Royale Gardens Health & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Royale Gardens Health & Rehabilitation Center is a 145-bed for-profit nursing home in Grants Pass, Oregon, part of Volare Health. In the CMS August 2026 release it reported 3.38 nurse aide hours per resident per day, about the same as the Oregon average of 3.40, and 56.6% nursing staff turnover (Oregon average 47.4%).
Royale Gardens Health & Rehabilitation Center
2075 NW Highland AvenueGrants Pass, OR 97526
Josephine County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Royale Gardens Health & Rehabilitation Center, nurse aides logged 3.38 hours per resident per day, about the same as the Oregon average. With about 68 residents a day, that works out to roughly 229 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Oregon avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.38 | 3.40 | 2.32 |
| Licensed practical nurses | 0.98 | 0.91 | 0.86 |
| Registered nurses | 0.56 | 0.72 | 0.69 |
| All nursing staff | 4.91 | 5.03 | 3.86 |
| All nursing staff, weekends | 4.26 | 4.51 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.6% of nursing staff at Royale Gardens Health & Rehabilitation Center left over the year CMS measured, against a Oregon average of 47.4% and a US average of 45.8%. Registered nurse turnover was 66.7%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 13, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Oregon average 9.3). CMS lists 2 fines totaling $182,193 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 13, 2026 | Fine | $100,580 |
| Jan 25, 2024 | Fine | $81,613 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Royale Gardens Health & Rehabilitation Center holds 2 of 5 overall; the Oregon average is 3.1.
About Royale Gardens Health & Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Volare Health, 16 homes
- Legal name: Gilbert Creek Health & Rehabilitation Center LLC
- Medicare and Medicaid certified since: Apr 15, 1981
- Councils: resident council
- Area: urban
Nursing homes near Royale Gardens Health & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Highland House Nursing & Rehabilitation Center Grants Pass | 0.1 | 119 | 3.14 | 4.41 | 45.5% | 1 | $36,852 |
| Laurel Hill Nursing Center Grants Pass | 1.4 | 44 | 2.97 | 5.14 | 60.0% | 3 | $23,465 |
| Regency Care of Rogue Valley Grants Pass | 2.1 | 102 | 3.59 | 5.14 | 23.0% | 5 | None |
| Avamere Health Services of Rogue Valley Medford | 25.1 | 91 | 3.11 | 4.55 | 31.1% | 2 | None |
| Avamere at Three Fountains Medford | 25.6 | 117 | 3.61 | 5.06 | 44.0% | 5 | None |
| Rogue Valley Manor Medford | 27.3 | 68 | 4.21 | 6.56 | 42.1% | 5 | None |
| Hearthstone Nursing & Rehabilitation Center Medford · abuse citation | 27.5 | 87 | 3.07 | 4.41 | 37.1% | 1 | $230,522 |
| Ashland Post Acute Ashland | 35.9 | 87 | 3.03 | 4.48 | 40.8% | 1 | $31,369 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.