CCN 385148 · Josephine County, Oregon
Royale Gardens Health & Rehabilitation Center
2075 NW Highland Avenue, Grants Pass, OR 97526
Royale Gardens Health & Rehabilitation Center is a 145-bed for-profit nursing home in Grants Pass, Oregon, first certified for Medicare or Medicaid in 1981. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 67.7 residents a day, about 47% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $17.3 million in January 2021 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 145
- Average residents per day
- 67.7 (46.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Gilbert Creek Health & Rehabilitation Center LLC
- Certified since
- Apr 15, 1981
- Chain or affiliated group
- Volare Health (16 facilities, chain average 1.8 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Oregon median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 22 at 1, 25 at 2, 24 at 3, 28 at 4, 28 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.91 | 4.95 | 3.68 |
| RN hours per resident per day | 0.56 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 4.26 | ||
| Nursing staff turnover | 56.6% | 45.8% | 44.9% |
| Occupancy (residents / beds) | 46.7% | 74.4% | 85.7% |
| Fines reported by CMS | 1 totaling $81,613 | ||
| Health deficiencies, latest standard survey | 13 (Mar 13, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Royale Gardens Health & Rehabilitation Center does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Pac 12 Opco Holdco LLCOrganization | Direct Ownership Interest | 100% | 03/01/2023 |
| Knox Healthcare Pac 12 Holdings LLCOrganization | Indirect Ownership Interest | n/a | 03/01/2023 |
| Pac 12 Holdings LLCOrganization | Indirect Ownership Interest | n/a | 03/01/2023 |
| Pac 12 Pinnacle Holdco LLCOrganization | Indirect Ownership Interest | n/a | 03/01/2023 |
| Hagler, AlexanderIndividual | Indirect Ownership Interest | n/a | 03/01/2023 |
| Knox, DonaldIndividual | Indirect Ownership Interest | n/a | 03/01/2023 |
| Gilbert Creek Propco LLCOrganization | Mortgage Interest | n/a | 03/01/2023 |
| Volare Health LLCOrganization | Operational / Managerial Control | n/a | 03/01/2023 |
| Hart, KevinIndividual | Operational / Managerial Control | n/a | 08/22/2025 |
| Kahn, KarenIndividual | Operational / Managerial Control | n/a | 07/03/2023 |
| Knox, DonaldIndividual | Operational / Managerial Control | n/a | 03/01/2023 |
| Schwartz, EliezerIndividual | Operational / Managerial Control | n/a | 03/01/2023 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Gilbert Creek Propco LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2023 | Gilbert Creek Health & Rehabilitation Center LLC | Avalon Health Care - Royale Gardens LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jan 27, 2021 | 223(f) refinance or purchaseHUD project name: Royale Gardens Health & Rehabilitation Center, 130 beds. Lender at endorsement: Blueprint Real Estate Capital LLC | $17,346,700 | Ended Mar 31, 2023Prepayment | 12622193 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.