Laurel Hill Nursing Center
859 Ne 6th Street, Grants Pass, OR 97526 · Josephine County · (541) 479-3700
44 certified beds, about 30 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385232 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 28, 2025, inspectors cited 9 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 29 health citations since September 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $23,465 in the last three years; the largest was $23,465, and the latest is dated December 15, 2023.
Nurses and nurse aides worked 5.14 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.
60.0% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to Regency Pacific Management, an affiliated group of 27 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
809/22
1012/23
1003/25
101/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
21D
3E
3F
Potential for minimal harm
0A
0B
0C
January 28, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews and record review it was determined the facility failed to follow physician orders for wound care interventions for 1 of 3 sampled resident's (# 101) reviewed for coordination of wound care. This placed residents at risk for unmet wound care needs.
March 28, 2025Standard inspection, Complaint inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to properly follow dish sanitation practices for 1 of 1 kitchen. This placed residents at risk for food borne illnesses.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review it was determined the facility failed to report to the State Survey Agency an allegation of abuse for 3 of 3 sampled residents (#s 7, 12 and 19) reviewed for abuse. This placed residents at risk for reoccurring abuse.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to protect the resident's right to be free from verbal abuse by a resident for 1 of 3 sampled residents (#12) reviewed for abuse. This placed residents at risk for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to thoroughly investigate allegations of abuse and injuries of unknown origin for 3 of 3 sampled residents (#s 4, 7 and 19) reviewed for abuse and skin conditions. This placed residents at risk for abuse.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow physician orders and provide medications to treat a chronic condition for 4 of 4 sampled residents (#s 6, 19, 25, and 84) reviewed for constipation, hospice, abuse, and choices. This placed residents at risk for bowel obstruction and unmet care needs.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review it was determined the facility failed to assess a pressure ulcer at the time it was identified for 1 of 2 sampled residents (#83) reviewed for pressure ulcers. This placed residents at risk for delayed treatment and pain.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide appropriate dosing of medications for 1 of 6 sampled residents (#12) reviewed for medications. This placed residents at risk for complications related to medications.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents were provided dental services for 1 of 1 sampled resident (#26) reviewed for dental. This placed residents at risk for unmet dental needs.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure clean items were not stored in contaminated areas for 1 of 1 laundry room reviewed for infection control. This placed residents at risk for cross contamination.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from significant pain medication errors for 1 of 6 sampled residents (#16) reviewed for medications. This placed residents at risk for complications related to medications.
December 15, 2023Standard inspection, Complaint inspection · 10 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide adequate supervision, follow care plans, complete thorough investigations and timely assess smoking for 4 of 4 sampled residents (#s 6,15, 23, and 134) reviewed for accidents. Resident 15 and Resident 134 experienced falls resulting in fractures.
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview and record review it was determined the facility failed to employ a director of food and nutrition services with the required certification for 1 of 1 facility reviewed for qualified dietary staff. This placed residents at risk for unmet dietary needs.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview it was determined the facility failed to maintain a sanitary kitchen and follow proper handwashing practices for 1 of 1 facility kitchen. This placed residents at risk for food-borne illnesses.
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, it was determined the facility failed to provide information related to the Quality Improvement Organization (QIO) for 3 of 3 sampled residents (#s 234, 235, and 236) reviewed for liability and appeal notices. This placed residents at risk for accurate QIO information.
- 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow-up with residents related to their desire to formulate advance directives for 2 of 13 sampled residents (#s 4 and 20) reviewed for advance directives. This placed residents at risk for healthcare decisions in conflict with their wishes.
- D 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to provide a clean and well-maintained environment for 2 of 23 resident room floors. This placed residents at risk for lack of a clean and homelike environment.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure hearing aides and glasses were in place for 1 of 1 sampled resident (#21) reviewed for vision and hearing. This placed residents at risk for a decline in hearing and vision.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determine the facility failed to implement therapy recommendations, and ROM services and interventions for care for 1 of 1 resident (#15) reviewed for position and mobility. This placed residents at risk for compromised mobility and pain. Resident 15 was admitted to the facility in 2022 with diagnoses including diabetes and stroke. A 12/20/22 OT Discharge Summary revealed Resident 15 would wear a palm guard for up to five hours per day to prevent contractures (a fixed tightening or shortening of muscles or ligaments) to her/his left hand. An 10/11/23 Contracture Screening (completed by nursing) indicated Resident 15 had right wrist, fingers and thumb contractures and a skilled evaluation and restorative program was appropriate. There was no indication Resident 15 had contractures to her/his left hand. [...]
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview and record review it was determined the facility failed to implement trauma informed care interventions for 1 of 1 sampled resident (#9) reviewed for mood and behavior. This place residents at risk for retraumatization.
