 0610 E Mar 28, 2019

Respond appropriately to all alleged violations.

✓ Corrected: May 7, 2019
Tag 0655 D Mar 28, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 7, 2019
Tag 0761 E Mar 28, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: May 7, 2019
Tag 0842 D Mar 28, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 7, 2019
Tag 0610 D Jan 4, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jan 22, 2019

2018 20 violations

Tag 0686 D Oct 5, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 19, 2018
Tag 0558 D Jun 22, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 7, 2018
Tag 0561 D Jun 22, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Aug 7, 2018
Tag 0578 E Jun 22, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Aug 7, 2018
Tag 0580 D Jun 22, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 7, 2018
Tag 0636 D Jun 22, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Aug 7, 2018
Tag 0656 D Jun 22, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 7, 2018
Tag 0657 E Jun 22, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 7, 2018
Tag 0684 D Jun 22, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 19, 2018
Tag 0686 E Jun 22, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 19, 2018
Tag 0689 D Jun 22, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 7, 2018
Tag 0698 D Jun 22, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Aug 7, 2018
Tag 0732 E Jun 22, 2018

Post nurse staffing information every day.

✓ Corrected: Aug 7, 2018
Tag 0757 D Jun 22, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Oct 19, 2018
Tag 0758 D Jun 22, 2018

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.

✓ Corrected: Aug 7, 2018
Tag 0806 E Jun 22, 2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Aug 7, 2018
Tag 0812 F Jun 22, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 7, 2018
Tag 0842 D Jun 22, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 7, 2018
Tag 0867 E Jun 22, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Oct 19, 2018
Tag 0883 E Jun 22, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Aug 7, 2018
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2017 6 violations

Tag 0244 E May 4, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

✓ Corrected: Jun 19, 2017
Tag 0272 D May 4, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Jun 19, 2017
Tag 0279 D May 4, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 19, 2017
Tag 0280 D May 4, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Jun 19, 2017
Tag 0323 D May 4, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jun 19, 2017
Tag 0441 E May 4, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 19, 2017

2016 9 violations

Tag 0154 D Mar 25, 2016

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 14, 2016
Tag 0225 D Mar 25, 2016

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: May 14, 2016
Tag 0272 D Mar 25, 2016

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: May 14, 2016
Tag 0273 D Mar 25, 2016

Assess in a timely manner the resident when the resident enters the nursing home.

✓ Corrected: May 14, 2016
Tag 0280 D Mar 25, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: May 14, 2016
Tag 0281 G Mar 25, 2016

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 14, 2016
Tag 0309 D Mar 25, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: May 14, 2016
Tag 0329 D Mar 25, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: May 14, 2016
Tag 0333 G Mar 25, 2016

Ensure that residents are safe from serious medication errors.

✓ Corrected: May 14, 2016
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