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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D25 | E7 | F11 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 5, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 5, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Feb 27, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 27, 2025 | Health | Health Complaint, Health Standard | 11 | Actual harm | — | Open → |
| Oct 20, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Oct 20, 2023 | Health | Health Complaint, Health Standard | 15 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 27, 2025 | Civil money penalty (fine) | $33,716 | — | 385151|Fine|46472 |
| Oct 20, 2023 | Civil money penalty (fine) | $51,389 | — | 385151|Fine|46311 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D25 | E7 | F11 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 5, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 24, 2026 | |
| Jun 5, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 24, 2026 | |
| Jun 5, 2026 | K-0741 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).
CMS legal business name of the certified provider. Operates this facility only.
16 facilities in 3 states. CMS chain ID 628.
Chain average overall rating (CMS): 1.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pac 12 Opco Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2023 |
| Knox Healthcare Pac 12 Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Pac 12 Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Pac 12 Pinnacle Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Alexander Hagler | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Donald Knox | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pac 12 Opco Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2023 |
| Knox Healthcare Pac 12 Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Pac 12 Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Pac 12 Pinnacle Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Hillside Heights Rehabilitation Center 1201 Mclean Blvd., Eugene, OR 97405 CCN 385046 | 83 | Aug 27, 2026 | 521 open | — | |
| Corvallis Manor Nursing & Rehabilitation Center 160 NE Conifer Blvd, Corvallis, OR 97330 CCN 385072 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Umpqua Valley Nursing & Rehabilitation Center 525 W. Umpqua Street, Roseburg, OR 97471 CCN 385143 | 1.5 km | 118 | Aug 22, 2025 | 46 | $8,824 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385151 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385151 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jul 24, 2026 |
| Jun 5, 2026 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 24, 2026 |
| Jun 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 24, 2026 |
| Feb 27, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Feb 27, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Feb 27, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 3, 2025 | Complaint |
| Feb 27, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Feb 27, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Feb 27, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Feb 27, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Feb 27, 2025 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Feb 27, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Feb 27, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Feb 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 3, 2025 | Complaint |
| Oct 20, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 22, 2023 |
| Oct 20, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Oct 20, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 22, 2023 |
| Oct 20, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Oct 20, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Oct 20, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2023 |
| Oct 20, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0725 | 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 · Staffing & supervision | E · Potential harm Pattern | Corrected Dec 5, 2023 | Complaint |
| Oct 20, 2023 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 5, 2023 |
| Oct 20, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| not provided |
| Mar 1, 2023 |
| Alexander Hagler | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Donald Knox | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2023 |
| Volare Health LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Joshua Fisher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Donald Knox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Kira Rust | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Eliezer Schwartz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Donald Knox | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2023 |
| Brian Smith | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 27, 2023 |
| Sweet Briar Propco LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 1, 2023 |
| Pac 12 Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Pac 12 Pinnacle Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Sweet Briar Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Volare Health LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 20, 2025 |
| Joshua Fisher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Chaim Hagar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Donald Knox | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Kira Rust | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Eliezer Schwartz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Brian Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 2023 |
| 135 |
| Not rated |
| May 11, 2026 |
882 IJ4 harm |
| $216k |
| Hearthstone Nursing & Rehabilitation Center 2901 E. Barnett Road, Medford, OR 97504 CCN 385091SFF CandidateAbuse icon | 87 | Mar 4, 2026 | 794 IJ2 harm | $231k |
| French Prairie Nursing & Rehabilitation Center 601 Evergreen Road, Woodburn, OR 97071 CCN 385117SFF Candidate | 80 | Aug 10, 2026 | 833 IJ3 harm23 open | $103k |
| Umpqua Valley Nursing & Rehabilitation Center 525 W. Umpqua Street, Roseburg, OR 97471 CCN 385143 | 118 | Aug 22, 2025 | 46 | $8,824 |
| Royale Gardens Health & Rehabilitation Center 2075 NW Highland Avenue, Grants Pass, OR 97526 CCN 385148 | 145 | Jul 15, 2026 | 777 harm | $82k |
| Highland House Nursing & Rehabilitation Center 2201 NW Highland Avenue, Grants Pass, OR 97526 CCN 385149 | 119 | Apr 22, 2026 | 902 IJ | $37k |
| Green Valley Rehabilitation Health Center 1735 Adkins Street, Eugene, OR 97401 CCN 385156 | 110 | Jun 1, 2026 | 972 harm | $53k |