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Nursing home report

Sapphire At Gracelen

Registered name: GRACELEN CARE CENTER

PORTLAND, OR · Medicare-certified · 80 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.5167 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. 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.