Highland House Nursing & Rehabilitation Center
2201 Nw Highland Avenue · Grants Pass, OR · 97526 · 5414741901
119 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).
- Federal penalties on record: $36,852 in fines in the last 24 months.
- 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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 4.19 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $36,852 |
Inspection citations (70 in the current record)
-
Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025
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 January 22, 2026 · Resident Rights
-
Potential for harm · E December 3, 2025
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 January 22, 2026 · Resident Rights
-
Potential for harm · D December 3, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 3, 2025
Respond appropriately to all alleged violations.
Corrected January 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 3, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 22, 2026 · Resident Rights
-
Potential for harm · D December 3, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 3, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 22, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected January 22, 2026 · Nutrition and Dietary
-
Potential for harm · E December 3, 2025
Provide and implement an infection prevention and control program.
Corrected January 22, 2026 · Infection Control
-
Potential for harm · D December 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · D April 3, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 25, 2025 · Resident Rights
-
Potential for harm · D April 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2025 · Quality of Life and Care
-
Potential for harm · D April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
-
Potential for harm · D April 3, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 25, 2025 · Pharmacy Service
-
Potential for harm · D August 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K July 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 14, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 3, 2024 · Resident Rights
-
Potential for harm · D June 14, 2024
Keep residents' personal and medical records private and confidential.
Corrected August 3, 2024 · Resident Rights
-
Potential for harm · D June 14, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 14, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 3, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 8, 2024 | Fine | $36,852 |
| June 14, 2024 | Payment Denial | 6 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385149 · certified since August 21, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.