South Hills Rehabilitation Center
1166 E. 28th Avenue, Eugene, OR 97403 · (541) 345-0534
For profit - Limited Liability company · 110 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
South Hills Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 11 citations, 1 for actual harm or immediate jeopardy (the Oregon average is 9.2). It was fined 3 times in the last three years, $165,996 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 11, 2025 found 11 citations. What an inspection citation means
- Provide and implement an infection prevention and control program.August 11, 2025 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 11, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.August 11, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 11, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 11, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 11, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.August 11, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 11, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 11, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.August 11, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 36 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 15, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 15, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.July 15, 2026 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.July 15, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 15, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.July 15, 2026 · F0744 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.July 15, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.July 15, 2026 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 13, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 13, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 13, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2026 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 9, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 16, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 16, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.October 16, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.October 16, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 16, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 16, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Post nurse staffing information every day.October 16, 2024 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 16, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.March 22, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 22, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 22, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 22, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 22, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 22, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 22, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.March 22, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.March 22, 2024 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.March 22, 2024 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.March 22, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.March 22, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.March 22, 2024 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $57,888July 15, 2026
- Fine of $28,870February 9, 2026
- Fine of $79,238August 11, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Oregon average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.72 | 5.03 | 3.86 |
| Registered nurses (RN) | 0.47 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 1.14 | 0.91 | 0.86 |
| Nurse aides | 3.11 | 3.40 | 2.32 |
| Total nursing staff turnover | 67.5% | 47.4% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 110 |
| Average residents per day | 76.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Creekside Health and Rehabilitation of Cascadia Eugene · ★★★★★ 5 out of 5 stars
- Cascade Manor Eugene · ★★★★★ 4 out of 5 stars
- Hillside Heights Rehabilitation Center Eugene · ★★★★★ 3 out of 5 stars
- Avamere Riverpark of Eugene Eugene · ★★★★★ 2 out of 5 stars
- Valley West Health Care Center Eugene · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from South Hills Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.