East Portland Care Center

The East Portland Care Center, previously known as the Rose City Nursing Home and now branded as Sapphire at Rose City, is a 30-bed skilled nursing facility located at 34 NE 20th Avenue in the Kerns neighborhood of Portland, Oregon, 1.8 miles from the city center. The facility is administered by Marcus Roshak and owned by Sapphire at Rose City, LLC and Sapphire Health Services. The facility’s reported occupancy rate is approximately 67 percent, though this figure may be outdated. The facility’s operating license was issued August 1, 2019, and it has a 50-year operating history dating to 1975. The facility is CMS certified (CCN 38E157) with Medicaid participation since March 1, 1975. A resident council exists.

The CMS Overall rating and Health Inspection rating are both one out of five stars, significantly below the Oregon average of 3.5 out of five. The Staffing rating stands at four out of five stars. This disparity between quality ratings and staffing hours requires careful evaluation. The Oregon Department of Human Services, Aging and People with Disabilities has conducted ten total inspections, with the most recent completed September 16, 2025. The facility has accumulated 35 total citations, above the Oregon average of 27, and 47 total deficiencies, above the Oregon average of 31.

Earlier inspections document persistent issues with wound care, nutrition, medication management, RN coverage, safety, notice requirements, staff qualifications, and NHSN reporting accuracy. Some deficiencies were corrected on revisit; others have recurred across inspection cycles. The two most recent citations involved comment-level findings with no deficiencies corrected at the time of visit. No fines, severe citations, immediate jeopardy findings, or substantiated complaint investigations are on record.

The facility provides skilled nursing, rehabilitation, long-term care, memory care, and hospice services. Staffing is 24-hour with skilled nursing confirmed. Meals are dietician-guided and accommodate medical needs and personal preferences in a shared dining setting. The facility describes itself as a transition point for post-hospital patients and also accepts long-term residents. Providence Portland Medical Center and OHSU Hospital are nearby. Senior resources are available through the Multnomah County ADRC at 503-988-3646.

The disparity between the one-star CMS ratings and the four-star staffing rating, combined with recurring compliance issues in wound care, medication management, and RN coverage across multiple inspection cycles, warrants direct verification with administrators before placement. Families should ask specifically about corrective measures implemented following the persistent deficiencies and whether recent citations have resulted in documented compliance improvements.

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(503) 231-0276 Eastportlandcare@sapphirehealthservices.com