Gresham Post Acute Care and Rehabilitation

Nursing Home · Gresham, OR

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number385190

Contact & location

405 NE 5TH Street
Gresham, OR 97030
Multnomah County
Phone
(503) 666-5600
ZIP code
97030 – all care providers

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Facility details

Certified beds
78
Residents per day
71.1 (91% occupied)
Ownership
For profit - Limited Liability company
Legal name
Sapphire at Gresham Rehab, LLC
Chain
Sapphire Health Services (8 facilities, avg 1.9★)
Medicare certified since
February 23, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.9
Quality measures★★★★★ 3/5
State avg 3.5
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
6.25 (state 5.03 · U.S. 3.86)
Registered nurses (RN)
1.00 (state 0.72 · U.S. 0.69)
Licensed practical nurses
1.13 (state 0.91 · U.S. 0.86)
Nurse aides
4.12 (state 3.40 · U.S. 2.32)
Weekend total
5.69 (state 4.51 · U.S. 3.42)
Nursing staff turnover
66.2 (state 47.4 · U.S. 45.8)%
RN turnover
73.7 (state 51.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 19, 2025
Health deficiencies (last cycle)
19.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
51 health · 14 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-12-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2026-01-22
2025-12-19 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-12-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-22
2025-11-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-04
2025-06-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-01
2024-08-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0947 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-14
2024-08-30 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-14
2024-08-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-14
2024-08-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-14
2024-08-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 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.
F0725 · Nursing and Physician Services Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-06-22
2023-05-23 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 I
Actual harm		 Corrected 2023-06-22
2023-05-23 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22
2023-05-23 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $76,801 in fines.

DateTypeAmount
2025-06-17Fine$19,949
2024-08-30Fine$56,852

Ownership & management

NameRoleSince
Becker, Andrew (individual)5%+ Direct Ownership Interest · 30%
Hilty, Lisa (individual)5%+ Direct Ownership Interest · 25%
Morris, Bryan (individual)5%+ Direct Ownership Interest · 5%
Ricker, Kevin (individual)5%+ Direct Ownership Interest · 40%
Ferdowsali, Kameron (individual)Administrator · NOT APPLICABLE
Sapphire Healthcare Srvs. (organization)Administrator · NOT APPLICABLE
Welker, David (individual)Administrator · NOT APPLICABLE
Ferdowsali, Kameron (individual)Operational/managerial Control · NOT APPLICABLE
Sapphire Healthcare Srvs. (organization)Operational/managerial Control · NOT APPLICABLE
Welker, David (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Gresham Post Acute Care and Rehabilitation?

Gresham Post Acute Care and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Oregon.

How many beds does Gresham Post Acute Care and Rehabilitation have?

It has 78 certified beds and cares for about 71 residents per day.

Has Gresham Post Acute Care and Rehabilitation been fined?

Yes. CMS lists 2 penalties totaling $76,801 in the last three years.

Who owns Gresham Post Acute Care and Rehabilitation?

It is part of Sapphire Health Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Gresham Post Acute Care and Rehabilitation?

(503) 666-5600. The facility is located at 405 NE 5TH Street, Gresham, OR 97030.

Other nursing homes in Gresham

Compare all nursing homes in Gresham, OR →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.