Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HIGHLAND HOUSE NURSING & REHABILITATION CENTER

GRANTS PASS, OR · 119 certified beds · Last Life Safety survey December 3, 2025

CMS Certification Number 385149 · first certified August 1981

Ownership

Operated by VOLARE HEALTH · For profit - Limited Liability company

  • Ownership changed March 1, 2023 (change of ownership)from AVALON HEALTH CARE - HIGHLAND HOUSE LLC
20
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within OR

20 citations — more than 87% of the 128 certified nursing homes in OR. Compared within OR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 6. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was December 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

9 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.

This facility20OR median11National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in OR11
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0342024-0682024-1022025-12
Citations at each Life Safety survey
Survey dateCitations
March 10, 20236
June 14, 20244
October 8, 20248
December 3, 20252

Most-cited tags

Most-cited tags at this facility
K-07412K-07612K-02112K-03551K-03531K-03511K-09201K-03411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-12-03
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-06-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-10-08
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-12-03
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-10-08
K-0351Install an approved automatic sprinkler system.12024-06-14
K-0920Ensure proper usage of power strips and extension cords.12023-03-10
K-0341Install a fire alarm system that can be heard throughout the facility.12024-06-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 5
  • Egress Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies5
Egress Deficiencies4
Emergency Preparedness Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 3, 2025 — 2 citations

Citations issued on December 3, 2025
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 22, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (January 22, 2026)

October 8, 2024 — 8 citations

Citations issued on October 8, 2024
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 27, 2024)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (November 27, 2024)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (November 27, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 27, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 27, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (November 27, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 27, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 27, 2024)

June 14, 2024 — 4 citations

Citations issued on June 14, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 1, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (August 1, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 1, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 1, 2024)

March 10, 2023 — 6 citations

Citations issued on March 10, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 29, 2023)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 29, 2023)
K-0255Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.Deficient, Provider has date of correction (April 29, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 29, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 29, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.