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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.
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.
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.
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 62nd out of 84 homes in Oregon.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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58m per day | ▲ 41% State avg: 41m per day · National avg: 41m per day |
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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.
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4h 4m per day | ▲ 21% State avg: 3h 22m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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5h 49m per day | ▲ 33% State avg: 4h 23m per day · National avg: 3h 26m per day |
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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.
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2m per day | ▼ 60% State avg: 5m per day · National avg: 4m per day |
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RN (Weekend)
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.
|
53m per day | ▲ 104% State avg: 26m per day · National avg: 29m per day |
May offer a more intimate, personalized care environment.
Occupancy is moderate, suggesting balanced demand.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
14% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Gresham Post Acute Care and Rehab is legally operated by Sapphire at Gresham Rehab, LLC, and administrated by David Welker.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Violations of state licensing requirements identified during facility inspections.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Oregon average: 31 deficiencies
The most recent inspection on November 24, 2025, cited deficiencies related to quality of care and medication administration due to missed anti-seizure doses caused by pharmacy delays and staff oversight. Earlier inspections showed a pattern of deficiencies primarily involving quality of care, medication management, staffing, care planning, and resident rights, with some issues remaining uncorrected on revisits. Inspectors noted repeated problems with nursing services, timely medication administration, and staff training, but enforcement actions such as fines or license suspensions were not listed in the available reports. Complaint investigations were mostly unsubstantiated, with no notable substantiated complaints reported. The facility’s inspection history shows ongoing challenges with care and staffing issues, with no clear improvement trend over time.
Oregon average 5.1
Last Health inspection on Jun 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.
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).
2
300% worse than Oregon average
Oregon average: 0.5
3
150% worse than Oregon average
Oregon average: 1.2
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 17, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Aug 30, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 30, 2024
Corrected
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.
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| 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 | -1% | -9% | 0 | 12 | 3.0 | 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 | +169% | -10% | 2 | 48 | 8.0 | 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 | 0.0 | 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 | 0.0 | 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 | 0.0 | 0 | - | - | - | - | - | - | - | - |
0.5 miles from city center
Estimated distance in miles from Gresham's city center to Gresham Post Acute Care and Rehab's address, calculated via Google Maps.
— 1.35 miles to nearest hospital (Legacy Mount Hood Medical Center)
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Oregon average
Oregon average ratio: 2.92:1
8% better than Oregon average
Oregon average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This role is partially covered by contractors.
Total hours from contractors
6,310 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73
Residents 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.
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.
13.1
25% worse than Oregon average
Oregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
16% worse than Oregon average
Oregon 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
24.8%
52% worse than Oregon average
Oregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
22.6%
9% better than Oregon average
Oregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
13% worse than Oregon average
Oregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
62% better than Oregon average
Oregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
13.0%
87% worse than Oregon average
Oregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
4.1%
96% worse than Oregon average
Oregon average: 2.1%
Percent of long-stay residents who lose too much weight
4.3%
18% better than Oregon average
Oregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Oregon average
Oregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
16.7%
27% worse than Oregon average
Oregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with Oregon average
Oregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Oregon average
Oregon 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
91.7%
6% better than Oregon average
Oregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
94% worse than Oregon average
Oregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
17% better than Oregon average
Oregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.0%
44% worse than Oregon average
Oregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
12% better than Oregon average
Oregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon average
Oregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
26% better than Oregon average
Oregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.9%
9% better than Oregon average
Oregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
129% higher than Oregon average
Oregon average: $60K
78% more fines than Oregon average
Oregon 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 average
Oregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
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.
Aug 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2023
Last updated: Jan 2026
Historical financial and operational data for Gresham Post Acute Care and Rehab based on CMS SNF Cost Reports.
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