Nursing home
Gateway Care and Retirement
39 Ne 102Nd Avenue, Portland, OR 97220 · Map
For profit - Limited Liability company · Part of Sapphire Health Services (8 facilities) · 59 certified beds
Gateway Care and Retirement is a Medicare-certified nursing home in Portland, Oregon. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 5.04 hours per resident per day, above the Oregon average of 4.95. Its most recent inspection on May 12, 2025 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Gateway Care and Retirement compares
This facility vs. the Oregon and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Oregon avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.04 | 4.95 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.68 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.69 | 3.37 | 2.34 | above avg |
| Nursing staff turnover | —% | 49.1% | 46.4% | — |
| Deficiencies cited, last inspection | 11.0 | 10.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 15, 2025 inspection was corrected by August 8, 2025
What inspectors found at Gateway Care and Retirement
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 15, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 12, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · May 12, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 39 Ne 102Nd Avenue
Portland, OR 97220 - CMS certification #
- 385268
- Ownership
- For profit - Limited Liability company
- Certified beds
- 59
- Avg residents/day
- 56.9
- Provider type
- Medicare and Medicaid
- First certified
- 2003-09-01
- Chain
- Sapphire Health Services (8 facilities)
- Setting
- Urban
Part of Sapphire Health Services
Sapphire Health Services operates 8 nursing facilities across the United States. View all Sapphire Health Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Gateway Care and Retirement using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, transportation
- Workplace safety 4 OSHA workplace safety inspections since 2017, 9 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Gateway Care and Retirement says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite, Hospice and Palliative Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Licensed nursing staff 24 hours-a-day
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Respite, Hospice and Palliative Care
(page, checked Oct 15, 2026) - Provides transportation.
To support personal care and comfort, we offer beautician and barber services, as well as housekeeping, laundry, and transportation coordination to keep life running smoothly.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 18, 2023: follow-up inspection, partial (safety). Case closed May 18, 2023. No violations cited. OSHA record. OSHA recorded the employer as 317733156 - Sapphire at Gateway LLC.
- Apr 7, 2023: programmed (planned) inspection, complete (safety). Case open. 2 violations cited (1 serious, 1 other). Penalties: $850 proposed, $850 now. OSHA record. OSHA recorded the employer as 317732788 - Sapphire at Gateway LLC.
Details
- Serious: Safe electrical work practices (1910.333(b)(2)). Penalty $750 proposed, $750 now. To be fixed by May 18, 2023.
- Other than serious: Cited rule OAR. Penalty $100 proposed, $100 now. To be fixed by May 18, 2023.
- Aug 14, 2017: programmed (planned) inspection, complete (safety). Case closed Aug 14, 2017. No violations cited. OSHA record. OSHA recorded the employer as 317718007 - Sapphire at Gateway LLC.
- Jun 22, 2017: programmed (planned) inspection, complete (health). Case closed Dec 4, 2017. 7 violations cited (5 serious, 2 other). Penalties: $430 proposed, $430 now. OSHA record. OSHA recorded the employer as 317717343 - Sapphire at Gateway LLC.
Details
- Serious: Abrasive wheel machinery (1910.215(a)(2)). Penalty $250 proposed, $250 now. To be fixed by Jun 22, 2017.
- Serious: Abrasive wheel machinery (1910.215(a)(1)). Penalty $0 proposed, $0 now. To be fixed by Jun 22, 2017.
- Serious: Abrasive wheel machinery (1910.215(a)(4)). Penalty $0 proposed, $0 now. To be fixed by Jun 22, 2017.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(i)). Penalty $180 proposed, $180 now. To be fixed by Sep 28, 2017.
- Serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Sep 28, 2017.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(3)(iv)). Penalty $0 proposed, $0 now. To be fixed by Sep 28, 2017.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Sep 28, 2017.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Adventist Health Portland, Portland. 0.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Glisan Post Acute, Portland. 0.2 miles away, straight line.
- Nearest home health agency office
- Warm Springs Home Health Care Of Oregon, Portland. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97220 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Portland Dialysis, Portland, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
Usrc East Portland Home Dialysis, Portland, 0.5 miles away, straight line
Davita Portland Gateway Dialysis, Portland, 0.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 24 Medicare hospices tell CMS they serve ZIP code 97220.
Pinnacle Hospice Care Of Portland, office in Portland, 0.4 miles away, straight line
Providence Hospice, office in Portland, 2.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Adventist Health Hospice, office in Portland, 3.2 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Daiya Healthcare PLLC, Portland. 2.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, tornado relatively low, heat wave relatively high, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Gateway Care and Retirement a good nursing home?
CMS gives Gateway Care and Retirement an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Gateway Care and Retirement staffed?
Gateway Care and Retirement reports 5.04 total nurse hours per resident per day, compared with the Oregon average of 4.95.
Has Gateway Care and Retirement had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Gateway Care and Retirement have?
Gateway Care and Retirement is certified for 59 beds.