405 NE 5TH STREET, GRESHAM, OR 97030
78 beds · For profit - Limited Liability company
CMS Provider #385190
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
6.2 hrs/resident
Steady
Inspection findings
20
Fewer issues
Ownership changes
0
Operated by Sapphire Health Services with four individual owners.
Complaint trend
More complaints
Federal records show 22 recent complaint-related inspection findings.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Gresham Post Acute Care and Rehabilitation is a for-profit facility characterized by higher-than-average total nursing hours per resident per day but a high volume of health inspection findings and substantial federal financial penalties.
The data indicates that Gresham Post Acute Care and Rehabilitation maintains staffing levels above state averages, with 6.16 total hours of nursing care per resident per day compared to the Oregon average of 4.95. However, a significant portion of this care is provided by outside agency staff, particularly among registered nurses where 28.1% of work hours are performed by contract personnel. Weekend staffing levels show a decrease from weekday levels, dropping from 6.16 to 5.81 total hours of nursing care per resident per day.\n\nRecords show significant challenges regarding health inspections. The facility holds the lowest possible federal rating for health inspections, with 20 findings in the most recent cycle and 32 in the cycle prior. These findings include two citations at the 'J' severity level, indicating incidents that pose a serious risk to resident health or safety. The facility has also incurred $136,749 in fines over a three-year period. While quality measures align with state averages, the overall data profile is impacted by the high volume of inspection findings and its affiliation with a chain that averages an overall rating of 1.8 out of 5 stars.
The facility recorded 20 inspection findings in the most recent cycle, which is nearly double the Oregon state average of 10.4.
Public records show three federal fines totaling $136,749 issued since 2023, with the most recent penalty occurring in June 2025.
Contract labor for registered nurses accounts for 28.1% of total registered nurse hours, reflecting a reliance on outside agency staffing for high-level care.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 1★ | 1★ | 1★ | |
| Staffing | 4★ | 4★ | 3★ | 1★ | 1★ | 2★ | 3★ | 3★ | 3★ | 3★ | 3★ | |
| Health | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 1★ | 1★ | 1★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 5.0 hrs/resident/day
9.2%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
59
Somewhat Walkable
Transit Score
41
Some Transit
Median Income
$61,285
Median Home Value
$373,800
Poverty Rate
17.7%
Age 65+
16.0%
Median Age
37
Pop. Density
38,947/mi²
Median Rent
$1,541
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 12/19/2025 | 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Minimal harm | 1/22/2026 | Complaint | |
| 12/19/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0584 | Resident Rights Deficiencies | 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. | Minimal harm | 1/22/2026 | Complaint | |
| 12/19/2025 | 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | Minimal harm | 1/22/2026 | Standard | |
| 12/19/2025 | 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Actual harm | 1/22/2026 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
3
Total Fines
$136,749
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 6/17/2025 | Fine | $19,949 | — |
| 8/30/2024 | Fine | $56,852 | — |
| 5/23/2023 | Fine | $59,948 | — |
Ownership structure and changes can affect facility quality.
Facilities in Chain
8
Chain Avg Rating
1.8 ★
Years Operating
37
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| BECKER, ANDY | Individual | — | 30% | 1/6/2020 |
| HILTY, LISA | Individual | — | 25% | 1/6/2020 |
| MORRIS, BRYAN | Individual | — | 5% | 1/6/2020 |
| RICKER, KEVIN | Individual | — | 40% | 1/6/2020 |
| SAPPHIRE HEALTHCARE SRVS. | Organization | — | — | 4/1/2020 |
| FERDOWSALI, KAMERON | Individual | — | — | 1/1/2025 |
| WELKER, DAVID | Individual | — | — | 8/12/2024 |
| BECKER, ANDY | Individual | — | 30% | 1/6/2020 |
| HILTY, LISA | Individual | — | 25% | 1/6/2020 |
| MORRIS, BRYAN | Individual | — | 5% | 1/6/2020 |
| RICKER, KEVIN | Individual | — | 40% | 1/6/2020 |
| SAPPHIRE HEALTHCARE SRVS. | Organization | — | — | 4/1/2020 |
| FERDOWSALI, KAMERON | Individual | — | — | 1/1/2025 |
| WELKER, DAVID | Individual | — | — | 8/12/2024 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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