Skilled Nursing

PILOT BUTTE REHABILITATION CENTER

1876 NE HIGHWAY 20, BEND, OR 97701

74beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

4.2h

Hrs/resident · weekday

Expected: 5.1h

4.3h

Hrs/resident · weekend

vs 4.2h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
46%
LPNs
CNAs
56%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JSep 9, 2024

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

Corrected: Sep 10, 2024

31 standard deficiencies in the last 3 years

View all
0880Severity ESep 19, 2025

Provide and implement an infection prevention and control program.

0812Severity ESep 19, 2025

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

0689Severity ESep 19, 2025

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

0684Severity DSep 19, 2025

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

0628Severity DSep 19, 2025

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

0609Severity DSep 19, 2025

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

0600Severity DSep 19, 2025

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

0552Severity DSep 19, 2025

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

0883Severity DMay 31, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0812Severity EMay 31, 2024

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

0806Severity DMay 31, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0804Severity EMay 31, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity EMay 31, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0760Severity DMay 31, 2024

Ensure that residents are free from significant medication errors.

0758Severity DMay 31, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0745Severity DMay 31, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0698Severity DMay 31, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity DMay 31, 2024

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

0686Severity DMay 31, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0685Severity DMay 31, 2024

Assist a resident in gaining access to vision and hearing services.

0684Severity DMay 31, 2024

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

0657Severity DMay 31, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0600Severity DMay 31, 2024

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

0584Severity EMay 31, 2024

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.

0582Severity DMay 31, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0578Severity DMay 31, 2024

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.

0561Severity DMay 31, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0552Severity DMay 31, 2024

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

0689Severity DApr 17, 2024

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

0610Severity DApr 17, 2024

Respond appropriately to all alleged violations.

0609Severity DApr 17, 2024

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

BD BEND II LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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