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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Fernhill Estates
Registered name: FERNHILL REHABILITATION AND CARE
PORTLAND, OR · Medicare-certified · 63 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
Fernhill Estates in Portland has an overall 2 out of 5 stars, with 2-star health inspection and quality ratings but a 4-star staffing rating. It reports 5.01 nurse hours per resident per day, above the 4.1 federal benchmark, and has had $8,278 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.009 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 5.009.
Staffing detail
- Registered nurses
- 1.00
- Licensed practical nurses
- 0.67
- Nurse aides
- 3.33
- Weekend nursing
- 4.67
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%32%Worsening
Residents with a fall causing major injury
7.1%4.9%Improving
Residents with pressure ulcers (bedsores)
8.6%5.1%Improving
Residents with a urinary tract infection
2.4%7.3%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.6%22.6%Worsening
Residents whose ability to walk got worse
—9.7%—
Long-stay residents on antianxiety or sleep medication
17.5%24.3%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%2.6%Worsening
Residents with new or worsening incontinence
42.6%29.6%Improving
Residents with depressive symptoms
21.2%11.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—86.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—66.7%—
Short-stay residents given the pneumonia vaccine
78.3%50%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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
See what inspectors found
- 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
Recent ownership change · Sep 1, 2023
Now operated by Fernhill Rehabilitation and Care, previously Fernhill Estates.
- Ownership
- For profit - Corporation
- Chain
- Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
- Occupancy
- 44.3 residents on an average day (70% of 63 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.