FERNHILL REHABILITATION AND CARE

CMS abuse icon · CCN 385237 · SAPPHIRE AT FERNHILL LLC · For profit - Corporation · SAPPHIRE HEALTH SERVICES chain · 63 certified beds · Multnomah · OR


FERNHILL REHABILITATION AND CARE is a 63-bed nursing home in PORTLAND, Oregon. CMS has certified it for Medicare and Medicaid since 1993-07-01. It averages 44.3 residents a day.

What harm was found in the violations cited at FERNHILL REHABILITATION AND CARE?

CMS lists 60 health-inspection deficiencies for FERNHILL REHABILITATION AND CARE since 2022-12-20, 44 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-08-08.

Survey dateTagDeficiencySeverity
2025-08-08F0565, F0585, F0812Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-08-08F0557, F0584, F0600, F0609, F0641, F0656, F0679, F0685, F0791Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide or obtain dental services for each resident.D
2025-08-08F0732Post nurse staffing information every day.B
2025-06-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-04-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-04-28F0600, F0760Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that residents are free from significant medication errors.D
2024-12-05F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-22F0584, F0645, F0679, F0804, F0809, F0867Honor 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide activities to meet all resident's needs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2024-03-22F0550, F0554, F0561, F0583, F0602, F0636, F0641, F0656, F0657, F0677, F0684, F0688, F0689, F0697, F0698, F0759, F0880, F0580, F0600Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Keep residents' personal and medical records private and confidential. / Protect each resident from the wrongful use of the resident's belongings or money. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2022-12-20F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2022-12-20F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2022-12-20F0552, F0559, F0600, F0604, F0636, F0657, F0676, F0679, F0688, F0758, F0759, F0825, F0880, F0883Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / 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. / 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. / Ensure medication error rates are not 5 percent or greater. / Provide or get specialized rehabilitative services as required for a resident. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was FERNHILL REHABILITATION AND CARE fined?

DateTypeAmount
2025-04-28Fine$8,278

How is FERNHILL REHABILITATION AND CARE staffed relative to the OR average?

MeasureThis facilityOR average
Total nurse staffing hours per resident per day5.008995.03143
Total nursing staff turnover (%)64.047.4
Average number of residents per day44.358.1

Who owns FERNHILL REHABILITATION AND CARE, and what chain is it in?

FERNHILL REHABILITATION AND CARE is registered with CMS as For profit - Corporation, operates under the legal business name SAPPHIRE AT FERNHILL LLC and belongs to the SAPPHIRE HEALTH SERVICES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBECKER, ANDREW, HILTY, LISA, MORRIS, BRYAN, RICKER, KEVINsince 09/01/2023
OPERATIONAL/MANAGERIAL CONTROLSAPPHIRE HEALTHCARE SRVS., BHUMKAR, NISHITA, MCKAY, ALEXsince 01/01/2025
ADP OF THE SNFSAPPHIRE HEALTHCARE SRVS., BHUMKAR, NISHITA, MCKAY, ALEXsince 01/01/2025

Were you or a family member harmed at FERNHILL REHABILITATION AND CARE?