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Best Nursing Homes in Gresham, OR

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 7 homes in Gresham, OR

Sources: CMS Centers for Medicare and Medicaid Services, and Oregon Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Gresham, Oregon.

Watch this Video to see Gresham's Top-rated Senior Communities

Compare Nursing Homes around Gresham

The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.

3 facilities compared · CMS & OR Dept. of Health data · Updated May 2026

Click column headers to sort
Fairlawn Health and Rehabilitation of Cascadia
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.

Gresham (Northeast)
82
73.2%
Facility 73.2%
OR AVG 65.7%
Rank #25 / 74
+11%
4.85
Facility 4.85
OR AVG 5.24
Rank #54 / 78
+35%-8%
0
Facility 0
OR AVG 1
27
Facility 27
OR AVG 34.0
Rank #32 / 76
3.4
Facility 3.4
OR AVG 6.9
Rank #6 / 76
2
Facility 2
OR AVG 1.7
65-
46
Facility 46
OR AVG 65
Rank #29 / 38
Cascadia Oregon Operations LLC
$9.5M
Facility $9.5M
OR AVG $12.6M
Rank #52 / 73
$4.1M
Facility $4.1M
OR AVG $4.5M
Rank #38 / 73
42.8%
Facility 42.8%
OR AVG 38%
Rank #9 / 73
385133
Regency Gresham
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.

Gresham (Powell Valley)
128
68.5%
Facility 68.5%
OR AVG 65.7%
Rank #32 / 74
+4%
5.22
Facility 5.22
OR AVG 5.24
Rank #37 / 78
+7%0%
0
Facility 0
OR AVG 1
21
Facility 21
OR AVG 34.0
Rank #22 / 76
7.0
Facility 7.0
OR AVG 6.9
Rank #46 / 76
-
Facility -
OR AVG 1.7
92A+
21
Facility 21
OR AVG 65
Rank #38 / 38
David Stroud
$23.0M
Facility $23.0M
OR AVG $12.6M
Rank #8 / 73
$8.5M
Facility $8.5M
OR AVG $4.5M
Rank #4 / 73
36.9%
Facility 36.9%
OR AVG 38%
Rank #11 / 73
385015
Gresham Post Acute Care and Rehab
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.

Gresham (City Central)
78
86.3%
Facility 86.3%
OR AVG 65.7%
Rank #10 / 74
+31%
4.73
Facility 4.73
OR AVG 5.24
Rank #61 / 78
+169%-10%
2
Facility 2
OR AVG 1
48
Facility 48
OR AVG 34.0
Rank #59 / 76
8.0
Facility 8.0
OR AVG 6.9
Rank #53 / 76
5
Facility 5
OR AVG 1.7
72-
92
Facility 92
OR AVG 65
Rank #2 / 38
Andy Becker
$20.2M
Facility $20.2M
OR AVG $12.6M
Rank #10 / 73
$6.7M
Facility $6.7M
OR AVG $4.5M
Rank #10 / 73
33%
Facility 33%
OR AVG 38%
Rank #44 / 73
385190
Overview of Fairlawn Health and Rehabilitation of Cascadia

Fairlawn Health and Rehabilitation of Cascadia provides one of Gresham’s most trusted nursing homes. The center has a professional staff committed to providing all seniors with a safe and comfortable environment. With its professional approach, the nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by the compassionate staff.
The upscale nursing homes provide state-of-the-art features that cater to short-term or long-term residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs such as therapies in a resort-like community.

Contact Fairlawn Health and Rehabilitation of Cascadia

Regency Gresham

5905 Se Powell Valley Rd, Gresham, OR 97080
Overview of Regency Gresham

Regency Gresham is an affordable health and rehabilitation center in the city. A comprehensive community that presents a resort-like lifestyle with world-class hospitality offered to each unique individual with personal needs. The health and rehabilitation center’s nursing approach is focused on comprehensive therapies that contribute to a speedy recovery. Regency Gresham is known for its world-class hospitality balanced with small-town charm.
The elegant nursing home creates an atmosphere where residents thrive and are enriched with quality skilled nursing care. With an emphasis on skilled nursing and rehabilitation specialty with long-term care services. Amenities include a library, a courtyard, a family visitation room, daily meals provided, and a hair salon.

