Tigard Rehabilitation and Care

Nursing Home in Oregon

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
Tigard Rehabilitation and Care

Nursing Home in Oregon

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Tigard Rehabilitation and Care accepts Medicare, Medicaid, and private pay.

Overview of Tigard Rehabilitation and Care

Tigard Rehabilitation and Care, also known as Sapphire at Tigard Rehab, is a dually certified skilled nursing and nursing facility located at 14145 SW 105th Avenue in Tigard, Washington County, Oregon. The facility is owned by Sapphire at Tigard Rehab, LLC, with Jeffrey Zheng serving as administrator. The facility’s license was issued September 1, 2023. It is CMS certified with CCN 385272 and accepts both Medicare and Medicaid.
The licensed bed count is 112. Current occupancy stands at 34.6 percent with 39 occupied beds. Payer mix is 45 percent private pay, 40 percent Medicaid, and 14 percent Medicare. Nursing hours per resident per day total approximately six hours. Staffing runs 15 percent above the state average with skilled nursing confirmed. Care types include skilled nursing, rehabilitation, long-term care, memory care, hospice, post-hospital transitional living, assisted living support, in-home care, and specialized health services.

The Oregon Department of Human Services, Aging and People with Disabilities, along with CMS, has conducted ten inspections reflecting dual SNF oversight. The most recent inspection was November 17, 2025. The facility received 19 citations and 46 deficiencies, plus one recorded fine. The CMS overall rating is one out of five stars, compared to an Oregon average of 3.1 out of five. Health inspection rating is two out of five stars compared to state average of 2.9 out of five. Quality measures rating is one out of five stars compared to state average of 3.5 out of five. The latest inspection identified deficiencies in quality of care, pressure ulcer treatment, pharmacy services, and administrative rules. Earlier inspections show a pattern of abuse and neglect citations, misappropriation, and care planning issues.

Tigard Rehabilitation and Care suits residents requiring short-term skilled nursing or rehabilitation following hospitalization or long-term nursing care needs. However, the one out of five star CMS overall rating and recurring deficiencies in quality of care, pressure ulcer treatment, and care planning warrant careful evaluation. Families should ask administrators specifically about corrective actions taken on quality of care, pressure ulcer management, pharmacy services, administrative rule compliance, care planning accuracy, and abuse and neglect prevention before placement.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 67.2% Below OR avg.
Health Inspection Info 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.
▼ 29.8% Below OR avg.
Staffing Info 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.
▼ 18.7% Below OR avg.
Quality Measures Info 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.
▼ 71.0% Below OR avg.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Oregon state averages

Total nursing care / resident Info This home is ranked 6th out of 78 homes in Oregon.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 3m per day
Rank #6 / 78Nurse hours — state benchmarkedThis home is ranked 6th out of 78 homes in Oregon.Shows adjusted nurse hours per resident per day benchmarked to the Oregon average, with a ranking across 78 Oregon SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Oregon avg (5h 12m per day)
vs Oregon avg
+16%

3 of 6 metrics below state avg

Standout metric Total Nursing (Weekend) is +20% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 28m per day ▼ 32% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 1m per day ▲ 13% State avg: 54m per day · National avg: 52m per day
Nurse Aide Info 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. 3h 35m per day ▲ 6% State avg: 3h 22m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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. 5h 16m per day ▲ 20% State avg: 4h 23m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ▼ 40% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info 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. 21m per day ▼ 19% State avg: 26m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
75 days

Who this home usually serves

TYPE OF STAY

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.

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

45% of new residents, often for short stays.

Typical stay 24 days

Medicaid

40% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$5.1M
Operating loss
-$731.1K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$5.1M Rank #67 / 73Revenue — state benchmarkedThis home is ranked 67th out of 73 homes in Oregon.Shows this facility's annual revenue compared to the Oregon SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$731.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #70 / 73Payroll — state benchmarkedThis home is ranked 70th out of 73 homes in Oregon.Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$1.7M
32.9% of revenue Rank #52 / 73Payroll % — state benchmarkedThis home is ranked 52nd out of 73 homes in Oregon.Shows payroll as a percentage of revenue versus the Oregon average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
Total costs $5.4M
Bed community size
112-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy

Occupancy rate
35%
Rank #73 / 74Occupancy rate — state benchmarkedThis home is ranked 73rd out of 74 homes in Oregon.Shows this facility's occupancy rate versus the Oregon average, with its statewide rank out of 74. Higher occupancy signals strong local demand and financial stability.
Lower than the Oregon average: 65.7%
Occupied beds
39 / 112
Average residents 55 per day

License Details

Facility TypeSnf/nf Dual Cert
StatusActive
IssuanceSeptember 1, 2023
CountyWashington
License Number385272

Ownership & Operating Entity

Tigard Rehabilitation and Care is administrated by Jeffrey Zheng.

