GoodStanding

Nursing home report

Sapphire at Gresham

Registered name: GRESHAM POST ACUTE CARE AND REHABILITATION

GRESHAM, OR · Medicare-certified · 78 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Sapphire at Gresham has a 2-star overall rating, with 2 stars for health inspections and 3 stars each for staffing and quality measures. It has had $76,801 in fines in the last 24 months, a recent federal penalty, and its reported nurse staffing is 6.25 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

6.2531 hrs/resident/day

Quality measures

Last inspection: December 19, 2025Penalties, last 24 months: $76,801recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.2531.

Staffing detail

Registered nurses
1.00
Licensed practical nurses
1.13
Nurse aides
4.12
Weekend nursing
5.69

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 74%

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

12.2%30.8%Worsening

Residents with a fall causing major injury

1.7%4.8%Worsening

Residents with pressure ulcers (bedsores)

16.9%7.8%Improving

Residents with a urinary tract infection

1.7%0%Improving

Residents who lost too much weight

5.5%5%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

32.3%5.6%Improving

Residents whose ability to walk got worse

8.6%

Long-stay residents on antianxiety or sleep medication

16.4%20%Worsening

Short-stay residents newly given an antipsychotic

1.2%3.7%Worsening

Residents with a long-term catheter

2.9%1.2%Improving

Residents with new or worsening incontinence

24.2%8.5%Improving

Residents with depressive symptoms

0%0%No change

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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

94.7%

Short-stay residents given the pneumonia vaccine

95.1%98.1%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: J

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2023 — widespread issue, actual harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: I

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $19,949 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $56,852 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $76,801 in total fines.

  • Federal fine

    Jun 17, 2025

    $19,949
  • Federal fine

    Aug 30, 2024

    $56,852

Operator & ownership

Recent ownership change · Apr 1, 2020

Now operated by Gresham Post Acute Care and Rehab, previously Prestige Post-acute and Rehabilitation Center-gresham.

Ownership
For profit - Limited Liability company
Chain
Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
Occupancy
71.1 residents on an average day (91% of 78 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.