CEDAR CROSSINGS

CCN 385284 · SAPPHIRE AT CEDAR CROSSINGS, LLC · For profit - Limited Liability company · SAPPHIRE HEALTH SERVICES chain · 89 certified beds · Multnomah · OR


CEDAR CROSSINGS is a 89-bed nursing home in PORTLAND, Oregon. CMS has certified it for Medicare and Medicaid since 2021-07-01. It averages 78.6 residents a day.

What harm was found in the violations cited at CEDAR CROSSINGS?

CMS lists 57 health-inspection deficiencies for CEDAR CROSSINGS, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-22.

Survey dateTagDeficiencySeverity
2026-05-22F0761Ensure 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
2026-05-22F0584, F0605, F0655, F0685, F0755, F0756, F0842Honor 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Assist a resident in gaining access to vision and hearing services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-17F0584, F0689, F0725, F0730, F0761Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / 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
2025-01-17F0684, F0695, F0698, F0756, F0791, F0814, F0880, F0947Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide or obtain dental services for each resident. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2025-01-17F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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.B
2024-10-03F0558, F0626, F0660Reasonably accommodate the needs and preferences of each resident. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Plan the resident's discharge to meet the resident's goals and needs.D
2024-07-17F0684, F0791Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide or obtain dental services for each resident.D
2024-06-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-06-17F0865, F0868Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2024-03-22F0557, F0677Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-11-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-11-09F0842, F0919Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-08-14F0584, F0761, F0880, F0919Honor 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. / 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. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2023-08-14F0550, F0552, F0558, F0609, F0641, F0655, F0677, F0679, F0685, F0689, F0756, F0757, F0758, F0790, F0791, F0806Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D

Why was CEDAR CROSSINGS fined 2 times?

DateTypeAmount
2024-06-17Fine$24,193
2023-11-09Fine$8,190

How is CEDAR CROSSINGS staffed?

MeasureThis facilityOR average
Total nurse staffing hours per resident per day5.237405.03143
Total nursing staff turnover (%)64.547.4
Average number of residents per day78.658.1

Who owns CEDAR CROSSINGS, and what chain is it in?

CEDAR CROSSINGS is registered with CMS as For profit - Limited Liability company, operates under the legal business name SAPPHIRE AT CEDAR CROSSINGS, LLC and belongs to the SAPPHIRE HEALTH SERVICES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBECKER, ANDREW, HILTY, LISA, MORRIS, BRYAN, RICKER, KEVINsince 06/01/2020
OPERATIONAL/MANAGERIAL CONTROLSAPPHIRE HEALTHCARE SRVS., AMES, DEBORAH, MEEKO, MARYsince 01/01/2025
ADP OF THE SNFSAPPHIRE HEALTHCARE SRVS., AMES, DEBORAH, BECKER, ANDREW, HILTY, LISA, MEEKO, MARY, MORRIS, BRYAN, RICKER, KEVINsince 01/01/2025

Were you or a family member harmed at CEDAR CROSSINGS?