South Hills Rehabilitation Center, Eugene, Oregon

74
Citations from health inspectionsOregon average: 34 a home: 3
Residents harmed or put in dangerOregon average: 1.5 a home: $165,996
Fines from the federal governmentOregon average: $27,522 a home: 1 out of 5
Overall rating in starsOregon average: 3.1

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Eight inspection visits produced 74 citations. Residents were in immediate danger in two findings. Residents were found hurt in one case. Federal fines came to $165,996 (three fines).

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 3 out of 5
Rating for quality of care: 3 out of 5
Nurse time for each resident: 4.72 hours each dayThe Oregon average is 5.03 hours
Time from registered nurses: 0.47 hours each dayThe Oregon average is 0.72 hours
Nursing staff who left during one year: 67.5%against the Oregon average of 47.4%
Beds that are certified: 110
Ownership: Limited Liability company (for profit)
Chain: Volare Health, with 16 homes
Street address: 1166 E. 28th Avenue, Eugene, Oregon 97403
County: Lane

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Eight citations dated July 15, 2026

F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F744 Proper Dementia Treatment and Services: immediate danger to residents, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated April 13, 2026

F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Feb. 9, 2026

F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.

Two citations dated Dec. 9, 2025

F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

11 citations dated Aug. 11, 2025

F880 Infection Prevention and Control: immediate danger to residents, widespread.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.

Eight citations dated Oct. 16, 2024

F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

33 citations dated March 22, 2024

F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F851 Submit Accurate Staffing Data to Federal Government: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, one or a few residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F776 Timely Approved X Ray Services: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F577 Access to Inspection Results and Advocates: risk of harm, no one found hurt, a pattern, several residents.
F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.

Eight citations dated April 5, 2019

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
July 15, 2026	Fine	$57,888
Feb. 9, 2026	Fine	$28,870
Aug. 11, 2025	Fine	$79,238

Ownership and Management of the Home

The home is run by Volare Health LLC (operational or managerial control).
The direct 100% owner is Pac 12 Opco Holdco LLC.
Owns a share through another company: Knox Healthcare Pac 12 Holdings LLC.
Owns a share through another company: Pac 12 Holdings LLC.
Owns a share through another company: Pac 12 Pinnacle Holdco LLC.

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 385167. Other homes in Oregon.