Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency Prineville Rehabilitation And Nursing Cent during CMS and state inspections, most recent first.
Failure to supervise a resident during smoking. A resident with COPD and later-documented poor judgment related to smoking was supposed to be supervised, with smoking supplies kept at the nurse's station and staff accompanying the resident to the designated smoking area. However, the resident was observed smoking outside without staff present on multiple occasions, and the DON/DNS and Administrator acknowledged the resident required supervision.
A resident with depressive disorder did not receive a physician-ordered antipsychotic medication for four days due to a delay in the pharmacy receiving the order, resulting in the medication not being started as prescribed.
The facility did not ensure residents received their mail on Saturdays. During a resident council meeting, residents reported not receiving mail on Saturdays. The Activities Director confirmed mail was delivered to the facility Monday through Saturday but only distributed to residents Monday through Friday. The Administrator acknowledged that the previous practice of distributing mail on Saturdays was on hold, leading to this deficiency.
A resident with diabetes did not receive insulin as prescribed due to an LPN following outdated orders, withholding insulin when blood sugar levels were above the current threshold. The DNS confirmed the expectation for nurses to review orders before medication administration.
Failure to Supervise Resident During Smoking
Penalty
Summary
The facility failed to ensure supervision and safety interventions were in place for one resident reviewed for smoking safety. The resident was admitted with diagnoses including COPD, was documented as cognitively intact on the annual MDS, and was later assessed in a smoking safety evaluation as having poor judgment and decision-making skills related to smoking. The care plan indicated the resident was an independent smoker and had to store smoking supplies at the nurse's station, while the smoking safety evaluation stated the resident was to be supervised during smoking periods and return all smoking supplies to the nurse's station at the end of each designated smoke period. Despite these requirements, the resident was observed smoking outside without supervision on multiple occasions. Staff interviews confirmed the resident required supervision for smoking, that staff were to obtain the resident's smoking items from the nurse's station, accompany the resident to the designated smoking area, remain with the resident during the entire smoking period, and return the smoking items to the secured cupboard afterward. The DNS stated the resident had been assessed as requiring supervision due to impulsive decision-making related to smoking and that the care plan was not updated to reflect the change in smoking privilege status until later. The Administrator also observed the resident smoking outside without supervision and acknowledged the resident required supervision while smoking.
Failure to Timely Administer Physician-Ordered Medication
Penalty
Summary
A deficiency occurred when the facility failed to follow a physician's order for a resident with a diagnosis of depressive disorder. The physician ordered Zyprexa 2.5 mg at bedtime on 12/27/24, but the medication was not started until 12/31/24, as indicated by the Medication Administration Record (MAR). The pharmacy technician confirmed that the pharmacy did not receive the order until 12/31/24, resulting in a four-day delay in administering the prescribed antipsychotic medication. The Director of Nursing Services acknowledged that the order was not implemented as written.
Failure to Deliver Mail on Saturdays
Penalty
Summary
The facility failed to ensure that residents received their mail on Saturdays, which was identified during a resident council meeting. Residents reported that their mail was not delivered to them on Saturdays. The Activities Director confirmed that while mail was delivered to the facility from Monday through Saturday, it was only distributed to residents from Monday through Friday. The Administrator acknowledged that the previous practice of distributing mail on Saturdays by housekeeping or activities staff was currently on hold, resulting in residents not receiving their mail on Saturdays.
Failure to Follow Insulin Administration Orders
Penalty
Summary
The facility failed to adhere to physician's orders regarding insulin administration for a resident diagnosed with diabetes, leading to a deficiency in care. The resident, admitted in 2017, had a physician order dated 6/23/23 specifying that insulin aspart should be withheld only if blood sugar levels were below 120. However, the Medication Administration Record (MAR) showed that on multiple occasions between May and August 2024, the insulin was withheld by a Licensed Practical Nurse (LPN) when the resident's blood sugar levels were above 120, contrary to the physician's orders. The LPN responsible for administering the insulin stated that she was following an outdated order to withhold insulin if blood sugar was below 150, indicating a failure to update her practice according to the current physician's orders. The Director of Nursing Services (DNS) acknowledged the error and stated that it was expected for nurses to review physician orders each time they administer medications. This oversight placed the resident at increased risk for hyperglycemia due to the unnecessary withholding of insulin.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Prineville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Redmond Rehabilitation And Nursing Center | 18.3 mi | ★★★★★ | 8 | 0 |
| Willow Creek Post Acute | 26.6 mi | ★★★★★ | 2 | 0 |
| Bend Transitional Care | 27 mi | ★★★★★ | 0 | 0 |
| Pilot Butte Rehabilitation Center | 28 mi | ★★★★★ | 19 | 0 |
| Regency Care Of Central Oregon | 29.2 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.