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Nursing home report

Sapphire at Tigard Rehab

Registered name: TIGARD REHABILITATION AND CARE

TIGARD, OR · Medicare-certified · 112 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Sapphire at Tigard Rehab has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It is a Special Focus Facility candidate with an attention flag, reported nurse staffing above the federal benchmark (5.08 vs 4.1 hours per resident per day), and $69,509 in fines over the last 24 months.

Facility ratings

Health inspections

Staffing

5.0799 hrs/resident/day

Quality measures

Last inspection: May 11, 2026Penalties, last 24 months: $69,509special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0799.

Staffing detail

Registered nurses
0.47
Licensed practical nurses
0.92
Nurse aides
3.69
Weekend nursing
4.73

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 70%

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

12.5%13.3%Worsening

Residents with a fall causing major injury

6.2%3.6%Improving

Residents with pressure ulcers (bedsores)

19.3%6.5%Improving

Residents with a urinary tract infection

0%7.3%Worsening

Residents who lost too much weight

17.8%7.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.3%10%Worsening

Residents whose ability to walk got worse

7.9%

Long-stay residents on antianxiety or sleep medication

8.9%7.8%Improving

Short-stay residents newly given an antipsychotic

0%5.1%Worsening

Residents with a long-term catheter

1.7%1.2%No change

Residents with new or worsening incontinence

12.4%17.1%Worsening

Residents with depressive symptoms

5.6%13.3%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

100%98.2%Worsening

Short-stay residents given the seasonal flu vaccine

89.9%

Short-stay residents given the pneumonia vaccine

86.7%95.3%Improving

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 May 2026 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — 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 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

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $19,620 was recorded.

  3. PENALTY

    A federal fine of $14,175 was recorded.

  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  6. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. PENALTY

    A federal fine of $35,714 was recorded.

  9. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $69,509 in total fines.

  • Federal fine

    May 11, 2026

    $19,620
  • Federal fine

    May 11, 2026

    $14,175
  • Federal fine

    Apr 18, 2025

    $35,714

Operator & ownership

Recent ownership change · Sep 1, 2023

Now operated by Tigard Rehabilitation and Care, previously Pacific Health and Rehab.

Ownership
For profit - Limited Liability company
Chain
Part of SAPPHIRE HEALTH SERVICES · 8 homes · 1.8 stars avg
Occupancy
65.8 residents on an average day (59% 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.