Nursing home
Gresham Post Acute Care and Rehabilitation
405 Ne 5Th Street, Gresham, OR 97030 · Map
For profit - Limited Liability company · Part of Sapphire Health Services (8 facilities) · 78 certified beds
Gresham Post Acute Care and Rehabilitation is a Medicare-certified nursing home in Gresham, Oregon. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 6.16 hours per resident per day, above the Oregon average of 4.95. Its most recent inspection on Dec 19, 2025 cited 20 deficiencies.
- 3 fines totaling $136,749In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Gresham Post Acute Care and Rehabilitation 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) | 6.16 | 4.95 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.96 | 0.68 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 4.07 | 3.37 | 2.34 | above avg |
| Nursing staff turnover | —% | 49.1% | 46.4% | — |
| Deficiencies cited, last inspection | 20.0 | 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 December 19, 2025 inspection was corrected by January 22, 2026
Penalties in CMS records: 3 fines totaling $136,749, 3 total penalties.
What inspectors found at Gresham Post Acute Care and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 19, 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 · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 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 · Dec 19, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Dec 19, 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
- 405 Ne 5Th Street
Gresham, OR 97030 - CMS certification #
- 385190
- Ownership
- For profit - Limited Liability company
- Certified beds
- 78
- Avg residents/day
- 70.5
- Provider type
- Medicare and Medicaid
- First certified
- 1989-02-23
- 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 Gresham Post Acute Care and Rehabilitation using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2019, 8 violations cited
Full public records, with dates and sources
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.
- Oct 4, 2024: programmed (planned) inspection, complete (safety). Case closed Apr 15, 2025. 3 violations cited (1 serious, 2 other). Penalties: $8,070 proposed, $8,070 now. OSHA record. OSHA recorded the employer as 317738045 - Sapphire at Gresham Rehab LLC.
Details
- Serious: Ladders (1910.23(c)(11)). Penalty $8,070 proposed, $8,070 now. To be fixed by Oct 4, 2024.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 2, 2024.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 2, 2024.
- Nov 26, 2019: referral inspection, partial (health). Case closed Aug 27, 2020. 4 violations cited (4 serious). Penalties: $1,400 proposed, $1,400 now. OSHA record. OSHA recorded the employer as 317726146 - Pacific Senior Care LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Cited rule OAR. Penalty $1,400 proposed, $1,400 now. To be fixed by Feb 28, 2020.
- Serious: Asbestos (1910.1001(j)(7)(iv)). Penalty $0 proposed, $0 now. To be fixed by Feb 28, 2020.
- Serious: Asbestos (1910.1001(j)(3)(i)). Penalty $0 proposed, $0 now. To be fixed by Feb 28, 2020.
- Serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Feb 28, 2020.
- Oct 31, 2019: programmed (planned) inspection, complete (safety). Case closed Sep 14, 2020. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317726008 - Pacific Senior Care LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(f)(2)(iv)). Penalty $0 proposed, $0 now. To be fixed by Apr 6, 2020.
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
- Legacy Mount Hood Medical Center, Gresham. 1.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Fairlawn Health and Rehab of Cascadia, Gresham. 1.5 miles away, straight line.
- Nearest home health agency office
- Nightingale Home Health, Portland. 5.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- East County Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97030 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gresham Dialysis, Gresham, 0.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Gresham Station Dialysis, Gresham, 0.9 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Dialysis Mt Hood, Gresham, 1.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 97030.
Pinnacle Hospice Care Of Portland, office in Portland, 6.2 miles away, straight line
Adventist Health Hospice, office in Portland, 6.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Agape Hospice Nw, office in Clackamas, 7.8 miles away, straight line (CMS family survey rating 1 of 5 stars) - Nearest geriatric medicine practice
- The Vancouver Clinic Inc Ps, Gresham. 0.6 miles away, straight line. 1 geriatric medicine doctor 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, wildfire very low, tornado very low, heat wave relatively moderate, 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: FEMA rates wildfire risk here very low |
| 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 |
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Frequently asked questions
Is Gresham Post Acute Care and Rehabilitation a good nursing home?
CMS gives Gresham Post Acute Care and Rehabilitation an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Gresham Post Acute Care and Rehabilitation staffed?
Gresham Post Acute Care and Rehabilitation reports 6.16 total nurse hours per resident per day, compared with the Oregon average of 4.95.
Has Gresham Post Acute Care and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Gresham Post Acute Care and Rehabilitation have?
Gresham Post Acute Care and Rehabilitation is certified for 78 beds.