GREEN VALLEY REHABILITATION HEALTH CENTER
GREEN VALLEY REHABILITATION HEALTH CENTER is a 110-bed nursing home in EUGENE, Oregon. CMS has certified it for Medicare and Medicaid since 1983-07-14. It averages 120.5 residents a day.
What harm was found in the violations cited at GREEN VALLEY REHABILITATION HEALTH CENTER?
CMS lists 91 health-inspection deficiencies for GREEN VALLEY REHABILITATION HEALTH CENTER since 2023-05-22, 69 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-01 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2026-06-01 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2026-02-02 | F0554, F0804 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2026-02-02 | F0552, F0578, F0583, F0584, F0656, F0657, F0676, F0677, F0679, F0689, F0697, F0699, F0791, F0883, F0887 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Keep residents' personal and medical records private and confidential. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. | D |
| 2026-01-15 | F0727 | 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. | F |
| 2026-01-15 | F0585, F0609, F0689 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-12-09 | F0557, F0684 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-02-05 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-02-05 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-09-13 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-09-13 | F0552, F0565, F0584, F0585, F0680, F0725, F0727, F0732, F0847, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / 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. / Ensure the activities program is directed by a qualified professional. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Post nurse staffing information every day. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program. | E |
| 2024-09-13 | F0554, F0578, F0580, F0609, F0610, F0623, F0625, F0657, F0658, F0677, F0679, F0685, F0686, F0690, F0695, F0697, F0698, F0745, F0755, F0758, F0760 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2024-02-29 | F0727, F0732 | 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. / Post nurse staffing information every day. | E |
| 2023-11-28 | F0677, F0684, F0695, F0757, F0773, F0919 | 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 safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2023-05-22 | F0804, F0812 | 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. | F |
| 2023-05-22 | F0550, F0657, F0725, F0732, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Post nurse staffing information every day. / Provide and implement an infection prevention and control program. | E |
| 2023-05-22 | F0552, F0558, F0578, F0582, F0636, F0655, F0656, F0677, F0679, F0684, F0685, F0688, F0689, F0700, F0806 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / 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 care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
Why was GREEN VALLEY REHABILITATION HEALTH CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-09-13 | Fine | $53,024 |
How is GREEN VALLEY REHABILITATION HEALTH CENTER staffed relative to the OR average?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.32440 | 5.03143 |
| Total nursing staff turnover (%) | 53.2 | 47.4 |
| Average number of residents per day | 120.5 | 58.1 |
Who owns GREEN VALLEY REHABILITATION HEALTH CENTER, and what chain is it in?
GREEN VALLEY REHABILITATION HEALTH CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name KENSINGTON REHABILITATION HEALTH CENTER LLC and belongs to the VOLARE HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PAC 12 OPCO HOLDCO LLC | since 03/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | KNOX HEALTHCARE PAC 12 HOLDINGS LLC, PAC 12 HOLDINGS LLC, PAC 12 PINNACLE HOLDCO LLC, HAGLER, ALEXANDER, KNOX, DONALD | since 03/01/2023 |
| 5% OR GREATER MORTGAGE INTEREST | KENSINGTON OR PROPCO LLC | since 03/01/2023 |
| CORPORATE OFFICER | KNOX, DONALD, SMITH, BRIAN | since 03/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | VOLARE HEALTH LLC, KNOX, DONALD, MAHEIA, JASON, MORRIS, CHRISTOPHER, SCHWARTZ, ELIEZER | since 03/01/2023 |
| ADP OF THE SNF | KENSINGTON OR PROPCO LLC, PAC 12 HOLDINGS LLC, PAC 12 PINNACLE HOLDCO LLC, VOLARE HEALTH LLC, HAGAR, CHAIM, KNOX, DONALD, MAHEIA, JASON, MORRIS, CHRISTOPHER, SCHWARTZ, ELIEZER, SMITH, BRIAN | since 03/01/2023 |
Were you or a family member harmed at GREEN VALLEY REHABILITATION HEALTH CENTER?