Regency Redmond Rehabilitation and Nursing Center
3025 Sw Reservoir Drive, Redmond, OR 97756 · Deschutes County · (541) 548-5066
50 certified beds, about 35 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385230 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 16, 2026, inspectors cited 6 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 30 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.72 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 1.48 of those hours.
55.6% 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.
1204/23
1208/24
601/26
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 30 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
24D
4E
0F
Potential for minimal harm
0A
0B
0C
January 16, 2026Standard inspection · 6 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident was assessed prior to use of a potential restraint for 1 of 1 sampled resident (#17) reviewed for hospice. This placed residents at risk for limited mobility.
- 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 ensure a resident was assisted to with grooming for 1 of 2 sampled residents (#5) reviewed for ADLs. This placed residents at risk for unmet grooming care needs.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure assessed and preferred activities were provided for 2 of 2 sampled residents (#s 2 and 17) reviewed for activities. This placed residents at risk for decreased quality of life.
- D 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 ensure fall interventions were followed and ensured medications were not left at a resident's bedside for 3 of 5 sampled residents (#s 5, 8, and 17) reviewed for accidents, hospice and ADLs.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased observation, interview, and record review it was determined the facility failed administer oxygen for 1 of 1 sampled resident (# 26) reviewed for respiratory care. This placed residents at risk for respiratory distress.
- 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 5 sampled residents (#2) reviewed for medications. This place residents at risk for re-traumatization.
August 16, 2024Standard inspection, Complaint inspection · 12 citations
- E 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to staff a registered nurse for eight consecutive hours per day seven days per week for nine out of 60 days reviewed for staffing. This placed residents at risk for unmet assessment needs.
- E 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.
Inspectors wroteBased on observation and interview review it was determined the facility failed to follow therapeutic diets for 1 of 1 kitchen. This placed residents at risk for lack of nutritional interventions.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure call lights were in reach for 1 of 3 sampled residents (#287) reviewed for environment. This placed residents at risk for unaddressed individual needs.
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to address a grievance for 1 of 4 sampled residents (#20) reviewed for ADLs. This placed residents at risk for unresolved grievances.
- D 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 ensure allegations of abuse were reported to administration for 1 of 5 sampled residents (#85) reviewed for accidents. This placed residents at risk for abuse.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review it was determined the facility failed to develop a person-centered care plan for 1 of 1 sampled resident (#30) reviewed for tube feeding. This placed residents at risk for lack of identified needs.
- D 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 suction a resident safely, and failed to follow diabetic orders for 2 of 9 sampled residents (#s 7 and 85) reviewed for accidents and medications. This placed residents at risk for injury and delayed treatment.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accurately assess, investigate, and care plan pressure ulcers for 3 of 4 sampled residents (#s 15, 27 and 28) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure staff followed the care plan related to fall safety and ascertain post-fall injuries for 2 of 4 sampled residents (#s 10 and 26) reviewed for accidents. This placed resident placed at risk for lack of supervision and falls.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to assess and implement trauma informed care interventions for 1 of 5 sampled residents (#15) reviewed for medications. This placed residents at risk for re-traumatization.
- 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 monitor side effects of psychotropic medications for 1 of 5 sampled residents (#7) reviewed for medications. This placed residents at risk for adverse medication reactions.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure flu and pneumonia vaccines were provided for 2 of 5 sampled residents (#s 7 and 15) reviewed for immunizations. This placed residents at risk for respiratory infections.
April 7, 2023Standard inspection · 12 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure Staff 15 (CMA) administered medications per the current standard of practice. This resulted in Resident 131 experiencing adverse medication consequences and being sent to the hospital for treatment and observation.
- G 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 medications errors for 1 of 6 sampled residents (#131) reviewed for medication. Resident 131 received an excessive dose of morphine (opioid pain medication) which resulted in hospitalization.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview and record review it was determined the facility failed to store food in accordance with professional standards for food service safety and maintain the ice machine for 1 of 1 kitchen reviewed for kitchen safety and cleanliness. This placed residents at risk for contamination.
- E Provide and implement an infection prevention and control program.
Inspectors wrote1. Based on observation, interview, and record review, it was determined the facility failed to ensure staff followed proper infection control guidelines when using common use glucometers (a device used to obtain blood glucose levels) for 1 of 1 observation during CBG tests. This placed residents at risk for infection.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on interview and record review it was determined the facility failed to offer residents and representatives the opportunity to participate in the care planning process for 1 of 1 sampled resident (#2) reviewed for care planning. This placed residents at risk for unmet needs.
- D 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 allegations of neglect to the State Agency within the required timeframe for 2 of 7 sampled residents (#s 82 and 131) reviewed for resident safety and medications. 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 complete a thorough investigation for 2 of 7 sampled residents (#s 82 and 131) reviewed for resident safety and medications. This placed residents at risk for abuse.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide bathing assistance for 1 of 4 sampled residents (#19) reviewed for ADLs. This placed residents at risk for lack of cleaniness.