Owner NameSapphire at Tigard Rehab, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax(503) 620-7201

Amenities & Lifestyle

Specific ProgramsRehab, Long Term Care, Specialized Health Services, In-Home Care, Assisted Living Support, Post-Hospital Transitional Living

Contact Tigard Rehabilitation and Care

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.

The data displayed corresponds to the last 4 years.

10 visits/inspections Info 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.

Latest inspection

Date November 17, 2025

19 total citations Rank #60 / 76Health citations — state benchmarkedThis home is ranked 60th out of 76 homes in Oregon.Shows this facility's total health deficiency citations benchmarked to the Oregon state average, with a ranking across all 76 OR SNFs. Lower citation counts earn a better rank.

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Oregon average: 27 citations

46 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Oregon average: 31 deficiencies

Inspection Report Summary for Tigard Rehabilitation and Care

The most recent inspection on November 17, 2025, identified multiple deficiencies related to quality of care, pressure ulcer treatment, pharmacy services, and administrative rules. Earlier inspections showed a pattern of similar issues, including abuse and neglect, misappropriation, and care planning, with some deficiencies corrected over time but many remaining unaddressed. Inspectors frequently cited concerns about resident care quality, treatment procedures, and compliance with state administrative rules. Complaint investigations were not listed in the available reports, and no fines or enforcement actions such as license suspensions were noted. The overall trend suggests ongoing challenges with correcting deficiencies, as recent inspections continue to find similar issues without clear improvement.

Financial Assistance for
Nursing Home in Oregon

Tigard Rehabilitation and Care is located in Tigard, Oregon.
Here are the financial assistance programs available to residents in Oregon.

Get Financial aid guidance

Oregon Project Independence (OPI)

OPI

Age 60+
General Oregon resident, at risk of nursing home but not Medicaid-eligible.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OR

Cost-sharing required; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled
General Oregon resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OR

High demand in urban areas (e.g., Portland).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+
General OR resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OR

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled
General OR resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OR

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Oregon LIHEAP

Age 60+ prioritized
General OR resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OR

Covers gas, electric, oil; emergency aid via Oregon Energy Fund (OEF).

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max via OEF)

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
OR

15 regions; rural priority; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Oregon SCSEP

Age 55+
General unemployed, low-income, OR resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
OR

Priority for veterans, rural residents; Easterseals/AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OR resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OR

High veteran demand; Oregon Veterans’ Homes option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+
General OR resident, homeowner 5+ years, low-income.
Income Limits (2025) ~$58,000/year household, adjusted annually
Asset Limits Home value < county median; equity > 15%.
OR

Deferred taxes accrue 6% interest; repaid upon sale/death.

Benefits
Tax deferral (~$1,000-$3,000/year avg., varies by county)

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+
General OR resident (or spouse of any age); no income limit.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
OR

Includes Meals on Wheels; prioritizes homebound/low-income.

Benefits
Home-delivered or congregate meals (~$5-$7/meal value, 5 meals/week avg.)

Places of interest near Tigard Rehabilitation and Care

Address 1.8 miles from city center Info Estimated distance in miles from Tigard's city center to Tigard Rehabilitation and Care's address, calculated via Google Maps.

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Address

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Significantly below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 40.9%
89% worse than Oregon average

Oregon average: 21.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.0%
13% worse than Oregon average

Oregon average: 15.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Oregon average

Oregon average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 38.1%
29% worse than Oregon average

Oregon average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.6%
10% worse than Oregon average

Oregon average: 50.6%

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

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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

5 facilities compared · CMS & OR Dept. of Health data · Updated Apr 2026

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Avamere Court at Keizer
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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).

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Tigard Rehabilitation and Care
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.

Tigard112 34.6% -47%6.05 -+15%100.0058---$5.1M$1.7M32.9%385272
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---------000.00-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.

Seaside40--------000.00--------

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