PILOT BUTTE REHABILITATION CENTER
PILOT BUTTE REHABILITATION CENTER is a 74-bed nursing home in BEND, Oregon. CMS has certified it for Medicare and Medicaid since 1978-05-01. It averages 40.9 residents a day.
What harm was found in the violations cited at PILOT BUTTE REHABILITATION CENTER?
CMS lists 50 health-inspection deficiencies for PILOT BUTTE REHABILITATION CENTER since 2023-02-25, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-24.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-24 | F0600, F0609, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | E |
| 2026-06-24 | F0602, F0627 | Protect each resident from the wrongful use of the resident's belongings or money. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-09-19 | F0689, F0812, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-09-19 | F0552, F0600, F0609, F0628, F0684 | Ensure that residents are fully informed and understand their health status, care and treatments. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-09-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-05-31 | F0584, F0803, F0804, F0812 | 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-31 | F0552, F0561, F0578, F0582, F0600, F0657, F0684, F0685, F0686, F0689, F0698, F0745, F0758, F0760, F0806, F0883 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-04-17 | F0609, F0610, F0689 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-02-25 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-02-25 | F0658, F0812, F0880, F0886 | Ensure services provided by the nursing facility meet professional standards of quality. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. | F |
| 2023-02-25 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2023-02-25 | F0580, F0657, F0659, F0677, F0684, F0687, F0726 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care by qualified persons according to each resident's written plan of care. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
Why was PILOT BUTTE REHABILITATION CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-09-09 | Fine | $8,827 |
How is PILOT BUTTE REHABILITATION CENTER staffed relative to the OR average?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.88690 | 5.03143 |
| Total nursing staff turnover (%) | 50.8 | 47.4 |
| Average number of residents per day | 40.9 | 58.1 |
Who owns PILOT BUTTE REHABILITATION CENTER, and what chain is it in?
PILOT BUTTE REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name BD BEND II LLC and belongs to the REGENCY PACIFIC MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BD FACILITIES LLC | since 04/01/2010 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BEDDOE, MARVIN | since 04/01/2017 |
| INDIRECT OWNERSHIP INTEREST | BEDDOE, SANDRA | since 05/01/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | REGENCY PACIFIC MANAGEMENT LLC, BEDDOE, MARVIN, JOHNSON, SARAH, RAPP, ANDREW, SUAREZ, YOLANDA | since 01/01/2010 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | BEDDOE, MARVIN | since 03/10/2026 |
| ADP OF THE SNF | BD FACILITIES LLC, OMNICARE LLC, REGENCY PACIFIC MANAGEMENT LLC, BEDDOE, MARVIN, BEDDOE, SANDRA, JOHNSON, SARAH, RAPP, ANDREW, SUAREZ, YOLANDA | since 02/01/2026 |
Were you or a family member harmed at PILOT BUTTE REHABILITATION CENTER?