Nursing HomeInspections

Gresham Post Acute Care and Rehabilitation

Nursing home in Gresham, OR

Medicare & Medicaid certified2★ overall (CMS)

Call (503) 666-5600Send a messageMap ↗

Public-record details

Address
405 Ne 5th Street, Gresham, OR 97030
Phone
(503) 666-5600
Listed under
For-profit
Medicare CCN
385190
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
78
Average residents per day
71
Ownership
For-profit, limited Liability company
Legal business name
Sapphire at Gresham Rehab, LLC
Chain
Sapphire Health Services (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 23, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 385190. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 19, 2025. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 23, 2023 to Dec 19, 2025): 5 from complaint inspections, 6 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 19, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 19, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 19, 2025Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 19, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Dec 19, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 19, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide 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
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 19, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 51. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $76,801 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.25 hours
Registered nurse (RN) time per resident per day
1.00 hours
Nurse aide time per resident per day
4.12 hours
Total nurse staffing on weekends
5.69 hours
Nursing staff turnover (yearly)
66%
RN turnover (yearly)
74%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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