- D 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 follow physician orders for 1 of 1 sampled resident (#82) reviewed for resident safety. This placed residents at risk for not receiving medications as ordered.
- 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 obtain treatment orders for a pressure ulcer for 1 of 1 sampled resident (#83) reviewed for pressure ulcers. This placed residents at risk for delayed wound treatment.
- D 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 2 of 3 sampled CNA staff (#s 13 and 14) reviewed for staffing. This placed residents at risk for a lack of competent staff.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review it was determined the facility failed to respond to pharmacy recommendations timely for 1 of 6 sampled residents (#2) reviewed for medications. This placed residents at risk for adverse medication side effects.
Fire safety inspections
9 fire safety citations on file: 2 on January 16, 2026, 6 on August 16, 2024, 1 on April 7, 2023.
Every fire safety citation9 citations
- F Have simulated fire drills held at unexpected times.
- D Meet other general requirements.
- F Conduct risk assessment and an All-Hazards approach.
- F Install a fire alarm system that can be heard throughout the facility.
- F Install an approved automatic sprinkler system.
- F Meet other general requirements that are deficient.
- F Have simulated fire drills held at unexpected times.
- D Ensure proper usage of power strips and extension cords.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 5.72 | 5.03 | 3.86 |
| Registered nurses | 1.48 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.69 | 4.51 | 3.42 |
| Nurse aides | 3.68 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 55.6% | 47.4% | 45.8% |
| Registered nurse turnover | 44.4% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.16 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 6.15 on weekdays and 4.69 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.23 in April to June 2025 to 5.72 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 | 5.72 | 1.48 | 6.15 | 4.69 | 0.6% | 0 of 90 | 35 |
| Oct to Dec 2025 | 5.45 | 1.19 | 5.85 | 4.42 | 3.9% | 0 of 92 | 37 |
| Jul to Sep 2025 | 5.71 | 0.81 | 6.16 | 4.57 | 7.1% | 0 of 92 | 35 |
| Apr to Jun 2025 | 5.23 | 0.73 | 5.65 | 4.18 | 3.2% | 1 of 91 | 37 |
| 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 | 7.0 | 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 | 2.1 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.0 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.5 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.1 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.4 | 16.1 | 12.0 |
Owners and operators
Legal business name: BD REDMOND IV 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% | 03/01/2019 |
| Regency Pacific Management LLC | Operational/managerial control | Organization | 04/01/2010 | |
| Beddoe, Marvin | Operational/managerial control | Individual | 06/01/2016 | |
| Rapp, Andrew | Operational/managerial control | Individual | 03/08/2016 | |
| Stauffer, Gretchen | Operational/managerial control | Individual | 05/16/2022 | |
| Suarez, Yolanda | Operational/managerial control | Individual | 02/01/2026 | |
| Bd Facilities LLC | Adp of the SNF | Organization | 07/05/2025 | |
| Omnicare LLC | Adp of the SNF | Organization | 09/01/2013 | |
| Regency Pacific Management LLC | Adp of the SNF | Organization | 08/26/2025 | |
| Beddoe, Marvin | Adp of the SNF | Individual | 06/01/2016 | |
| Beddoe, Sandra | Adp of the SNF | Individual | 06/01/2016 | |
| Rapp, Andrew | Adp of the SNF | Individual | 03/08/2016 | |
| Stauffer, Gretchen | Adp of the SNF | Individual | 05/16/2022 | |
| Suarez, Yolanda | Adp of the SNF | Individual | 02/01/2026 |
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 16, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on January 16, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 16, 2024: "Reasonably accommodate the needs and preferences of each resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 16, 2024: "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."
Other nursing homes nearby
- Bend Transitional Care Bend, 13.4 mi · 5 of 5 stars · 11 citations
- Pilot Butte Rehabilitation Center Bend, 13.9 mi · 1 of 5 stars · 50 citations
- Regency Care of Central Oregon Bend, 14.9 mi · 5 of 5 stars · 22 citations
- Regency Prineville Rehabilitation and Nursing Cent Prineville, 18.3 mi · 5 of 5 stars · 8 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 Regency Redmond Rehabilitation and Nursing Center's Medicare star rating?
- CMS rates Regency Redmond Rehabilitation and Nursing Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Regency Redmond Rehabilitation and Nursing Center get at its last inspection?
- 6 health deficiencies at the standard inspection on January 16, 2026. The Oregon average is 9.2.
- Has Regency Redmond Rehabilitation and Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Regency Redmond Rehabilitation and 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 Regency Redmond Rehabilitation and Nursing Center?
- CMS lists 14 owners and managers, and links the home to Regency Pacific Management. Legal business name: BD REDMOND IV 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.