Contact Regency Gresham

Overview of Gresham Post Acute Care and Rehab

Gresham Post Acute Care and Rehab quality caregiving for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Families can rest easy knowing their loved ones are in good hands because of the dedicated team of professionals. The nursing home aims to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.
The Gresham Post Acute Care difference is found in the immense support provided for each individual. They house state-of-the-art technologies that help recover a range of medical conditions– wound care, neurological recovery, lymphedema, and pulmonary programs; as well as physical, occupational, and speech therapy.

Contact Gresham Post Acute Care and Rehab

Overview of Kelly Gardens Residential Care
Kelly Gardens Residential Care is a senior living community located in Gresham, Oregon. It offers a variety of services and amenities, including personalized care plans, fine dining, and a range of enrichment activities. The facility is designed to provide a comfortable and supportive environment for its residents.

Contact Kelly Gardens Residential Care

Overview of Powell Valley Memory Care Community
Powell Valley Memory Care Community is located in Gresham, Oregon. It offers specialized memory care services for individuals dealing with Alzheimer's and various types of dementia. The community provides a range of amenities and activities designed to enhance the quality of life for its residents.

Contact Powell Valley Memory Care Community

Overview of Adara Oaks Living
Adara Oaks Living is a residential care facility located in Gresham, Oregon. It provides compassionate, high-quality care while striving to enrich the physical, social, and emotional well-being of its residents. The facility offers individualized care plans and a variety of services to meet the unique needs of each resident.

Contact Adara Oaks Living

The Butte

1250 Se Roberts Ave, Gresham, OR 97030
Overview of The Butte

The Butte, known also as Sapphire at The Butte, is a residential care facility located in Gresham, Oregon at 1250 Southeast Avenue Roberts, Multnomah County, administered by Rebecca Callahan. Sapphire At The Butte LLC owns the facility as a subsidiary of Sapphire Health Services, which operates fifteen communities. The facility has been in operation for approximately 46 years, with its license first issued December 15, 1979. Licensed capacity is 32 beds. Occupancy figures are not publicly available.

The Butte offers seven care types including assisted living, memory care, specialty services, home care, skilled nursing and rehabilitation, hospice, and transitional independent living. A Nursing Aid Training Program operates on-site. Confirmed amenities include chef-prepared meals and daily snacks, social activities, personal care, medication assistance, transportation, and an emergency call system. Pet policy and inclusion of housekeeping, linen services, and utilities require verification during a facility tour.

The Oregon Agency of Human Services, Aging and People with Disabilities conducts unannounced inspections. Four inspections have been logged to date, with the most recent on November 4, last year. The facility accumulated 14 citations and 16 recorded deficiencies. Those are both below Oregon state averages of 27 and 31 respectively. No fines have been issued and no severe citations appear on record. The compliance record suggests performance better than state baseline standards.

The Butte suits families seeking residential care for residents with complex medical, behavioral, or physical needs who require assistance beyond standard independent living but do not require skilled nursing facility-level care. The 46-year operational history and below-average deficiency record indicate stability and consistent compliance. Families should ask administrators during a tour to verify occupancy trends, pet policies, specific services included in daily care, and the scope of specialty programming available for residents with behavioral or cognitive support needs.

Contact The Butte

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

CMS data 5 weighted categories Updated quarterly
Full methodology

Weighting overview

35%
Care Quality
20%
Staffing
20%
Regulatory
20%
Operational
5%
Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

Includes Overall Rating Health Inspection QM Rating Long-Stay QM Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

Includes Nurse Hrs/Res/Day RN vs State Total Nurse Staff Hrs vs State RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

Includes Citations Citations/Inspection Severe Citations Fines Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

Includes Occupancy vs State Avg Length of Stay Revenue Payroll % Years in Operation Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

Includes Walk Score BBB Rating
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Frequently Asked Questions about Nursing Homes in Gresham, OR

What's the difference between assisted living and a nursing home in Oregon?

Assisted living in Oregon is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Oregon Medicaid cover nursing home care?

Yes — Oregon Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 7 nursing homes in Gresham, OR. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Gresham, OR?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Gresham, OR, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Gresham, OR?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.