CareSentinel

Federal Nursing-Home Survey Record

HIGHLAND HOUSE NURSING & REHABILITATION CENTER

CCN 385149 · 2201 NW HIGHLAND AVENUE, GRANTS PASS, OR, 97526 · Operated within the VOLARE HEALTH chain

Does HIGHLAND HOUSE NURSING & REHABILITATION CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HIGHLAND HOUSE NURSING & REHABILITATION CENTER (CCN 385149), in GRANTS PASS, OR, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 14 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. The most recent federal survey on file is dated 2025-12-03. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $36,852 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has $36,852 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$36,852

CMS has $36,852 in civil money penalties on file against this facility. CMS also records 6 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-03
CURRENT CYCLE
F584S/S E

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.

2025-12-03
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-12-03
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-12-03
CURRENT CYCLE
F808S/S D

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.

2025-12-03
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-12-03
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-12-03
CURRENT CYCLE
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2025-12-03
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-12-03
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-12-03
CURRENT CYCLE
F578S/S D

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.

2025-12-03
CURRENT CYCLE
F605S/S D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

2025-12-03
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-12-03
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-12-03
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-04-03
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-04-03
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2025-04-03
HISTORICAL
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2025-04-03
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-08-07
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-07-16
HISTORICAL
F600S/S K

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-06-14
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-06-14
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-06-14
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-06-14
HISTORICAL
F584S/S E

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.

2024-06-14
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-06-14
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-06-14
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2024-06-14
HISTORICAL
F585S/S E

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.

2024-06-14
HISTORICAL
F657S/S E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-06-14
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2024-06-14
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2024-06-14
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-06-14
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-06-14
HISTORICAL
F604S/S D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

2024-06-14
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-06-14
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-06-14
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-06-14
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2024-06-14
HISTORICAL
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2024-06-14
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-06-14
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2024-06-14
HISTORICAL
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2024-06-14
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-06-14
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-06-14
HISTORICAL
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2024-06-14
HISTORICAL
F699S/S D

Provide care or services that was trauma informed and/or culturally competent.

2024-06-14
HISTORICAL
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2024-06-14
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-06-14
HISTORICAL
F881S/S D

Implement a program that monitors antibiotic use.

2023-03-10
HISTORICAL
F584S/S E

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.

2023-03-10
HISTORICAL
F730S/S E

Observe each nurse aide's job performance and give regular training.

2023-03-10
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-03-10
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-03-10
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2023-03-10
HISTORICAL
F578S/S E

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.

2023-03-10
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2023-03-10
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2023-03-10
HISTORICAL
F761S/S D

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.

2023-03-10
HISTORICAL
F687S/S D

Provide appropriate foot care.

2023-03-10
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at HIGHLAND HOUSE NURSING & REHABILITATION CENTER?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…