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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Tigard Rehabilitation and Care is a 112-bed skilled nursing, rehabilitation, and memory care facility at 14145 SW 105th Avenue, Tigard, Washington County, Oregon. Privately owned and operated by Sapphire At Tigard Rehab, LLC, the community provides skilled nursing, rehabilitation, long-term care, memory care, hospice, and post-hospital transitional living services. Current occupancy is approximately 6 percent, with an average daily census of 55 residents.
The regulatory record documents critical and worsening deficiencies that demand direct and sustained corrective action. Over three years, Tigard Rehabilitation logged 46 deficiencies; an average of 15.3 annually, 128 percent above Oregon’s 6.7-deficiency benchmark.
The November 17, 2025, complaint investigation cited six deficiencies in quality of care, pressure ulcer treatment, pharmacy services, and state administrative rules, with no prior corrections evident. Revisits in September, March, and April 2025 found zero corrective action taken. The January 17, 2025, complaint investigation documented eleven deficiencies spanning resident rights to informed decision-making and privacy, comprehensive care planning, quality of care, nutrition and hydration maintenance, nurse aide training, food sanitation, and bariatric services. An October 10, 2024, complaint investigation found four deficiencies; only one (respect and dignity) was corrected by November 2024.
A May 3, 2024, complaint investigation revealed four deficiencies; one abuse and neglect issue was corrected by June 2024 while others persisted. An April 11, 2024, complaint investigation identified five deficiencies including misappropriation (corrected by May 2024) and quality of care (uncorrected). A December 11, 2023, complaint investigation documented six deficiencies covering misappropriation, accident hazards, and behavioral health services; one was corrected by January 2024.
Across nine complaint investigations from December 2023 through November 2025, the facility has shown only isolated and delayed corrections of individual deficiencies while systemic issues remain unaddressed.
No fines or license suspensions are recorded; complaint investigations were not substantiated. CMS rated Health Inspection 2/5, Staffing 3/5, and Quality Measures 1/5.
The facility operates skilled nursing, rehabilitation, long-term care, memory care, hospice, and transitional living with above-average nursing time relative to occupancy. Current census of 55 residents reflects 49 percent occupancy of the 112-bed capacity. Nursing hours averaged 3 percent below the state benchmark. Private pay is required; Medicaid and Medicare are not accepted.
Families considering Tigard Rehabilitation should require detailed, documented plans of correction addressing the November 2025 deficiencies in quality of care, pressure ulcer treatment, and pharmacy services before placement, with explicit verification of implementation during tour.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 92 homes in Oregon for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ▼ 32% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 1m per day | ▲ 13% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 35m per day | ▲ 6% State avg: 3h 22m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 16m per day | ▲ 20% State avg: 4h 23m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 19% State avg: 26m per day · National avg: 28m per day |
Lower than the Oregon average: 65.7%Tigard Rehabilitation and Care is administrated by Jeffrey Zheng.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 31 | This facility has 39% fewer total deficiencies than a typical Oregon nursing home (19 vs. OR avg 31).↓ 39% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6.3 | 10.3 | This facility has 39% fewer deficiencies per year than a typical Oregon nursing home (6.3 vs. OR avg 10.3).↓ 39% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.9 | 4.4 | This facility has 57% fewer deficiencies per inspection than a typical Oregon nursing home (1.9 vs. OR avg 4.4).↓ 57% better |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Oregon nursing home (10 vs. OR avg 7).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Oregon average 5.1
Last Health inspection on Nov 2025
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 49 citations resulted from standard inspections; 15 of 49 resulted from complaint investigations; and 18 of 49 came from combined inspections (standard and complaint).
100% worse than Oregon averageOregon average: 0.5
100% better than Oregon averageOregon average: 1.2
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% more staff per resident than Oregon average
12% better than Oregon average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 4 full-time employees and 14 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursAssists with medical care and medications.
29 total: 15 full-time employees and 14 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursHelps with daily care and mobility.
