Home›Browse›Oregon›Gresham›Gresham Post Acute Care and Rehabilitation

Nursing homeFAID #10642

Gresham Post Acute Care and Rehabilitation

405 NE 5TH STREET, GRESHAM, OR, 97030

(503) 666-5600

sapphirehealthservices.com

78 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

405 Ne 5th Street

Gresham, OR 97030

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Public record summary

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Bed capacity

State license

385190

CMS facility ID

385190

Care type

Nursing home

Facility name

Gresham Post Acute Care and Rehabilitation

Street address

405 NE 5TH STREET

City / state / ZIP

Gresham, OR 97030

Phone

(503) 666-5600

Website

sapphirehealthservices.com

State license #

385190

About this facility — Gresham Post Acute Care and Rehabilitation

Gresham Post Acute Care and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Gresham, Oregon. It is licensed for 78 beds — close to the median for skilled nursing facilities in Oregon (80 beds).

It is one of 106 senior care facilities in Gresham 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 Gresham Post Acute Care and Rehabilitation 65 times across 10 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $76,801 in fines. 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

Parent company

Sapphire Health Services

Ownership type

For profit - Limited Liability company

Registered owners & officers

Ricker, Kevin

Direct owner — 40% stake — since 2020

Becker, Andrew

Direct owner — 30% stake — since 2020

Hilty, Lisa

Direct owner — 25% stake — since 2020

Morris, Bryan

Direct owner — 5% stake — since 2020

Ferdowsali, Kameron

Operational control · Additional disclosable party — since 2025

Sapphire Healthcare Srvs.

Operational control · Additional disclosable party — since 2020

Welker, David

Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since

1989-02-23

CMS overall rating

2 of 5 stars

Health deficiencies

19 at the last standard inspection

Federal fines

$76,801 total

Last standard inspection

2025-12-19

Nurse staffing

6.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$799 per day (≈ $24,290/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

73% Medicaid · 5% Medicare · 22% private/other

Occupancy

86% (fiscal year 2023)

Vs. state median

32% above the OR median of $607/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-12-19Health inspectionComplaint-triggered18 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-01-22

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-22

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 2026-01-22

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2026-01-22

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-22

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-22

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-22

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2026-01-22

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-22

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 2026-01-22

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-22

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-22

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-01-22

F-0700

D · No harm found

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.

Corrected 2026-01-22

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-22

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-22

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 2026-01-22

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-22

2025-11-24Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-04

7 earlier / fire-safety inspections (46 citations)

2025-06-17Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-01

2024-08-30Health inspection12 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-10-14

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-14

F-0625

D · No harm found

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.

Corrected 2024-10-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-14

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-10-14

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 2024-10-14

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-14

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-14

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-14

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-10-14

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-14

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 2024-10-14

2023-10-31Health inspectionComplaint-triggered1 citation

F-0690

D · No harm foundFrom a complaint

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 2023-12-05

2023-05-23Health inspection18 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 2023-06-22

F-0578

D · No harm found

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.

Corrected 2023-06-22

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-06-22

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-06-22

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-22

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-06-22

F-0687

D · No harm found

Provide appropriate foot care.

Corrected 2023-06-22

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-22

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 2023-06-22

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-06-22

F-0725

J · Immediate jeopardy

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-06-22

F-0727

D · 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 2023-06-22

F-0730

E · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2023-06-22

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-06-22

F-0761

D · No harm found

Corrected 2023-06-22

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2023-06-22

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-06-22

F-0865

I · Actual harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-06-22

2025-12-19Fire-safety inspection7 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2026-01-22

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2026-01-22

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2026-01-22

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2026-01-22

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-01-22

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-22

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-01-22

2024-08-30Fire-safety inspection3 citations

K-0753

D · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2024-10-14

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-14

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-10-14

2023-05-23Fire-safety inspection4 citations

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2023-06-22

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-22

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-22

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-06-22

Federal penalties

2025-06-17Fine$19,949

2024-08-30Fine$56,852

Total fines$76,801

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 385190.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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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

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Active civil suits

Federal dockets

CDC infection data

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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