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Nursing Home · Bend, OR
1876 Ne Highway 20, Mountain View · Bend, OR 97701
Map location from our source data
Medicare overall rating
1 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
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Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 74 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
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Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
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Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Pilot Butte Rehabilitation Center receives highly polarized feedback, with recent reviews showing a sharp divide between praise for the physical therapy team and severe concerns regarding basic patient care and administrative responsiveness. While some families report successful rehab outcomes and attentive staff, others describe alarming incidents of neglect, poor communication, and unprofessional management. The facility's reputation appears volatile, with significant complaints regarding the consistency of care and the quality of the environment.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Feedback is split between praise for therapy staff and severe criticism of nursing and management.
Multiple reviewers reported difficulty reaching staff by phone and poor internal communication.
While one reviewer noted it was clean, others reported patients left in their own waste.
Reviewers mentioned cold food and failure to follow dietary restrictions.
One reviewer noted a good variety of activities occurring in the facility.
Concerns were raised regarding the failure to properly hydrate a patient on a feeding tube.
A reviewer described a failure to protect a confused patient from falls, labeling the response as inadequate.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 35 analyzed
Key Review Excerpts
“The Rehab team seems good. The nurses and CNA's very dutiful but overwhelmed. But there is a clear failure on the part of their administration and their physicians.”
“I was surprised to see so many workers around interacting with patients every time I came in. I am pleasantly surprised that we had such good communication from staff, when our dad was there.”
“I watched my dad go into rehab by stretcher and by the time he was done, he WALKED out the front door.”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents vaccinated for the flu
Residents whose walking got worse
Residents with a long-term catheter
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Pilot Butte has concerning patterns with multiple families filing complaints, particularly about resident protection from abuse and neglect, plus accident prevention failures. The facility shows recurring issues across safety supervision, infection control, and food service that persist across multiple surveys from 2023-2024. While all deficiencies show correction dates, the repeated problems in critical care areas and complaint-driven investigations suggest ongoing operational challenges families should carefully consider.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Meet other general requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Sep 9, 2024
$8,827
Pilot Butte Rehabilitation Center
for profit
Regency Pacific Management
27 facilities nationwide
Chain avg rating: 3.6/5 · Rank 25 of 27
Owners
Bd Facilities LLC
Owner · Organization
Beddoe, Marvin
Owner (parent company)
Beddoe, Sandra
Owner (parent company)
Beddoe, Marvin
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with the state licensing agency. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit regency-pacific.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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