Green Valley Rehabilitation Health Center
1735 Adkins Street · Eugene, OR · 97401 · 5416835032
110 certified beds For profit - Limited Liability company Chain: Volare Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$53,024 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 4.31 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $53,024 |
Inspection citations (89 in the current record)
-
Potential for harm · D February 2, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · E February 2, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
Keep residents' personal and medical records private and confidential.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
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.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 2, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 2, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 2, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Provide activities to meet all resident's needs.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · D February 2, 2026
Provide or obtain dental services for each resident.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · E February 2, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 13, 2026 · Nutrition and Dietary
-
Potential for harm · D February 2, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 13, 2026 · Infection Control
-
Potential for harm · D February 2, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected March 13, 2026 · Infection Control
-
Potential for harm · D January 15, 2026 · found via complaint
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.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · D January 15, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
-
Potential for harm · F January 15, 2026 · found via complaint
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.
Corrected February 20, 2026 · Nursing and Physician Services
-
Potential for harm · D December 9, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 23, 2025 · Resident Rights
-
Potential for harm · D December 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
-
Potential for harm · D February 5, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 25, 2025 · Quality of Life and Care
-
Potential for harm · F February 5, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 25, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2024 | Fine | $53,024 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385156 · certified since July 14, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.