Nursing HomeInspections

Tigard Rehabilitation and Care

Nursing home in Tigard, OR

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address
14145 Sw 105th Avenue, Tigard, OR 97224
Phone
(503) 639-1144
Listed under
For-profit
Medicare CCN
385272
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
112
Average residents per day
66
Ownership
For-profit, limited Liability company
Legal business name
Sapphire at Tigard Rehab LLC
Chain
Sapphire Health Services (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 2006
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 385272. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 11, 2026. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 11, 2023 to May 11, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
May 11, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 11, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 11, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 11, 2026Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 11, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 11, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 11, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
May 11, 2026Educate 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…
Infection Control		D
Potential for more than minimal harm, isolated
May 11, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 11, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 11, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 11, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 44. 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 Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $57,681 in the last three years.

May 11, 2026Fine: $9,214
May 11, 2026Fine: $12,753
Apr 18, 2025Fine: $35,714

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

Staffing

Total nurse staffing per resident per day
5.41 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
3.86 hours
Total nurse staffing on weekends
4.91 hours
Nursing staff turnover (yearly)
36%
RN turnover (yearly)
70%

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.

Other nursing homes in Tigard

Avamere Rehabilitation of King City16485 Sw Pacific Highway · Tigard, OR 97224 · (503) 620-5141 · For-profit37 health citations in 3 inspection cycles · last standard inspection Dec 5, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 2 in Tigard →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error