All states › Oregon › Bend › Pilot Butte Rehabilitation Center
1876 NE Highway 20 Bend, OR 97701 · Deschutes County
All 3 nursing homes in Bend, OR (3 take Medicaid)
CMS certification number 385138 · See this home on Medicare Care Compare
Is Pilot Butte Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Pilot Butte Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Oregon average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.77 hours per resident per day at Pilot Butte Rehabilitation Center, below the Oregon median of 4.98 (US median: 3.72). About 0.76 of those hours are from registered nurses. On weekends it falls to 4.18 hours, 12% below its all-week average. 51.6% of nursing staff left within a year (Oregon median 40.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Pilot Butte Rehabilitation Center: Medicare and Medicaid
Pilot Butte Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oregon's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 19, 2025 and found 5 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 50 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 50 citations at Pilot Butte Rehabilitation Center across 6 inspection dates, 13 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 9, 2024 (complaint inspection). The most common areas cited were quality of life and care (14) and freedom from abuse, neglect, and exploitation (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 9, 2024). 9 citations were under CMS's abuse, neglect and exploitation rules.
June 24, 2026 · 5 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
September 19, 2025 · 8 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 9, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 31, 2024 · 20 citations · includes complaint inspection
EHonor 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.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DImplement 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.
DEnsure that residents are free from significant medication errors.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
April 17, 2024 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 25, 2023 · 13 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FEnsure services provided by the nursing facility meet professional standards of quality.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FPerform COVID19 testing on residents and staff.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care by qualified persons according to each resident's written plan of care.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Questions to ask on a tour of Pilot Butte Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on September 9, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 24, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 51.6% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 57% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,827 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 9, 2024 | Fine | $8,827 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
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Location
Hospitals near Pilot Butte Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.0 mi
St Charles Medical Center - Bend BendEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 53m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Pilot Butte Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Bend Transitional Care · Bend · 5 stars · 1.0 mi
- Regency Care of Central Oregon · Bend · 5 stars · 1.3 mi
Other Regency Pacific Management nursing homes in Oregon
- Regency Care of Central Oregon · Bend · 5 stars
- Regency Redmond Rehabilitation and Nursing Center · Redmond · 5 stars
- Regency Gresham Nursing & Rehabilitation Center · Gresham · 5 stars
- Regency Florence · Florence · 5 stars
- Regency Prineville Rehabilitation and Nursing Center · Prineville · 5 stars
- Regency Care of Rogue Valley · Grants Pass · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Regency Pacific Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.