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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $35,714 was recorded.
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.