GRESHAM POST ACUTE CARE AND REHABILITATION
GRESHAM POST ACUTE CARE AND REHABILITATION is a 78-bed nursing home in GRESHAM, Oregon. CMS has certified it for Medicare and Medicaid since 1989-02-23. It averages 71.1 residents a day.
What harm was found in the violations cited at GRESHAM POST ACUTE CARE AND REHABILITATION?
CMS lists 51 health-inspection deficiencies for GRESHAM POST ACUTE CARE AND REHABILITATION since 2023-05-23, 33 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 2025-12-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-12-19 | F0552, F0558, F0584, F0604, F0641, F0677, F0684, F0685, F0690, F0692, F0695, F0699, F0700, F0756, F0759, F0761, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / 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. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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. | D |
| 2025-11-24 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-06-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-08-30 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-08-30 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-08-30 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-08-30 | F0552, F0623, F0625, F0641, F0655, F0657, F0658, F0695, F0758 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide 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. / 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 / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2023-10-31 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2023-05-23 | F0689, F0725 | 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. | J |
| 2023-05-23 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | I |
| 2023-05-23 | F0730 | Observe each nurse aide's job performance and give regular training. | E |
| 2023-05-23 | F0550, F0578, F0582, F0679, F0684, F0686, F0687, F0690, F0698, F0727, F0757, F0761, F0825, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 or get specialized rehabilitative services as required for a resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was GRESHAM POST ACUTE CARE AND REHABILITATION fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-06-17 | Fine | $19,949 |
| 2024-08-30 | Fine | $56,852 |
How is GRESHAM POST ACUTE CARE AND REHABILITATION staffed?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 6.25310 | 5.03143 |
| Total nursing staff turnover (%) | 66.2 | 47.4 |
| Average number of residents per day | 71.1 | 58.1 |
Who owns GRESHAM POST ACUTE CARE AND REHABILITATION, and what chain is it in?
GRESHAM POST ACUTE CARE AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name SAPPHIRE AT GRESHAM REHAB, LLC and belongs to the SAPPHIRE HEALTH SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BECKER, ANDREW, HILTY, LISA, MORRIS, BRYAN, RICKER, KEVIN | since 01/06/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | SAPPHIRE HEALTHCARE SRVS., FERDOWSALI, KAMERON, WELKER, DAVID | since 01/01/2025 |
| ADP OF THE SNF | SAPPHIRE HEALTHCARE SRVS., FERDOWSALI, KAMERON, WELKER, DAVID | since 01/01/2025 |
Were you or a family member harmed at GRESHAM POST ACUTE CARE AND REHABILITATION?