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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 52 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 75% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 11 findings, above the OR average of 10.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Royale Gardens Health & Rehabilitation Center (formerly Highland House) receives highly polarized feedback, with some families praising the rehab therapy and specific staff members, while others report severe neglect and unprofessionalism. Common complaints include significant delays in medication administration, poor hygiene, and chronic understaffing that impacts basic patient care. Families should be aware of the stark contrast between positive rehab experiences and reports of unsafe conditions for long-term residents.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
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Distribution · 105 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“My mother has just been placed there 2 days ago. She is not given her medications she has been on for years, including life needing insulin. Her blood sugar is at 500 and they refuse to do anything for her.”
“Highland House provided weeks of A+ care for my wife who needed rehab following brain surgery. Every aspect of her care was over the top.”
“The facility is loud for starters and hard for my father to get any rest. When asking questions about my father’s health the staff could not provide a direct answer.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
16
measures
1
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows concerning patterns with numerous family complaints triggering investigations, though all deficiencies have been corrected. The most recurring problems involve wound care and pressure ulcer prevention, care planning and assessments, and resident protection from abuse or neglect. While the facility addresses issues when cited, the high volume of complaint-driven investigations (37 out of 91 total deficiencies) and repeated problems in critical care areas suggest ongoing quality concerns families should carefully evaluate during visits.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
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.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Mar 13, 2026
$100,580
Fine
Jan 25, 2024
$81,613
Royale Gardens Health & Rehabilitation Center
for profit
Volare Health
16 facilities nationwide
Chain avg rating: 1.7/5 · Rank 4 of 15
Owners
Pac 12 Opco Holdco LLC
Owner · Organization
Knox Healthcare Pac 12 Holdings LLC
Owner (parent company) · Organization
Pac 12 Holdings LLC
Owner (parent company) · Organization
Pac 12 Pinnacle Holdco LLC
Owner (parent company) · Organization
Hagler, Alexander
Owner (parent company)
Knox, Donald
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
52 reviews from families & visitors
Official Website
Visit highlandhousencc.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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