Nursing homes › Oregon › Cedar Crossings
6003 Se 136Th Avenue, Portland, OR 97236 · 9719781268 · 89 certified beds
Per CMS filings, this facility is affiliated with Sapphire Health Services, a group operating 8 facilities in 1 states. Group record: average rating 1.8/5, 3 abuse citation icons, 1 facilities on the Special Focus list, $246,111 in federal fines. This facility rates above its group average (1.8/5).
Total nurse staffing: 5.24 (Oregon median: 4.96). RN hours: 0.42. Weekend total: 4.69. Nursing staff turnover: 64%.
All-time on record: 57 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-22 | 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. | E | Health | corrected 2026-06-23 |
| 2026-05-22 | 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 | Health | corrected 2026-06-23 |
| 2026-05-22 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-06-23 |
| 2026-05-22 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-06-23 |
| 2026-05-22 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2026-06-23 |
| 2026-05-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-06-23 |
| 2026-05-22 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-06-23 |
| 2026-05-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-06-23 |
| 2026-04-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-28 |
| 2025-01-17 | 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. | E | complaint | corrected 2025-03-06 |
| 2025-01-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-03-06 |
| 2025-01-17 | Observe each nurse aide's job performance and give regular training. | E | complaint | corrected 2025-03-06 |
| 2025-01-17 | 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. | E | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-03-06 |
| 2025-01-17 | Dispose of garbage and refuse properly. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | complaint | corrected 2025-03-06 |
| 2025-01-17 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | complaint | corrected 2025-03-06 |
| 2025-01-17 | 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. | B | complaint | corrected 2025-03-06 |
| 2024-10-03 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2024-11-04 |
| 2024-10-03 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-11-04 |
| 2024-10-03 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2024-11-04 |
| 2024-07-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-16 |
| 2024-07-17 | Provide or obtain dental services for each resident. | D | complaint | corrected 2024-08-16 |
| 2024-06-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-07-10 |
| 2024-06-17 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | complaint | corrected 2024-07-10 |
| 2024-06-17 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | complaint | corrected 2024-07-10 |
| 2024-03-22 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-04-05 |
| 2024-03-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-04-05 |
| 2023-11-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2023-12-07 |
| 2023-11-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2023-12-07 |
| 2023-11-09 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2023-12-07 |
| 2023-08-14 | 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. | E | Health | corrected 2023-09-29 |
| 2023-08-14 | 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. | E | Health | corrected 2023-09-29 |
| 2023-08-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-09-29 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-17 | Fine | $24,193 |
| 2023-11-09 | Fine | $8,190 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BECKER, ANDREW | 5% Or Greater Direct Ownership Interest | Individual | 30% | since 06/01/2020 |
| HILTY, LISA | 5% Or Greater Direct Ownership Interest | Individual | 25% | since 06/01/2020 |
| MORRIS, BRYAN | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 06/01/2020 |
| RICKER, KEVIN | 5% Or Greater Direct Ownership Interest | Individual | 40% | since 07/01/2020 |
| SAPPHIRE HEALTHCARE SRVS. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/04/2021 |
| AMES, DEBORAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MEEKO, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/15/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385284. Corrections: data@carerecords.org.