The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FERNHILL REHABILITATION AND CARE
PORTLAND, OR · Medicare-certified · 63 beds
Needs attention
Abuse citationFor-profitChain member
2 of 5 overall
Fernhill Rehabilitation and Care has a 2 out of 5 overall rating. Its staffing is above the federal benchmark (4.87 vs. 4.1 hours per resident day), but its health inspection rating is 2 stars, it has had $8,278 in fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.8708 hrs/resident/day
Quality measures
Last inspection: August 8, 2025Penalties, last 24 months: $8,278recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8708.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 0.70
- Nurse aides
- 3.32
- Weekend nursing
- 4.48
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.7%Worsening
Residents with a fall causing major injury
4.9%Improving
Residents with pressure ulcers (bedsores)
8.4%Improving
Residents with a urinary tract infection
1.2%Improving
Residents who lost too much weight
1.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.4%Improving
Residents whose ability to walk got worse
11.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
25.1%Worsening
Residents with depressive symptoms
16.8%Improving
Long-stay residents given the seasonal flu vaccine
86.4%Steady
Long-stay residents given the pneumonia vaccine
90.9%Improving
Short-stay residents given the seasonal flu vaccine
66.7%Steady
Short-stay residents given the pneumonia vaccine
68.7%Worsening
What the inspectors found
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited December 2022 — widespread issue, potential for harm.
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F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
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- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Apr 28, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
- Occupancy
- 44.8 residents on an average day (71% of 63 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.