CareSentinel

Federal Nursing-Home Survey Record

TIGARD REHABILITATION AND CARE

CCN 385272 · 14145 SW 105TH AVENUE, TIGARD, OR, 97224 · Operated within the SAPPHIRE HEALTH SERVICES chain

Does TIGARD REHABILITATION AND CARE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), TIGARD REHABILITATION AND CARE (CCN 385272), in TIGARD, OR, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). In its current inspection cycle, CMS cited the facility for 11 deficiencies; the most serious carries scope/severity F on CMS's A–L scale. The most recent federal survey on file is dated 2025-01-17. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $35,714 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has flagged this facility with its federal abuse icon.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Federal Abuse Icon

Federal abuse icon on file

CMS displays its abuse icon for facilities it has cited for resident abuse under its own published methodology (deficiency tag F600 and related). This is the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$35,714

CMS has $35,714 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-11-17
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-11-17
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-11-17
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-07-18
CURRENT CYCLE
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-01-17
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-01-17
CURRENT CYCLE
F576S/S D

Ensure residents have reasonable access to and privacy in their use of communication methods.

2025-01-17
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-01-17
CURRENT CYCLE
F730S/S D

Observe each nurse aide's job performance and give regular training.

2025-01-17
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-01-17
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-01-17
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-10-10
HISTORICAL
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2024-05-03
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-04-11
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-12-11
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-12-11
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2023-08-11
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2023-08-11
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-08-11
HISTORICAL
F868S/S F

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2023-08-11
HISTORICAL
F730S/S F

Observe each nurse aide's job performance and give regular training.

2023-08-11
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2023-08-11
HISTORICAL
F584S/S E

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.

2023-08-11
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2023-08-11
HISTORICAL
F814S/S E

Dispose of garbage and refuse properly.

2023-08-11
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2023-08-11
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-08-11
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-08-11
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-08-11
HISTORICAL
F553S/S D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2023-08-11
HISTORICAL
F578S/S D

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.

2023-08-11
HISTORICAL
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2023-05-17
HISTORICAL
F726S/S D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2023-05-17
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-05-17
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-05-17
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-05-17
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2022-06-16
HISTORICAL
F880S/S K

Provide and implement an infection prevention and control program.

2022-06-16
HISTORICAL
F726S/S F

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2022-06-16
HISTORICAL
F730S/S F

Observe each nurse aide's job performance and give regular training.

2022-06-16
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2022-06-16
HISTORICAL
F887S/S D

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.

2022-06-16
HISTORICAL
F578S/S D

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.

2022-06-16
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2022-06-16
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2022-06-16
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2022-06-16
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2022-06-16
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2022-06-16
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at TIGARD REHABILITATION AND CARE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…