Elder Care Record

Oregon › Washington County › Tigard

Tigard Rehabilitation and Care

14145 Sw 105th Avenue, Tigard, OR 97224

CCN 385272 · For-profit, limited liability company · 112 certified beds · chain Sapphire Health Services

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 112 beds, Tigard Rehabilitation and Care serves Tigard in Washington County, Oregon and has taken Medicare and Medicaid residents since 2006.

CMS gives it 1 of 5 stars overall, below the Oregon median of 3; the health inspection rating is 1, staffing 3 and quality measures 2.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (16, 9, 19 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 39.3 per 100 beds, about the same as the state median of 40.0.

CMS lists 3 penalties in the period covered: fines totalling $70K.

Reported nurse staffing is 5.1 hours per resident per day (0.5 RN), close to the Oregon median of 5.0; nursing staff turnover is 58.6%.

CMS flags that the facility is a Special Focus Facility candidate.

44health deficiencies, 3 survey cycles2 at actual harm or worse
$70Kfines listed by CMS3 penalties in period
5.1nurse hours per resident per daystate median 5.0
59%occupancy (residents ÷ beds)66 residents a day

Compared with county, state and nation

MeasureThis facilityWashington Co. medianOregon medianUS average
Overall star rating1433.0
Health citations, 3 cycles44233228.7
Citations per 100 beds39.322.340.026.8
Total nurse hours per resident day5.14.75.03.9
RN hours per resident day0.50.70.60.7
Nursing staff turnover58.6%38.8%45.9%45.8%
Fines listed$69,509$13,065$4,194—

County and state figures are medians across facilities (9 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 29
Cycle 319

Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 May 2026, 17 Jan 2025.

Severity mix: J ×1 K ×1 D ×29 E ×8 F ×5

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 May 2026F0880Provide and implement an infection prevention and control program.KStandard survey9 May 2026
11 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation9 May 2026
11 May 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey18 May 2026
11 May 2026F0761Ensure 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.EStandard survey18 May 2026
11 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 May 2026
11 May 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey18 May 2026
11 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 May 2026
11 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 May 2026
11 May 2026F0688Provide 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.DStandard survey18 May 2026
11 May 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey18 May 2026
11 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 May 2026
11 May 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey18 May 2026
11 May 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey18 May 2026
17 Nov 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Dec 2025
17 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Dec 2025
17 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Apr 2025
18 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation20 Aug 2025
17 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Mar 2025
17 Jan 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey3 Mar 2025
17 Jan 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard survey3 Mar 2025
17 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Mar 2025
17 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Mar 2025
17 Jan 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation3 Mar 2025
17 Jan 2025F0730Observe each nurse aide's job performance and give regular training.DComplaint investigation3 Mar 2025
10 Oct 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation5 Nov 2024
3 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation4 Jun 2024
11 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation14 May 2024
11 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation16 Jan 2024
11 Dec 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation16 Jan 2024
11 Aug 2023F0730Observe each nurse aide's job performance and give regular training.FComplaint investigation19 Sep 2023
11 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation19 Sep 2023
11 Aug 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint investigation19 Sep 2023
11 Aug 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation19 Sep 2023
11 Aug 2023F0584Honor 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.EComplaint investigation19 Sep 2023
11 Aug 2023F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation19 Sep 2023
11 Aug 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation19 Sep 2023
11 Aug 2023F0814Dispose of garbage and refuse properly.EComplaint investigation19 Sep 2023
11 Aug 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation19 Sep 2023
11 Aug 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint investigation19 Sep 2023
11 Aug 2023F0578Honor 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.DComplaint investigation19 Sep 2023
11 Aug 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation19 Sep 2023
11 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Sep 2023
11 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Sep 2023
11 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation19 Sep 2023

Penalties

DateTypeAmountDetail
11 May 2026Fine$19,620
11 May 2026Fine$14,175
18 Apr 2025Fine$35,714

Staffing

Total nursing5.08 h
Nurse aides3.69 h
LPN0.92 h
RN0.47 h
Weekend total4.73 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 58.6%, RNs 70.0%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOregon medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.7%14.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%0.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%1.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%2.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.5%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay7.9%19.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.2%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.8%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 Tigard Rehab Llc. Chain: Sapphire Health Services (8 facilities).

OrganisationRole in the CMS recordInterestSince
Sapphire Healthcare Srvs.Operational/managerial controlNOT APPLICABLE08/01/2023
Sapphire Healthcare Srvs.Adp of the snfNOT APPLICABLE05/23/2025

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 Washington County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Beaverton Post Acute Care of CascadiaBeaverton1045452019.2—17 Jun 2026
Marquis Autumn Hills Memory CarePortland395451538.5$223K27 Feb 2026
Marquis Forest Grove Post Acute RehabForest Grove6354569.5$13K10 Apr 2026
Avamere Rehabilitation of King CityTigard1484343322.3—20 Feb 2026
Forest Grove Post AcuteForest Grove1144442320.2—11 Jun 2026
Hillsboro Health and RehabilitationHillsboro784442734.6—12 Aug 2025
MaryvilleBeaverton1654352313.9$107K23 Apr 2026
Avamere Rehabilitation of HillsboroHillsboro873254046.0$22K11 May 2026

All 9 facilities in Washington County

Questions and answers

How many deficiencies has Tigard Rehabilitation and Care been cited for?

44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.

Has Tigard Rehabilitation and Care been fined?

Yes. CMS lists fines totalling $70K in the period covered.

How does staffing at Tigard Rehabilitation and Care compare?

Reported total nurse staffing is 5.1 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.

Who operates Tigard Rehabilitation and Care?

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 Tigard Rehabilitation and Care last inspected?

The most recent survey or investigation in the CMS record is dated 11 May 2026; the most recent standard health survey was 11 May 2026.

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.