Facility type
Snf/nf Dual Cert
Status
Active
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Gresham Post Acute Care and Rehab
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
78
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
86.3%
Residents per day (avg)
72
Occupancy rate
86.3%
Residents per day (avg)
72
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
14% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
56% of new residents, often for short stays.
Typical stay
24 days
Medicaid
30% of new residents, often for long-term daily care.
Typical stay
5 months
Finances and operations
Privately-owned community
Home revenue
$20.2M
Profit
$1.0M
Privately-owned community
Home revenue
$20,206,249.00
Profit
$1,003,825.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$19.2M
78-bed community
A larger shared setting that may offer more common spaces and organized community services.
5 years in operation
An established community with some operational experience and growing routines.
Walk Score: 92 / 100
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
About this community
License details
Issuance
April 1, 2020
County:
Multnomah
Additional licensing details
CMS Certification Number:
385190
Ownership & operating entity
Gresham Post Acute Care and Rehab is legally operated by Sapphire at Gresham Rehab, LLC, and administrated by David Welker.
Safety & Compliance
Care Services
Offers Alzheimer's Care
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
(503) 667-9633
Additional Policies & Features
Pets Allowed
Smoking Allowed
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Long Term Care, Memory Care, Specialty Care, Home Care, Assisted Living, Hospice, Transitional Independent Living
Dining & Nutrition
Food Description
Three nutritious meals and snacks program planned by a dietician.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
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.
10 visits/inspections
Show Inspection Reports
Latest inspection
Date:November 24, 2025
20 licensing violations
Violations of state licensing requirements identified during facility inspections.
77 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
6
Oregon average 5.1
Last Health inspection on Jun 2025
Total health citations
48
Oregon average 34
Citations per inspection
8
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 48 citations resulted from standard inspections; 7 of 48 resulted from complaint investigations; and 18 of 48 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
300% worse than Oregon averageOregon average: 0.5
Serious Health citations
3
3
150% worse than Oregon averageOregon average: 1.2
2 critical citations
3 serious citations
43 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 17, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 30, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 30, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 30, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 30, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 30, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 30, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Gresham The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
Avalon Care Center – Scappoose
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.
Scappoose
40
63.5%
-3%
4.77
-9%
0
12
1
31
-
-
Eea Company
-
-
-
385283
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%
+31%
4.73
-10%
2
48
5
72
-
92
Becker, Andy
$19,6M
$6,7M
34%
385190
Adara Oaks Living
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
60
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Alpine House Senior Skilled Care Living
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.
Portland
-
-
-
-
-
0
0
0
-
A+
41
-
-
-
-
-
Avamere at Seaside Residential Care Facility
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.
SEASIDE
40
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Places of interest near Gresham Post Acute Care and Rehab
0.5 miles from city center — 1.35 miles to nearest hospital (Legacy Mount Hood Medical Center)
405 NE 5th St, Gresham, OR 97030
Calculate Travel Distance to Gresham Post Acute Care and Rehab
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
215
Employees
130
Contractors
85
Staff to resident ratio
2.95:1
0% compared with Oregon averageOregon average ratio: 2.92:1
Avg staff/day
64
Average shift
8.4 hours
8% better than Oregon averageOregon average: 7.8 hours
Total staff hours (quarter)
48,922
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
51
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
84
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
12.9%
6,310 contractor hours this quarter
Registered Nurse: 35
Certified Nursing Assistant: 22
Licensed Practical Nurse: 8
Speech Language Pathologist: 5
Feeding Assistant: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Physical Therapy Assistant: 2
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Medication Aide/Technician: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 62 | 22 | 84 | 21,641 | 91 | 100% | 8 |
| Licensed Practical Nurse | 15 | 8 | 23 | 5,950 | 91 | 100% | 11.1 |
| Registered Nurse | 16 | 35 | 51 | 5,288 | 91 | 100% | 9.7 |
| Qualified Activities Professional | 16 | 0 | 16 | 4,059 | 91 | 100% | 9.6 |
