GRESHAM POST ACUTE CARE AND REHABILITATION has a 1-star overall rating, with a 1-star health inspection rating and recent federal penalty plus $76,801 in fines over the last 24 months. Staffing is rated 3 stars, and reported nurse staffing is 5.95 hours per resident per day, above the 4.1-hour federal benchmark.
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 5.9474.
Staffing detail
Registered nurses
1.05
Licensed practical nurses
0.98
Nurse aides
3.91
Weekend nursing
5.43
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
15.4%Worsening
Residents with a fall causing major injury
1.7%Steady
Residents with pressure ulcers (bedsores)
12.1%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
4.9%Worsening
Residents who were physically restrained
0.4%Improving
Residents needing more help with daily activities
22.8%Improving
Residents whose ability to walk got worse
7.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.4%Improving
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
2.2%Steady
Residents with new or worsening incontinence
17.5%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the seasonal flu vaccine
94.7%Steady
Short-stay residents given the pneumonia vaccine
95.7%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.
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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.
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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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $19,949 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $56,852 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $136,749 in total fines.
Federal fine
Jun 17, 2025
$19,949
Federal fine
Aug 30, 2024
$56,852
Federal fine
May 23, 2023
$59,948
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
Occupancy
71.9 residents on an average day (92% 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.