Nursing homes › Oregon › Gresham Post Acute Care and Rehabilitation
405 Ne 5Th Street, Gresham, OR 97030 · 5036665600 · 78 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: 6.25 (Oregon median: 4.96). RN hours: 1.00. Weekend total: 5.69. Nursing staff turnover: 66%.
All-time on record: 51 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2026-01-22 |
| 2025-12-19 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | 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 | complaint | corrected 2026-01-22 |
| 2025-12-19 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-01-22 |
| 2025-12-19 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | 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 rail. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | 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 2026-01-22 |
| 2025-12-19 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | 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. | D | Health | corrected 2026-01-22 |
| 2025-12-19 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-01-22 |
| 2025-11-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-04 |
| 2025-06-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-07-01 |
| 2024-08-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2024-10-14 |
| 2024-08-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-10-14 |
| 2024-08-30 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2024-10-14 |
| 2024-08-30 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | 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. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-10-14 |
| 2024-08-30 | 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 limited. | D | Health | corrected 2024-10-14 |
| 2023-10-31 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2023-12-05 |
| 2023-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2023-06-22 |
| 2023-05-23 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J | Health | corrected 2023-06-22 |
| 2023-05-23 | Have a plan that describes the process for conducting QAPI and QAA activities. | I | Health | corrected 2023-06-22 |
| 2023-05-23 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2023-06-22 |
| 2023-05-23 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-06-22 |
| 2023-05-23 | 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. | D | Health | corrected 2023-06-22 |
| 2023-05-23 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2023-06-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-17 | Fine | $19,949 |
| 2024-08-30 | Fine | $56,852 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BECKER, ANDREW | 5% Or Greater Direct Ownership Interest | Individual | 30% | since 01/06/2020 |
| HILTY, LISA | 5% Or Greater Direct Ownership Interest | Individual | 25% | since 01/06/2020 |
| MORRIS, BRYAN | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 01/06/2020 |
| RICKER, KEVIN | 5% Or Greater Direct Ownership Interest | Individual | 40% | since 01/06/2020 |
| SAPPHIRE HEALTHCARE SRVS. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2020 |
| FERDOWSALI, KAMERON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| WELKER, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/12/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385190. Corrections: data@carerecords.org.