Sapphire At Gracelen (Portland, OR) has a 1-star overall rating, with a 1-star health inspection rating and the lowest overall rating flag. Staffing is 3 stars, with reported nurse staffing of 4.52 hours per resident per day, above the federal benchmark of 4.1; there were no fines in the last 24 months.
Last inspection: May 13, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5167.
Staffing detail
Registered nurses
0.49
Licensed practical nurses
0.68
Nurse aides
3.35
Weekend nursing
4.11
Hours per resident per day.
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
29%30%Worsening
Residents with a fall causing major injury
3.2%3.2%No change
Residents with pressure ulcers (bedsores)
5.1%7.1%Worsening
Residents with a urinary tract infection
1.6%4.8%Worsening
Residents who lost too much weight
3.7%3.4%No change
Residents who were physically restrained
1.6%0%Improving
Residents needing more help with daily activities
18.2%8%Improving
Residents whose ability to walk got worse
19.5%4.1%Improving
Long-stay residents on antianxiety or sleep medication
11.1%16.9%Worsening
Residents with a long-term catheter
0%2.5%Worsening
Residents with new or worsening incontinence
11%19.5%Worsening
Residents with depressive symptoms
7.7%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.3%—
Short-stay residents given the pneumonia vaccine
100%95.7%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited January 2023 — limited pattern, actual harm.
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F-Tag 867 — 42 CFR §483.75 — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2023 — isolated incident, actual harm.
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F-Tag 604 — 42 CFR §483.12 — S/S: G
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Occupancy
64.2 residents on an average day (80% of 80 beds)
Resident voice
Resident council
Medicare history
Certified for 49 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.