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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E9 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| Dec 17, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 9, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 9, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Feb 27, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 27, 2024 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Feb 28, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 28, 2023 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 22, 2024 | Denial of payment for new admissions | — | Apr 8, 2024 · 8 days | 385241|Payment Denial|2024-04-08 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E9 | F10 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 17, 2025 | 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 Jan 26, 2026 | Complaint |
| Dec 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 26, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|---|
| Avamere Court at Keizer 5210 River Road N., Keizer, OR 97303 CCN 385233 | 2 km | 69 | Sep 19, 2025 | 34 | — | |
| Windsor Health and Rehabilitation 820 Cottage Street NE, Salem, OR 97301 CCN 385224 | 4.3 km | 100 | Jul 13, 2026 | 441 harm | $14k | |
| Tierra Rose Care Center 4254 Weathers Street NE, Salem, OR 97301 CCN 38E075 | 5.3 km | 76 | Oct 17, 2025 | 33 | — | |
| Avamere Transitional Care at Sunnyside 4515 Sunnyside Road SE, Salem, OR 97302 CCN 385189 | 10.6 km | 88 | Aug 24, 2026 | 52 | — | |
| Salem Transitional Care 3445 Boone Road SE, Salem, OR 97317 CCN 385234 | 11.5 km | 80 | Jul 24, 2026 | 422 harm | $23k | |
| Independence Health and Rehabilitation 1525 Monmouth Street, Independence, OR 97351 CCN 385188 | 21.1 km | 80 | Jul 31, 2026 | 401 harm | $70k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385241 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385241 | 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
| Dec 17, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 26, 2026 | Complaint |
| May 9, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| May 9, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| May 9, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 9, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 9, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| May 9, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 9, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 9, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 9, 2025 | 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 Jun 12, 2025 |
| May 9, 2025 | 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 Jun 12, 2025 |
| May 9, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| Feb 27, 2024 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Feb 27, 2024 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Feb 27, 2024 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Feb 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Feb 27, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2024 |
| Feb 27, 2024 | 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 Apr 16, 2024 |
| Feb 27, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 16, 2024 |
| Feb 27, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | 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 Apr 15, 2024 | Complaint |
| Feb 27, 2024 | 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 | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | 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 Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | 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 | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Feb 27, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 15, 2024 | Complaint |
| Feb 28, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 20, 2023 |
| Feb 28, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 4, 2023 |
| Feb 28, 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 | E · Potential harm Pattern | Corrected Mar 20, 2023 |
| Feb 28, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2023 |
| Feb 28, 2023 | 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 Mar 20, 2023 |
| Feb 28, 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 Mar 20, 2023 |
| Feb 28, 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 | E · Potential harm Pattern | Corrected Mar 20, 2023 |
| Feb 28, 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 Mar 20, 2023 |
| Feb 28, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 20, 2023 |
| Feb 28, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 20, 2023 |
| Feb 28, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 20, 2023 |
| Feb 28, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 20, 2023 |
| Feb 28, 2023 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 20, 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 |
| Sarah Dunham | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Kandis Hanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Donald Knox | 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 |
| Keizer Propco LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 1, 2023 |
| Keizer Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | 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 |
| Volare Health LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 19, 2025 |
| Sarah Dunham | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Chaim Hagar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Kandis Hanson | 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 |
| 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 |
| Rose Haven Nursing Center 740 NW Hill, Roseburg, OR 97471 CCN 385151 | 193 | Jun 5, 2026 | 452 harm | $85k |