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.

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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.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 84
Staffing 20% 70
Federal penalties 15% 50
Trend 10% 88
Context 5% 75

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-day4.883.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day4.19≈ weekday level
Nursing turnover / year49%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

DateTypeAmount / length
October 8, 2024Fine$36,852
June 14, 2024Payment Denial6 days

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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.