Oregon › Multnomah County › Gresham
Gresham Post Acute Care and Rehabilitation
405 Ne 5th Street, Gresham, OR 97030
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 78 beds, Gresham Post Acute Care and Rehabilitation serves Gresham in Multnomah County, Oregon and has taken Medicare and Medicaid residents since 1989.
CMS gives it 2 of 5 stars overall, below the Oregon median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (19, 13, 19 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 65.4 per 100 beds, more than the state median of 40.0.
CMS lists 2 penalties in the period covered: fines totalling $77K.
Reported nurse staffing is 6.3 hours per resident per day (1.0 RN), above the Oregon median of 5.0; nursing staff turnover is 66.2%.
Compared with county, state and nation
| Measure | This facility | Multnomah Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 34 | 32 | 28.7 |
| Citations per 100 beds | 65.4 | 41.5 | 40.0 | 26.8 |
| Total nurse hours per resident day | 6.3 | 5.0 | 5.0 | 3.9 |
| RN hours per resident day | 1.0 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 66.2% | 47.1% | 45.9% | 45.8% |
| Fines listed | $76,801 | $0 | $4,194 | — |
County and state figures are medians across facilities (33 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Dec 2025, 30 Aug 2024.
Severity mix: J ×2 G ×3 I ×1 D ×42 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0584 | 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. | D | Complaint investigation | 22 Jan 2026 |
| 19 Dec 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Jan 2026 |
| 19 Dec 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 22 Jan 2026 |
| 19 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Jan 2026 |
| 24 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Dec 2025 |
| 17 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 1 Jul 2025 |
| 30 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Oct 2024 |
| 30 Aug 2024 | F0758 | 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. | D | Standard survey | 14 Oct 2024 |
| 31 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 5 Dec 2023 |
| 23 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | I | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0578 | 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. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0727 | 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. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 22 Jun 2023 |
| 23 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Jun 2025 | Fine | $19,949 | |
| 30 Aug 2024 | Fine | $56,852 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 66.2%, RNs 73.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.9% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.6% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.1% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Sapphire At Gresham Rehab, Llc. Chain: Sapphire Health Services (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sapphire Healthcare Srvs. | Operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| Sapphire Healthcare Srvs. | Adp of the snf | NOT APPLICABLE | 10/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Multnomah County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fairlawn Health and Rehabilitation of Cascadia | Gresham | 82 | 5 | 4 | 5 | 27 | 32.9 | — | 27 Mar 2026 |
| Holladay Park Plaza | Portland | 51 | 5 | 5 | 5 | 18 | 35.3 | — | 30 Jun 2026 |
| Marquis Centennial Post Acute Rehab | Portland | 80 | 5 | 4 | 5 | 19 | 23.8 | $10K | 24 Mar 2026 |
| Marquis Vermont Hills | Portland | 73 | 5 | 5 | 5 | 13 | 17.8 | — | 22 May 2026 |
| Mirabella Portland | Portland | 44 | 5 | 5 | 5 | 8 | 18.2 | — | 27 Mar 2026 |
| Providence Child Center | Portland | 58 | 5 | 5 | — | 13 | 22.4 | $13K | 19 Apr 2024 |
| Reedwood Post Acute | Portland | 64 | 5 | 5 | 5 | 11 | 17.2 | — | 7 Mar 2024 |
| Regency Gresham Nursing & Rehabilitation Center | Gresham | 128 | 5 | 4 | 5 | 21 | 16.4 | — | 19 Sep 2025 |
All 33 facilities in Multnomah County
Questions and answers
How many deficiencies has Gresham Post Acute Care and Rehabilitation been cited for?
51 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.
Has Gresham Post Acute Care and Rehabilitation been fined?
Yes. CMS lists fines totalling $77K in the period covered.
How does staffing at Gresham Post Acute Care and Rehabilitation compare?
Reported total nurse staffing is 6.3 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Gresham Post Acute Care and Rehabilitation?
It is part of the Sapphire Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sapphire Healthcare Srvs.. Individual owners and managers are not listed on this site.
When was Gresham Post Acute Care and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 19 Dec 2025; the most recent standard health survey was 19 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.