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C
Below Standard

ROYALE GARDENS HEALTH & REHABILITATION CENTER

2075 NW HIGHLAND AVENUE · GRANTS PASS, OR 97526

5414768891 · For profit - Corporation

145 beds70.8 residents134 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROYALE GARDENS HEALTH & REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 4.7244 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5072 HPRD, below the recommended 0.75. It is 0.83 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 16.41% compared to weekdays. The facility has low agency staff usage (1.08% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.5072 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (1.08%) — mostly permanent, familiar staff
Total Nurse HPRD
4.7244hrs/resident/day▲ 0.83
CMS benchmark: 3.48
RN HPRD
0.5072hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
16.41%
4.9543 weekday → 4.1411 weekend
Agency Staff
1.08%
2.8% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.9394hrs/resident/day
Direct care aides
LPN HPRD
0.8616hrs/resident/day
Licensed practical nurses
Consistency
0.5586std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Josephine County Average-0.10 HPRD
4.82
04.72 HPRD
vs. Oregon State Average-0.24 HPRD
4.97
04.72 HPRD
vs. National Average+0.83 HPRD
3.90
04.72 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ROYALE GARDENS HEALTH & REHABILITATION CENTER ★
GRANTS PASS · This facility
—
C
4.72440.5072★★☆☆☆
HIGHLAND HOUSE NURSING & REHABILITATION CENTER
GRANTS PASS
0.1 mi
D
4.39910.3367★☆☆☆☆
LAUREL HILL NURSING CENTER
GRANTS PASS
1.4 mi
A
5.02690.8234★★★☆☆
REGENCY CARE OF ROGUE VALLEY
GRANTS PASS
2.1 mi
B
5.14040.61★★★★★
AVAMERE HEALTH SERVICES OF ROGUE VALLEY
MEDFORD
25.1 mi
D
4.39320.3293★★☆☆☆
AVAMERE AT THREE FOUNTAINS
MEDFORD
25.5 mi
C
4.79910.5409★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
72
Total Deficiencies
$200,505
Fines Assessed
Jul 23, 2025Health
2 deficiencies cited
▼
May 1, 2025Health
1 deficiency cited
▼
Feb 28, 2025Health
1 deficiency cited
▼
Jan 23, 2025Health
1 deficiency cited
▼
Oct 29, 2024Health
22 deficiencies cited
▼
Jan 25, 2024Health
12 deficiencies cited· Includes actual harm
▼
Jul 14, 2023Health
17 deficiencies cited· Includes actual harm
▼
Jun 7, 2023Health
1 deficiency cited
▼
Apr 12, 2023Health
7 deficiencies cited· Includes actual harm
▼
Apr 9, 2022Health
8 deficiencies cited
▼

Penalty History

Jan 25, 2024Fine
$81,613
Jul 14, 2023Fine
$71,065
Apr 12, 2023Fine
$47,827
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.