Nursing homes › Oregon › Tigard Rehabilitation and Care
14145 Sw 105th Avenue, Tigard, OR 97224 · (503) 639-1144 · 112 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 127 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Sapphire Health Services, a group operating 8 facilities in 1 state. Group record: average rating 1.9/5, 2 abuse citation icons, 1 facility on the Special Focus list, $186,971 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 5.08 (Oregon median: 4.95). RN hours: 0.47. Weekend total: 4.73. Nursing staff turnover: 59%.
In the downloaded CMS dataset: 44 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-11 | Provide and implement an infection prevention and control program. | K | Health | corrected 2026-05-09 |
| 2026-05-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-05-09 |
| 2026-05-11 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-05-18 |
| 2026-05-11 | 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 2026-05-18 |
| 2026-05-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-18 |
| 2026-05-11 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Provide 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. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2026-05-18 |
| 2026-05-11 | Educate 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 member's vaccination status. | D | Health | corrected 2026-05-18 |
| 2025-11-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-17 |
| 2025-11-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-12-17 |
| 2025-11-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-01 |
| 2025-07-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-08-20 |
| 2025-01-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-03 |
| 2025-01-17 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-03-03 |
| 2025-01-17 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2025-03-03 |
| 2025-01-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-03-03 |
| 2025-01-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-03-03 |
| 2025-01-17 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-03-03 |
| 2025-01-17 | Observe each nurse aide's job performance and give regular training. | D | complaint | corrected 2025-03-03 |
| 2024-10-10 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-11-05 |
| 2024-05-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-06-04 |
| 2024-04-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-05-14 |
| 2023-12-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-01-16 |
| 2023-12-11 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2024-01-16 |
| 2023-08-11 | Observe each nurse aide's job performance and give regular training. | F | complaint | corrected 2023-09-19 |
| 2023-08-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2023-09-19 |
| 2023-08-11 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | complaint | corrected 2023-09-19 |
| 2023-08-11 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2023-09-19 |
| 2023-08-11 | 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 2023-09-19 |
| 2023-08-11 | Ensure medication error rates are not 5 percent or greater. | E | complaint | corrected 2023-09-19 |
| 2023-08-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2023-09-19 |
| 2023-08-11 | Dispose of garbage and refuse properly. | E | complaint | corrected 2023-09-19 |
| 2023-08-11 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | complaint | corrected 2023-09-19 |
| 2023-08-11 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | complaint | corrected 2023-09-19 |
| 2023-08-11 | 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 | complaint | corrected 2023-09-19 |
| Date | Type | Amount |
|---|---|---|
| 2026-05-11 | Fine | $14,175 |
| 2026-05-11 | Fine | $19,620 |
| 2025-04-18 | Fine | $35,714 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BECKER, ANDREW | 5% Or Greater Direct Ownership Interest | Individual | 30% | since 12/13/2022 |
| HILTY, LISA | 5% Or Greater Direct Ownership Interest | Individual | 25% | since 12/13/2022 |
| MORRIS, BRYAN | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 12/13/2022 |
| RICKER, KEVIN | 5% Or Greater Direct Ownership Interest | Individual | 40% | since 12/13/2022 |
| SAPPHIRE HEALTHCARE SRVS. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2023 |
| LARSON, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
| ZHENG, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/10/2024 |
How to cite this page: CareRecords, “Tigard Rehabilitation and Care — compliance, penalty and ownership record” (CCN 385272), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/tigard-rehabilitation-and-care-tigard-or/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385272. Corrections: data@carerecords.org.