SAPPHIRE AT GRESHAM REHAB, LLC

GRESHAM, OR · Multnomah County · For profit - Limited Liability company · 78 certified beds

📍 405 Ne 5th Street, Gresham, OR 97030  ·  📞 (503) 666-5600

Medicare ID: 385190  ·  Last Medicare inspection: Dec 19, 2025

Overall Safety Score
50
out of 100
Concerning
Component Scores
2
Inspection
100
Staffing
12
Enforcement
80
Complaints
53
Quality
📋 Last inspected: December 19, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
2
Staffing
100
Enforcement
12
Complaints
80
Quality Outcomes
53

What the numbers mean

SAPPHIRE AT GRESHAM REHAB, LLC scored 50 out of 100 — 18 points below the state average of 68.

📋 Inspections: 52 citations over the last 36 months — 26 more than the state average (26). 6 were rated serious (G+) — inspectors found actual or potential harm to residents. 8 findings recurred across inspection cycles — indicating a problem that was not fixed.

👥 Staffing: Staffing levels are strong — RN hours and total nurse hours per resident are in the favorable range. Adequate staffing is one of the most important factors in resident safety.

⚠️ Penalties & enforcement: CMS has recorded 3 enforcement actions totaling $136,749 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

💬 Complaints: Some complaint-driven inspections have occurred. These are unannounced visits triggered by formal concerns from residents, families, or staff. Ask the facility how they handle resident grievances.

⚠️ Resident quality outcomes: Some quality measures are below national benchmarks. Areas like fall prevention, pain management, or medication use may warrant closer attention.

What inspectors found (last 3 surveys)

52
Total citations
State avg: 26.2
6
Serious (G+)
State avg: 1.2
8
Repeat findings

Top concern areas

52

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$136,749
Total federal fines
3
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 12/100 — 55 points below the state average of 67/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
1.3% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
7.4% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
31.0% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
13.8% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 19 total measures shown
Premium unlocks all quality measures, quarterly trends, hospitalization rates, and how this facility compares to others in the state.
See full quality data →

Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 7, 2026.