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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H· | I1 |
| Potential harm | D47 | E3 | F9 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 19, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Dec 19, 2025 | Health | Health Complaint, Health Standard | 18 | Actual harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 30, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Oct 31, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 23, 2023 | Health | Health Standard | 18 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 17, 2025 | Civil money penalty (fine) | $19,949 | — | 385190|Fine|134183 |
| Aug 30, 2024 | Civil money penalty (fine) | $56,852 | — | 385190|Fine|46449 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H· | I1 |
| Potential harm | D47 | E3 | F9 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 19, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 22, 2026 | |
| Dec 19, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2026 | |
| Dec 19, 2025 | E-0013 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
8 facilities in 1 states. CMS chain ID 643.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kevin Ricker | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | Jan 6, 2020 |
| Andrew Becker | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Jan 6, 2020 |
| Lisa Hilty | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 6, 2020 |
| Bryan Morris | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Jan 6, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kevin Ricker | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | Jan 6, 2020 |
| Andrew Becker | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | Jan 6, 2020 |
| Lisa Hilty | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Jan 6, 2020 |
| Bryan Morris | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Jan 6, 2020 |
| Sapphire Healthcare Srvs | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fernhill Rehabilitation and Care 5737 NE 37th Avenue, Portland, OR 97211 CCN 385237Abuse icon | 63 | Aug 8, 2025 | 741 IJ1 harm | $8,278 | |
| Myrtle Point Rehabilitation & Care |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Fairlawn Health and Rehabilitation of Cascadia 3457 NE Division Street, Gresham, OR 97030 CCN 385133 | 2.4 km | 82 | Mar 27, 2026 | 301 harm | — | |
| Marquis Centennial Post Acute Rehab 725 SE 202nd Avenue, Portland, OR 97233 CCN 385183 | 3 km | 80 | Mar 24, 2026 | 381 harm | $10k | |
| Village Health Care 3955 SE 182nd Avenue, Gresham, OR 97030 CCN 385068 | 4 km | 106 | Jun 5, 2026 | 492 harm | $16k | |
| Village Manor of Cascadia 2060 NE 238th Drive, Wood Village, OR 97060 CCN 38E174 | 4.2 km | 60 | Aug 12, 2025 | 341 harm | — | |
| Regency Gresham Nursing & Rehabilitation Center 5905 SE Powell Valley Rd, Gresham, OR 97080 CCN 385015 | 4.9 km | 128 | Sep 19, 2025 | 29 | — | |
| Cedar Crossings 6003 SE 136th Avenue, Portland, OR 97236 CCN 385284 | 7.4 km | 89 | May 22, 2026 | 881 IJ1 harm | $32k | |
| Avalon Care Center - Portland 12640 SE Bush, Portland, OR 97236 CCN 38E173Abuse icon | 7.8 km | 40 | Apr 7, 2026 | 451 harm | — | |
| Portland Health and Rehabilitation 12441 SE Stark Street, Portland, OR 97233 CCN 385228 | 8.8 km | 105 | Feb 27, 2026 | 612 harm | $25k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385190 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385190 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Jan 22, 2026 |
| Dec 19, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2026 |
| Dec 19, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 22, 2026 |
| Dec 19, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 22, 2026 |
| Dec 19, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2026 | Complaint |
| Dec 19, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 | Complaint |
| Dec 19, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Dec 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 22, 2026 |
| Nov 24, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Jun 17, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 1, 2025 | Complaint |
| Aug 30, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 14, 2024 |
| Aug 30, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 14, 2024 |
| Oct 31, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| May 23, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | J · Immediate jeopardy Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | I · Actual harm Widespread | Corrected Jun 22, 2023 |
| May 23, 2023 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 22, 2023 |
| May 23, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2023 |
| May 23, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
| May 23, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.44 (case-mix index 2.03).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 1, 2020 |
| Kameron Ferdowsali | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| David Welker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 12, 2024 |
| Sapphire Healthcare Srvs | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 7, 2025 |
| Kameron Ferdowsali | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| David Welker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 12, 2024 |
| 35 |
| Apr 10, 2026 |
972 IJ1 harm |
| — |
| Gateway Care and Retirement 39 NE 102nd Avenue, Portland, OR 97220 CCN 385268 | 59 | Jul 15, 2025 | 54 | — |
| Tigard Rehabilitation and Care 14145 SW 105th Avenue, Tigard, OR 97224 CCN 385272SFF Candidate | 112 | May 11, 2026 | 643 IJ | $58k |
| Rivers Edge Rehabilitation and Care 411 SE Sheridan Road, Sheridan, OR 97378 CCN 385275 | 51 | Jun 5, 2026 | 56 | — |
| Belmont Care and Rehabilitation 812 SE 48th Avenue, Portland, OR 97215 CCN 385277 | 41 | Aug 7, 2026 | 45 | — |
| Cedar Crossings 6003 SE 136th Avenue, Portland, OR 97236 CCN 385284 | 89 | May 22, 2026 | 881 IJ1 harm | $32k |