TIGARD REHABILITATION AND CARE
TIGARD REHABILITATION AND CARE is a 112-bed nursing home in TIGARD, Oregon. CMS has certified it for Medicare and Medicaid since 2006-04-01. It averages 65.8 residents a day.
What harm was found in the violations cited at TIGARD REHABILITATION AND CARE?
CMS lists 44 health-inspection deficiencies for TIGARD REHABILITATION AND CARE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-11 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2026-05-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2026-05-11 | F0658, F0761, F0812 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-05-11 | F0605, F0656, F0684, F0688, F0757, F0842, F0883, F0887 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. | D |
| 2025-11-17 | F0684, F0686, F0755 | 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-07-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-01-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-01-17 | F0552, F0576, F0656, F0684, F0692, F0730 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Observe each nurse aide's job performance and give regular training. | D |
| 2024-10-10 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2024-05-03 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-04-11 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-12-11 | F0689, F0740 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2023-08-11 | F0730, F0812, F0868, F0880 | Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. | F |
| 2023-08-11 | F0584, F0759, F0804, F0814, F0947 | 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 medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Dispose of garbage and refuse properly. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2023-08-11 | F0553, F0578, F0582, F0684, F0689, F0842 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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 appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was TIGARD REHABILITATION AND CARE fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-05-11 | Fine | $19,620 |
| 2026-05-11 | Fine | $14,175 |
| 2025-04-18 | Fine | $35,714 |
How is TIGARD REHABILITATION AND CARE staffed?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.07987 | 5.03143 |
| Total nursing staff turnover (%) | 58.6 | 47.4 |
| Average number of residents per day | 65.8 | 58.1 |
Who owns TIGARD REHABILITATION AND CARE, and what chain is it in?
TIGARD REHABILITATION AND CARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name SAPPHIRE AT TIGARD 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 12/13/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | SAPPHIRE HEALTHCARE SRVS., LARSON, DAVID, ZHENG, JEFFREY | since 08/01/2023 |
| ADP OF THE SNF | SAPPHIRE HEALTHCARE SRVS., LARSON, DAVID, ZHENG, JEFFREY | since 05/23/2025 |
Were you or a family member harmed at TIGARD REHABILITATION AND CARE?