GILBERT CREEK HEALTH & REHABILITATION CENTER LLC

GRANTS PASS, OR · Josephine County · For profit - Corporation · 145 certified beds

📍 2075 Nw Highland Avenue, Grants Pass, OR 97526  ·  📞 (541) 476-8891

Medicare ID: 385148  ·  Last Medicare inspection: Jan 28, 2026

Overall Safety Score
41
out of 100
Concerning
Component Scores
2
Inspection
74
Staffing
16
Enforcement
45
Complaints
75
Quality
📋 Last inspected: January 28, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
2
Staffing
74
Enforcement
16
Complaints
45
Quality Outcomes
75

What the numbers mean

GILBERT CREEK HEALTH & REHABILITATION CENTER LLC scored 41 out of 100 — 27 points below the state average of 68.

📋 Inspections: 58 citations over the last 36 months — 32 more than the state average (26). 6 were rated serious (G+) — inspectors found actual or potential harm to residents. 23 findings recurred across inspection cycles — indicating a problem that was not fixed.

👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.

⚠️ Penalties & enforcement: CMS has recorded 2 enforcement actions totaling $152,678 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

What inspectors found (last 3 surveys)

58
Total citations
State avg: 26.2
6
Serious (G+)
State avg: 1.2
23
Repeat findings

Top concern areas

58

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$152,678
Total federal fines
2
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 16/100 — 51 points below the state average of 67/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.0% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
17.8% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
15.5% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
15.8% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 19 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

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Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 7, 2026.