83 total: 55 full-time employees and 28 contractors.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,299 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 28 | 83 | 20,679 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 15 | 14 | 29 | 4,448 | 92 | 100% | 10.5 |
| Medication Aide/Technician | 10 | 7 | 17 | 2,701 | 92 | 100% | 10.4 |
| Registered Nurse | 4 | 14 | 18 | 2,053 | 90 | 98% | 11 |
| RN Director of Nursing | 3 | 0 | 3 | 1,437 | 64 | 70% | 8.5 |
| Dental Services Staff | 2 | 0 | 2 | 920 | 61 | 66% | 8.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 633 | 66 | 72% | 6.8 |
| Administrator | 1 | 0 | 1 | 561 | 66 | 72% | 8.5 |
| Nurse Practitioner | 1 | 0 | 1 | 544 | 64 | 70% | 8.5 |
| Physical Therapy Aide | 0 | 4 | 4 | 482 | 58 | 63% | 6.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 473 | 59 | 64% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 431 | 65 | 71% | 6.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 193 | 39 | 42% | 4.4 |
| Qualified Social Worker | 0 | 2 | 2 | 173 | 59 | 64% | 2.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 22 | 24% | 4.7 |
| Physician Assistant | 0 | 1 | 1 | 92 | 23 | 25% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 55 | 15 | 16% | 3.7 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Qualified Activities Professional | 1 | 0 | 1 | 34 | 6 | 7% | 5.7 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
40% lower than Oregon averageOregon average: $60K
41% fewer fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 18, 2025 · $36K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
35% worse than Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
11% better than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
9% better than Oregon averageOregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
29.0%
16% worse than Oregon averageOregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.2%
46% better than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
139% worse than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
13.7%
98% worse than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
3.2%
53% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
7.5%
43% worse than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
3.3%
29% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
16.0%
21% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Oregon averageOregon average: 95.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
In line with Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
34% better than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
11% better than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
40.9%
89% worse than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.0%
13% worse than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.1%
29% worse than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
14% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Tigard Rehabilitation and Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #80 / 88Payroll — State benchmarkedThis home is ranked 80th out of 88 homes in Oregon for payroll. Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.8 miles from city center
Estimated distance in miles from Tigard's city center to Tigard Rehabilitation and Care's address, calculated via Google Maps.
Add your location
Tigard Rehabilitation and Care is located in Tigard, Oregon.
Here are the financial assistance programs available to residents in Oregon.
The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
| Avamere Rehabilitation of Beaverton |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Beaverton (Vose) | 104
Facility
104
OR AVG
67
Rank
#44 / 351 | 73.0% | +11% | 5.21 | -9% | -1% | $55.6k | 18 | 4.5 | 1 | 72 |
68
Facility
68
OR AVG
55
Rank
#173 / 476 | Nair Facility Holdings LLC | $17.9M | $7.5M | 41.8% | 385195 | ||||
| Maryville Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Beaverton (Central Beaverton) | 181
Facility
181
OR AVG
67
Rank
#4 / 351 | - | - | 5.64 | -3% | +8% | $214.1k | 36 | 4.5 | 7 | 135 |
55
Facility
55
OR AVG
55
Rank
#256 / 476 | St Mary Of Oregon Ministries Oregon | $29.2M | $16.7M | 57.1% | 385166 | ||||
| Prestige Care and Rehabilitation of Menlo Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Portland (Hazelwood) | 83
Facility
83
OR AVG
67
Rank
#99 / 351 | - | - | 5.58 | -50% | +6% | $0 | 33 | 4.7 | - | 72 |
82
Facility
82
OR AVG
55
Rank
#73 / 476 | Nai Trask | $16.6M | $6.4M | 38.5% | 385044 | ||||
| Tigard Rehabilitation and Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Tigard | 112
Facility
112
OR AVG
67
Rank
#35 / 351 | 34.6% | -47% | 6.05 | +8% | +15% | $54.9k | 49 | 4.9 | 1 | 58 |
35
Facility
35
OR AVG
55
Rank
#355 / 476 | - | $5.1M | $2.9M | 57.3% | 385272 | ||||
| Avamere Health Services of Rogue Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Medford (Stevens Street) | 91
Facility
91
OR AVG
67
Rank
#74 / 351 | - | - | 4.36 | -34% | -17% | $38.4k | 51 | 12.8 | - | 65 |
84
Facility
84
OR AVG
55
Rank
#57 / 476 | Ariso LLC | $12.7M | $5.3M | 41.6% | 385024 |
The legal owner and operator of Tigard Rehabilitation and Care is Sapphire at Tigard Rehab, LLC.
Tigard Rehabilitation and Care has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to OR state health department records, Tigard Rehabilitation and Care's license number is 385272.
Tigard Rehabilitation and Care's occupancy is 35%.
The team at Tigard Rehabilitation and Care can be reached at [email protected].
Jeffrey Zheng is the administrator of Tigard Rehabilitation and Care.
Tigard Rehabilitation and Care has 112 beds.
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