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Best Nursing Homes in Gresham, OR

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 8 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.

4 facilities compared · CMS & OR Dept. of Health data

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
Facility 82
OR AVG 67
Rank #102 / 351
73.2%
Facility 73.2%
OR AVG 65.7%
Rank #27 / 90
+11%
4.85
Facility 4.85
OR AVG 5.24
Rank #63 / 92
+103%-8%
$0
Facility $0
OR AVG $62.3k
Rank #1 / 93
27
Facility 27
OR AVG 34.0
Rank #35 / 90
3.4
Facility 3.4
OR AVG 6.9
Rank #7 / 90
265-
46
Facility 46
OR AVG 55
Rank #312 / 476
Cascadia Oregon Operations LLC
$9.5M
Facility $9.5M
OR AVG $12.6M
Rank #64 / 88
$5.1M
Facility $5.1M
OR AVG $4.5M
Rank #49 / 88
53.6%
Facility 53.6%
OR AVG 38%
Rank #22 / 88
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
Facility 128
OR AVG 67
Rank #17 / 351
68.5%
Facility 68.5%
OR AVG 65.7%
Rank #38 / 90
+4%
5.22
Facility 5.22
OR AVG 5.24
Rank #42 / 92
+1%0%
$0
Facility $0
OR AVG $62.3k
Rank #1 / 93
21
Facility 21
OR AVG 34.0
Rank #24 / 90
7.0
Facility 7.0
OR AVG 6.9
Rank #54 / 90
-92A+
21
Facility 21
OR AVG 55
Rank #416 / 476
David Stroud
$23.0M
Facility $23.0M
OR AVG $12.6M
Rank #7 / 88
$10.6M
Facility $10.6M
OR AVG $4.5M
Rank #9 / 88
46.1%
Facility 46.1%
OR AVG 38%
Rank #42 / 88
385015
Powell Valley Assisted Living and Memory Care Community
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 (Southeast 182Nd Avenue)
103
Facility 103
OR AVG 67
Rank #45 / 351
64.7%
Facility 64.7%
OR AVG 65.7%
Rank #46 / 90
-2%
5.24
Facility 5.24
OR AVG 5.24
Rank #42 / 92
-37%0%
$4.2k
Facility $4.2k
OR AVG $62.3k
Rank #45 / 93
38
Facility 38
OR AVG 34.0
Rank #54 / 90
9.5
Facility 9.5
OR AVG 6.9
Rank #75 / 90
166A+
73
Facility 73
OR AVG 55
Rank #136 / 476
Timothy Hazen
$16.3M
Facility $16.3M
OR AVG $12.6M
Rank #25 / 88
$7.8M
Facility $7.8M
OR AVG $4.5M
Rank #17 / 88
48%
Facility 48%
OR AVG 38%
Rank #35 / 88
385068
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
Facility 78
OR AVG 67
Rank #115 / 351
86.3%
Facility 86.3%
OR AVG 65.7%
Rank #13 / 90
+31%
4.73
Facility 4.73
OR AVG 5.24
Rank #72 / 92
+79%-10%
$116.8k
Facility $116.8k
OR AVG $62.3k
Rank #85 / 93
48
Facility 48
OR AVG 34.0
Rank #69 / 90
8.0
Facility 8.0
OR AVG 6.9
Rank #62 / 90
572-
92
Facility 92
OR AVG 55
Rank #22 / 476
Andy Becker
$20.2M
Facility $20.2M
OR AVG $12.6M
Rank #12 / 88
$9.6M
Facility $9.6M
OR AVG $4.5M
Rank #11 / 88
47.3%
Facility 47.3%
OR AVG 38%
Rank #39 / 88
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 Powell Valley Assisted Living and Memory Care Community

Powell Valley has a solid reputation for offering quality assisted living and memory care services. The nurturing environment empowers and enhances the quality of life for residents by providing tailored care to each unique individual. The vibrant community follows a resident-centered approach to holistic wellness for seniors in a comfortable and caring atmosphere.
Powell Valley is known for being a different kind of retirement home; they ensure that residents keep their individuality while pursuing an enriched life.

To keep the residents active and allow them to maintain a healthy lifestyle, the staff plans engaging activities and programs– recreational activities, fitness activities, and entertainment programs in the library, media room, or social areas.

Contact Powell Valley Assisted Living and Memory Care Community

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 is a 32-bed residential care and memory care community at 1250 SE Roberts Avenue, Gresham, Multnomah County, Oregon, operated by Sapphire At The Butte LLC. The facility offers memory care, respite care, and rehabilitation services alongside standard residential care, with 24-hour staffing and chef-prepared meals.

Kitchen sanitation and resident service documentation stand out as persistent regulatory challenges. Over two years, The Butte logged 16 total deficiencies; an average of eight annually, 19 percent above Oregon’s 6.7-deficiency benchmark.

The November 4, 2024, routine inspection documented one deficiency covering kitchen sanitation failures: splatters, spills, debris, and an ice machine leak. A March 25, 2024, complaint investigation cited two deficiencies in resident services: improper physical contact with a combative resident and undocumented personal incidental funds; staff termination and audits followed. The June 27, 2023, comprehensive inspection identified ten deficiencies spanning reasonable precautions, service plan completeness, change of condition monitoring, acuity-based staffing tool accuracy, environmental disrepair, resident unit key access, housekeeping and laundry standards, and wiring system hazards; many were corrected by October 14, 2023, revisit. An April 27, 2023, kitchen inspection revealed three sanitation deficiencies involving equipment cleanliness and food preparation; some were corrected by October 2023.

Complaint investigations did not yield substantiated findings. No fines or license suspensions appear in the record. The trajectory suggests active work on environmental and safety issues, yet kitchen sanitation and documentation gaps remain recurrent themes.

The facility operates 24-hour staffing, chef-prepared meals, daily snacks, enriching activities, personal care, medication support, and transportation. Nursing care averaged 11 percent above the Oregon state benchmark, signaling stronger staffing depth. The 32-bed size enables personalized attention. Private pay is required; Medicaid and Medicare are not accepted.

Families should verify corrective actions following the March 2024 resident services complaint and current kitchen sanitation protocols and staffing practices before placement.

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 8 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.