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Nursing homeFAID #10709

Gracelen Care Center

10948 S.E. BOISE, PORTLAND, OR, 97266
(503) 760-1727
sapphirehealthservices.com
80 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
80
State license
38E188
CMS facility ID
38E188
Care type
Nursing home
Facility name
Gracelen Care Center
Street address
10948 S.E. BOISE
City / state / ZIP
Portland, OR 97266
Phone
(503) 760-1727
Website
sapphirehealthservices.com
State license #
38E188

About this facility — Gracelen Care Center

Gracelen Care Center is a Medicare/Medicaid-certified skilled nursing facility in Portland, Oregon. It is licensed for 80 beds — close to the median for skilled nursing facilities in Oregon (80 beds).

It is one of 537 senior care facilities in Portland and 128 skilled nursing facilities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Gracelen Care Center 65 times across 13 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Regulatory standing

Licensed / certified since
1976-12-06
CMS overall rating
1 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-07-25
Nurse staffing
4.5 hours per resident per day

Services & coverage

Licensed beds
80
Licensed as
NF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-13Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-02
2026-03-10Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-08
10 earlier / fire-safety inspections (63 citations)
2025-10-20Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-25
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-11-25
2025-08-28Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-18
2025-07-25Health inspection8 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-26
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-08-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-26
F-0727
F · No harm found
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.
Corrected 2025-08-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-08-26
F-0761
D · No harm found
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.
Corrected 2025-08-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-26
2024-12-19Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-28
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-01-28
2024-04-08Health inspectionComplaint-triggered16 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-14
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-14
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-14
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-05-14
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-02
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-05-14
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-14
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-14
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-14
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-14
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-14
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-14
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-14
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-05-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-14
F-0947
E · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-14
2023-09-21Health inspectionComplaint-triggered7 citations
F-0580
G · Actual harmFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-10
F-0604
G · Actual harmFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-10
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-10
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-10
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-10
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-10
F-0777
D · No harm foundFrom a complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-11-10
2023-01-19Health inspection20 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-10
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-10
F-0584
D · No harm found
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.
Corrected 2023-03-10
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-03-10
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-10
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-10
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-03-10
F-0684
G · Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-10
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-10
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-10
F-0727
E · No harm found
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.
Corrected 2023-03-10
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-03-10
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-03-10
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-03-10
F-0825
G · Actual harm
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-03-10
F-0867
H · Actual harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-03-10
F-0880
K · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2023-03-10
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-03-10
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-10
2025-07-25Fire-safety inspection2 citations
K-0200
F · No harm found
Meet other general requirements.
Corrected 2025-08-26
K-0500
F · No harm found
Meet other general requirements that are deficient.
Corrected 2025-08-26
2024-04-08Fire-safety inspection3 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-05-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-14
2023-01-19Fire-safety inspection2 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-10
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-03-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 38E188.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered