ElderGrade
C

64/100

Average

Pilot Butte Rehabilitation Center

1876 Ne Highway 20, Bend, OR 97701

CMS 2/5 stars #4 of 4 in Deschutes County (541) 382-5531
Certified beds
74
Occupancy
55%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,827 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

14.7/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -5.3 for 32 total citations against a national median of 17

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.27 total nurse hours per resident per day (national median 3.77)
  • 0.94 RN hours per resident per day
  • Weekend staffing drops 19% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 51% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,827 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.89 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.94 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.94 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 50.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 45 citations

Last standard health inspection: September 19, 2025 (11 months ago).

E Sep 19, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E Sep 19, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Sep 19, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Sep 19, 2025 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Sep 19, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Sep 19, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Sep 19, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Sep 19, 2025 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of REGENCY PACIFIC MANAGEMENT, which operates 27 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BEDDOE, SANDRA Individual INDIRECT OWNERSHIP INTEREST
REGENCY PACIFIC MANAGEMENT LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BEDDOE, MARVIN Individual OPERATIONAL/MANAGERIAL CONTROL
JOHNSON, SARAH Individual OPERATIONAL/MANAGERIAL CONTROL
RAPP, ANDREW Individual OPERATIONAL/MANAGERIAL CONTROL
SUAREZ, YOLANDA Individual OPERATIONAL/MANAGERIAL CONTROL
BEDDOE, MARVIN Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
BD FACILITIES LLC Organization ADP OF THE SNF
OMNICARE LLC Organization ADP OF THE SNF
REGENCY PACIFIC MANAGEMENT LLC Organization ADP OF THE SNF
BEDDOE, MARVIN Individual ADP OF THE SNF
BEDDOE, SANDRA Individual ADP OF THE SNF

What families say

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Common questions about Pilot Butte Rehabilitation Center

What is the ElderGrade for Pilot Butte Rehabilitation Center? +

Pilot Butte Rehabilitation Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pilot Butte Rehabilitation Center? +

Residents receive an average of 4.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pilot Butte Rehabilitation Center been cited for harming residents? +

Yes. 2 of the 45 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Pilot Butte Rehabilitation Center accept Medicaid? +

Yes, Pilot Butte Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.