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Nursing home report

TIGARD REHABILITATION AND CARE

TIGARD, OR · Medicare-certified · 112 beds

Needs attention
Abuse citationFor-profitChain member
2 of 5 overall

Tigard Rehabilitation and Care has a 2-out-of-5 overall rating, with 2-star health inspections and 3-star staffing and quality measures. It reports nurse staffing above the federal benchmark (5.39 vs 4.1 hours per resident per day), but it also has $35,714 in recent fines and a recent abuse citation.

Facility ratings

Health inspections

Staffing

5.3947 hrs/resident/day

Quality measures

Last inspection: November 17, 2025Penalties, last 24 months: $35,714recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3947.

Staffing detail

Registered nurses
0.44
Licensed practical nurses
1.00
Nurse aides
3.96
Weekend nursing
5.09

Hours per resident per day.

Total staff turnover: 100%
Registered nurse turnover: 100%

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

15.2%13.5%Improving

Residents with a fall causing major injury

8.2%3.4%Improving

Residents with pressure ulcers (bedsores)

9.4%8.4%Improving

Residents with a urinary tract infection

2.1%1.7%No change

Residents who lost too much weight

6.8%13%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12.5%5.8%Improving

Residents whose ability to walk got worse

11.5%

Long-stay residents on antianxiety or sleep medication

6.7%13%Worsening

Short-stay residents newly given an antipsychotic

2%0%Improving

Residents with a long-term catheter

3.4%1.2%Improving

Residents with new or worsening incontinence

7.2%15%Worsening

Residents with depressive symptoms

2.4%8.7%Worsening

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

95.9%98.3%Improving

Short-stay residents given the seasonal flu vaccine

89.9%

Short-stay residents given the pneumonia vaccine

90.7%90%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 June 2022 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly watch nurse aides' work and provide regular training. Cited August 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F

The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited August 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 868 — 42 CFR §483.75 — S/S: F

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2022 — widespread issue, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $35,714 was recorded.

  5. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $35,714 in total fines.

  • Federal fine

    Apr 18, 2025

    $35,714

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
Occupancy
64.2 residents on an average day (57% of 112 beds)
Resident voice
Resident council
Medicare history
Certified for 20 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.