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Medicare-certifiedSkilled Nursing

Gresham Post Acute Care and Rehabilitation

(503) 666-5600

About Gresham Post Acute Care and Rehabilitation

Gresham Post Acute Care and Rehabilitation provides skilled nursing and rehabilitation services designed to help Oregon residents regain independence after hospitalization or illness. Our experienced care team focuses on personalized recovery plans, professional medical support, and compassionate attention to each patient's unique needs.

Community at a glance

Capacity

78 residents

Location

Gresham, OR

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

405 NE 5TH STREET, Gresham, Oregon 97030

(503) 666-5600

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on December 19, 2025, state inspectors cited 19 health deficiencies (the Oregon average is 9.2).

Nurses and nurse aides spend 6 hours 15 minutes with each resident a day, above the Oregon average of 5 hours 2 minutes.

Medicare fined Gresham Post Acute Care and Rehabilitation 2 times in the last three years, $76,801 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day6 hours 15 minutesAbove the Oregon average
Registered nurse time per resident, per day1 hourAbove the Oregon average
Nursing staff who left in the past year66%Above the Oregon average

Inspections

33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

December 19, 2025 · Standard inspection · 18 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jan 22, 2026
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 22, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 22, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 22, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 22, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 22, 2026
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 22, 2026
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jan 22, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 22, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 22, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 22, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 22, 2026

November 24, 2025 · Complaint investigation · 1 citation

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 4, 2025
June 17, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 1, 2025
August 30, 2024 · Standard inspection · 12 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Oct 14, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Oct 14, 2024
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Oct 14, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 14, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 14, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 14, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 14, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 14, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 14, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 14, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 14, 2024
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 14, 2024
October 31, 2023 · Complaint investigation · 1 citation+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 5, 2023

Fines and payment denials

2 fines totaling $76,801 in the last three years.

  • June 17, 2025Fine: $19,949
  • August 30, 2024Fine: $56,852

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Sapphire at Gresham Rehab, LLC
Medicare-certified beds
78
Average residents per day
71
Accepts
Medicare and Medicaid
First certified
February 23, 1989
Part of a chain
Sapphire Health Services, 8 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
385190

Location

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405 NE 5TH STREETGresham, OR 97030

12 other communities within 10 miles

Senior living near Gresham

Questions about Gresham Post Acute Care and Rehabilitation

How did Gresham Post Acute Care and Rehabilitation do on its last inspection?+

State inspectors visited on December 19, 2025 and cited 19 health deficiencies, 3 of them from complaint investigations. The Oregon average is 9.2.

How much nursing care does each resident get at Gresham Post Acute Care and Rehabilitation?+

Nurses and aides spend 6 hours 15 minutes with each resident per day, including 1 hour from registered nurses. 66% of nursing staff left over the past year.

Has Gresham Post Acute Care and Rehabilitation been fined by Medicare?+

Yes. Medicare fined Gresham Post Acute Care and Rehabilitation 2 times in the last three years, totaling $76,801.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Gresham Skilled Nursing in Oregon Skilled Nursing guide Information last updated October 2026