- 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.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide therapeutic diets as ordered for 2 of 16 sampled residents (#s 15 and 18) reviewed during kitchen observations. This placed residents a risk for lack of adequate nutrition and weight loss.
September 16, 2022Standard inspection · 8 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a surgical wound was monitored and assessed for 1 of 1 sampled resident (#177) reviewed for non-pressure skin. This resulted in Resident 177's surgical wound becoming infected, and the resident being hospitalized .
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 3 of 3 sampled CNA staff (#s 4, 5, and 6) reviewed for staffing. This placed residents at risk for a lack of competent staff.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide nail care for 2 of 2 sampled residents (#s 9 and 17) reviewed for activities of daily living. This placed residents at risk for unmet needs.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review it was determined the facility failed to monitor, assess and treat pressure ulcers for 1 of 2 sampled residents (#3) reviewed for pressure ulcers. This placed residents at risk for unmet treatment needs.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a resident's CPAP (continuous positive airway pressure) machine was cleaned and tubing changed for 1 of 1 sampled resident (#25) reviewed for respiratory care. This placed residents at risk for infection due to unhygienic equipment.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident medications did not run out for 1 of 5 sampled residents (#25) reviewed for medications. This placed residents at risk for increased pain.
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide the clinical rationale for extending a PRN psychotropic medication order beyond 14 days for 1 of 5 sampled residents (#17) reviewed for unnecessary medications. This placed residents at risk for unnecessary medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a resident's catheter was not on the floor for 1 of 1 resident (#26) randomly observed for infection control. This placed residents at risk for infection.
Fire safety inspections
16 fire safety citations on file: 7 on March 28, 2025, 6 on December 15, 2023, 3 on September 16, 2022.
Every fire safety citation16 citations
- F Establish policies and procedures including evacuation.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Meet other general requirements that are deficient.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Meet other general requirements that are deficient.
- F Have simulated fire drills held at unexpected times.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
- F Have restrictions on the use of highly flammable decorations.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have power receptacles that are properly grounded.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 15, 2023 | Fine | $23,465 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.14 | 5.03 | 3.86 |
| Registered nurses | 0.94 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.60 | 4.51 | 3.42 |
| Nurse aides | 2.97 | ||
| Licensed practical nurses | 1.23 | ||
| Nursing staff turnover (share who left in a year) | 60.0% | 47.4% | 45.8% |
| Registered nurse turnover | 57.1% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.36 on weekdays and 4.60 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.36 in April to June 2025 to 5.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.14 | 0.94 | 5.36 | 4.60 | 6.8% | 0 of 90 | 30 |
| Oct to Dec 2025 | 4.89 | 0.59 | 5.11 | 4.33 | 4.8% | 0 of 92 | 31 |
| Jul to Sep 2025 | 5.01 | 0.81 | 5.26 | 4.37 | 0.4% | 0 of 92 | 31 |
| Apr to Jun 2025 | 5.36 | 0.97 | 5.65 | 4.65 | 0.0% | 0 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.3 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.1 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 15.2 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.7 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.3 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.2 | 16.1 | 12.0 |
Owners and operators
Legal business name: BD GRANTS PASS II LLC. CMS links this home to Regency Pacific Management, a group of 27 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bd Facilities LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2010 |
| Bd Facilities LLC | Operational/managerial control | Organization | 04/01/2010 | |
| Regency Pacific Management LLC | Operational/managerial control | Organization | 04/01/2010 | |
| Beddoe, Marvin | Operational/managerial control | Individual | 04/01/2010 | |
| Monroe, Christopher | Operational/managerial control | Individual | 08/28/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on January 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on March 28, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on March 28, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on March 28, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Regency Care of Rogue Valley Grants Pass, 0.7 mi · 5 of 5 stars · 12 citations
- Highland House Nursing & Rehabilitation Center Grants Pass, 1.4 mi · 1 of 5 stars · 70 citations
- Royale Gardens Health & Rehabilitation Center Grants Pass, 1.4 mi · 2 of 5 stars · 69 citations
- Avamere Health Services of Rogue Valley Medford, 24.2 mi · 2 of 5 stars · 45 citations
- Avamere at Three Fountains Medford, 24.6 mi · 5 of 5 stars · 24 citations
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Laurel Hill Nursing Center's Medicare star rating?
- CMS rates Laurel Hill Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Laurel Hill Nursing Center get at its last inspection?
- 9 health deficiencies at the standard inspection on March 28, 2025. The Oregon average is 9.2.
- Has Laurel Hill Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $23,465 in the last three years.
- Does Laurel Hill Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Laurel Hill Nursing Center?
- CMS lists 5 owners and managers, and links the home to Regency Pacific Management. Legal business name: BD GRANTS PASS II LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.