Quick answers
- Where is Gresham Post Acute Care and Rehabilitation?
- 405 NE 5th Street, Gresham, OR 97030, in Multnomah County, Oregon.
- What is the phone number of Gresham Post Acute Care and Rehabilitation?
- (503) 666-5600, as listed by Medicare (CMS).
- What is the Medicare star rating of Gresham Post Acute Care and Rehabilitation?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Gresham Post Acute Care and Rehabilitation been fined?
- Medicare lists 2 fines totaling $76,801.
- What did inspectors find at Gresham Post Acute Care and Rehabilitation?
- In its last three inspection cycles (May 23, 2023 to December 19, 2025), Medicare lists 51 health citations; the most serious was level J. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 23, 2023 to December 19, 2025), Gresham Post Acute Care and Rehabilitation had 51 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $76,801 in total (2 fines, the latest on June 17, 2025). Nurse staffing is 6.43 hours per resident per day; the Oregon average is 5.13 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 19, 2025 — 19 health citations
Inspections in this cycle: November 24, 2025 (complaint investigation); December 19, 2025 (complaint investigation); December 19, 2025 (standard health inspection).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 18 less serious citations (levels A to F)
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level D
“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.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0700 Level D
“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.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Previous cycle: August 30, 2024 — 13 health citations
Inspections in this cycle: August 30, 2024 (standard health inspection); June 17, 2025 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0758 Level D
“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.”
Earlier cycle: May 23, 2023 — 19 health citations
Inspections in this cycle: May 23, 2023 (standard health inspection); October 31, 2023 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0725 Level J
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Nursing and Physician Services Deficiencies
F0865 Level I
“Have a plan that describes the process for conducting QAPI and QAA activities.”
actual harm to residents; widespread (many residents) · Administration Deficiencies
Show 16 less serious citations (levels A to F)
F0730 Level E
“Observe each nurse aide's job performance and give regular training.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0578 Level 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.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0687 Level D
“Provide appropriate foot care.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0727 Level D
“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.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level D
“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.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (14)
E0007 Level F
“Address patient/client population and determine types of services needed.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0041 Level F
“Implement emergency and standby power systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0753 Level D
“Have restrictions on the use of highly flammable decorations.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0020 Level F
“Establish policies and procedures including evacuation.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Fines and payment denials
Total fines over about the last three years: $76,801 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 17, 2025 | Fine | $19,949 |
| August 30, 2024 | Fine | $56,852 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Oregon | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.06 | 0.76 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.17 | 0.89 | 0.86 |
| Nurse aide hours per resident per day | 4.21 | 3.48 | 2.35 |
| Total nurse staff hours per resident per day | 6.43 | 5.13 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 5.84 | 4.56 | 3.43 |
| RN hours per resident per day on the weekend | 0.94 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 48.3% | 43.5% | 45.3% |
| RN turnover (per year) | 75.0% | 49.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 8 nursing homes: Sapphire Health Services.
Legal business name: Sapphire at Gresham Rehab, LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| Becker, Andrew | Direct owner | 30% | January 6, 2020 |
| Hilty, Lisa | Direct owner | 25% | January 6, 2020 |
| Morris, Bryan | Direct owner | 5% | January 6, 2020 |
| Ricker, Kevin | Direct owner | 40% | January 6, 2020 |
| Sapphire Healthcare SRVS. | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2020 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 78 |
| Average residents per day | 67.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Sapphire Health Services |
| Legal business name | Sapphire at Gresham Rehab, LLC |
| First approved by Medicare/Medicaid | 1989-02-23 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 405 NE 5th Street, Gresham, OR 97030 |
| County | Multnomah County |
| State | Oregon |
| Phone | (503) 666‑5600 |
| CMS Certification Number | 385190 |
| Name in Medicare records | GRESHAM POST ACUTE CARE AND REHABILITATION |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Fairlawn Health and Rehabilitation of Cascadia1.5 mi · Gresham, OR · 5 of 5 stars
- Marquis Centennial Post Acute Rehab1.9 mi · Portland, OR · 5 of 5 stars
- Village Health Care2.5 mi · Gresham, OR · 2 of 5 stars
- Village Manor of Cascadia2.6 mi · Wood Village, OR · 4 of 5 stars
- Regency Gresham Nursing & Rehabilitation Center3.0 mi · Gresham, OR · 5 of 5 stars
Nearest hospital emergency rooms
- Legacy Mount Hood Medical Center1.6 mi · Gresham, OR · Acute Care Hospital
- Adventist Health Portland6.3 mi · Portland, OR · Acute Care Hospital
- Kaiser Sunnyside Medical Center7.8 mi · Clackamas, OR · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13