| Medication Aide/Technician | 7 | 1 | 8 | 3,221 | 91 | 100% | 8.3 |
| RN Director of Nursing | 5 | 0 | 5 | 2,072 | 85 | 93% | 8.4 |
| Dental Services Staff | 3 | 0 | 3 | 1,221 | 73 | 80% | 7.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 831 | 77 | 85% | 6.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 520 | 54 | 59% | 9.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 503 | 66 | 73% | 7.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 482 | 58 | 64% | 8.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 448 | 56 | 62% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 343 | 59 | 65% | 5.8 |
| Qualified Social Worker | 0 | 2 | 2 | 327 | 56 | 62% | 5.8 |
| Feeding Assistant | 0 | 3 | 3 | 320 | 37 | 41% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 303 | 53 | 58% | 5.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 197 | 27 | 30% | 7.3 |
| Medical Director | 0 | 1 | 1 | 104 | 26 | 29% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 56 | 17 | 19% | 3.3 |
84 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
51 Registered Nurse
% of Days
100%
16 Qualified Activities Professional
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
5 RN Director of Nursing
% of Days
93%
3 Dental Services Staff
% of Days
80%
5 Speech Language Pathologist
% of Days
85%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Nurse Aide in Training
% of Days
59%
1 Other Dietary Services Staff
% of Days
73%
1 Physical Therapy Aide
% of Days
64%
2 Clinical Nurse Specialist
% of Days
62%
3 Respiratory Therapy Technician
% of Days
65%
2 Qualified Social Worker
% of Days
62%
3 Feeding Assistant
% of Days
41%
2 Physical Therapy Assistant
% of Days
58%
1 Occupational Therapy Aide
% of Days
30%
1 Medical Director
% of Days
29%
1 Occupational Therapy Assistant
% of Days
19%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
73 residents
Residents by payment source
Medicare
19 residents (26%)
Medicaid
52 residents (71.2%)
Private pay or other
2 residents (2.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
25% worse than Oregon averageOregon average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
16% worse than Oregon averageOregon average: 21.1
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
52% worse than Oregon averageOregon average: 16.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.6%
Percent of long-stay residents whose ability to move independently worsened
22.6%
9% better than Oregon averageOregon average: 24.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
13% worse than Oregon averageOregon average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
62% better than Oregon averageOregon average: 2.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
13.0%
Percent of long-stay high risk residents with pressure ulcers
13.0%
87% worse than Oregon averageOregon average: 6.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.1%
Percent of long-stay residents with a urinary tract infection
4.1%
96% worse than Oregon averageOregon average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
18% better than Oregon averageOregon average: 5.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oregon averageOregon average: 4.6%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.7%
Percent of long-stay residents who received an antipsychotic medication
16.7%
27% worse than Oregon averageOregon average: 13.2%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with Oregon averageOregon average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Oregon averageOregon average: 95.2%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
6% better than Oregon averageOregon average: 86.2%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
94% worse than Oregon averageOregon average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
17% better than Oregon averageOregon average: 81.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.0%
44% worse than Oregon averageOregon average: 21.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
12% better than Oregon averageOregon average: 15.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
26% better than Oregon averageOregon average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.9%
Rate of successful return to home or community from a skilled nursing facility.
54.9%
9% better 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.
Penalties and fines
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)
Total fines amount
$137K
129% higher than Oregon averageOregon average: $60K
Number of fines
3
78% more fines than Oregon averageOregon average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$137K
Oregon average
$60K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 17, 2025
$20K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 30, 2024
$57K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2023
$60K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Gresham Post Acute Care and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
86.3%
↑ 16.3pp vs 2022
Net Income
$1,003,825
↑ ~$720K vs 2022
Total Payroll
$9,567,633
↑ ~$2.4M vs 2022
Profit Margin
5.1%
↑ 3.2pp vs 2022
Loading trend charts...
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