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Nursing home report card · Gresham, OR

Gresham Post Acute Care and Rehabilitation

405 NE 5th Street, Gresham, OR 97030

Call this home: (503) 666-5600

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Below-average Medicare rating

Overall rating is 2 of 5 stars. Its health-inspection rating is 2 of 5. Read the dated inspection findings and separate staffing and care ratings below.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Dec 19, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
2out of 5

Combines inspection, staffing, and care measures.

Below-average Medicare rating

Health inspections
2out of 5

Based on problems found during health inspections.

Below-average Medicare rating

Nursing staff
3out of 5

Based on staffing levels and related measures.

About average for U.S. nursing homes

Health and care results
3out of 5

Based on reported health and care results.

About average for U.S. nursing homes

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
51

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$76,801

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 385190

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    May 23, 2023 · Inspection rule 0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Immediate danger to residents · isolated case

    May 23, 2023 · Inspection rule 0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Caused actual harm · isolated case

    Dec 19, 2025 · Inspection rule 0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
1.00hours per resident per day

about 1 hour per resident per day

All nursing staff
6.25hours per resident per day

about 6 hr 15 min per resident per day

Registered nurse time on weekends
0.92hours per resident per day

about 55 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 2 stars
  • Health inspection rating: 2 stars
  • Staffing rating: 3 stars
  • Registered nurse time per resident: 1 hours/day
  • Total nurse time per resident: 6.25 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Oregon averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents2 citations
  • Caused actual harm4 citations
  • Could have caused harm45 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
51
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Limited Liability company.

  • We do not have individual owner names for this home.

Other homes in this group: All Sapphire Health Services nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

December 19, 202518 findings
  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0552 · code D

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0558 · code D

    Reasonably accommodate the needs and preferences of each resident.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code D

    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.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0604 · code D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0685 · code D

    Assist a resident in gaining access to vision and hearing services.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code D

    Ensure medication error rates are not 5 percent or greater.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0692 · code D

    Provide enough food/fluids to maintain a resident's health.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code D

    Provide safe and appropriate respiratory care for a resident when needed.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0699 · code D

    Provide care or services that was trauma informed and/or culturally competent.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0700 · code D

    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 r…

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

November 24, 20251 finding
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

June 17, 20251 finding
  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

August 30, 202412 findings
  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0947 · code E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0552 · code D

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0623 · code D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0625 · code D

    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.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0655 · code D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

    Ensure services provided by the nursing facility meet professional standards of quality.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0695 · code D

    Provide safe and appropriate respiratory care for a resident when needed.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0758 · code D

    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…

October 31, 20231 finding
  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

May 23, 202318 findings
  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Nursing and Physician Services problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0725 · code J

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • Administration problems
    Caused actual harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0865 · code I

    Have a plan that describes the process for conducting QAPI and QAA activities.

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0730 · code E

    Observe each nurse aide's job performance and give regular training.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0578 · code D

    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 problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0679 · code D

    Provide activities to meet all resident's needs.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0687 · code D

    Provide appropriate foot care.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0698 · code D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • Nursing and Physician Services problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0727 · code D

    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.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0757 · code D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0825 · code D

    Provide or get specialized rehabilitative services as required for a resident.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Jun 17, 2025$19,949
  • Fine · Aug 30, 2024$56,852

Other homes in this chain

Sapphire Health Services · other locations in Oregon

Related topics

Questions about Gresham Post Acute Care and Rehabilitation

What is Gresham Post Acute Care and Rehabilitation's Medicare star rating?
As of August 1, 2026, Gresham Post Acute Care and Rehabilitation in Gresham, Oregon has an overall CMS rating of 2 out of 5 stars. Other CMS scores: health inspection 2 of 5, staffing 3 of 5, quality measures 3 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Gresham Post Acute Care and Rehabilitation been fined?
As of August 1, 2026, the imported penalty records list $76,801 in reported fines for Gresham Post Acute Care and Rehabilitation. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Gresham Post Acute Care and Rehabilitation have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Gresham Post Acute Care and Rehabilitation in Gresham, Oregon.
How does Gresham Post Acute Care and Rehabilitation compare with other nursing homes in Oregon?
Its overall CMS rating is 2 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Oregon report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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