Green Valley Rehabilitation Health Center
1735 Adkins Street · Eugene, OR · 97401 · 5416835032
110 certified beds For profit - Limited Liability company Chain: Volare Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$53,024 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 4.31 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $53,024 |
Inspection citations (89 in the current record)
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Potential for harm · D February 2, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · E February 2, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · D February 2, 2026
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 March 13, 2026 · Resident Rights
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Potential for harm · D February 2, 2026
Keep residents' personal and medical records private and confidential.
Corrected March 13, 2026 · Resident Rights
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Potential for harm · D February 2, 2026
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 March 13, 2026 · Resident Rights
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Potential for harm · D February 2, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 2, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 2, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Provide activities to meet all resident's needs.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · D February 2, 2026
Provide or obtain dental services for each resident.
Corrected March 13, 2026 · Quality of Life and Care
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Potential for harm · E February 2, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 13, 2026 · Nutrition and Dietary
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Potential for harm · D February 2, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 13, 2026 · Infection Control
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Potential for harm · D February 2, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 13, 2026 · Infection Control
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Potential for harm · D January 15, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D January 15, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · F January 15, 2026 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · D December 9, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 23, 2025 · Resident Rights
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Potential for harm · D December 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · F February 5, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 25, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2024 | Fine | $53,024 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385156 · certified since July 14, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.