We arrange tours, appointments, and even moving support so you don’t have to
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.
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, 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.
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 6th out of 79 homes in Oregon.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 28m per day | ▼ 32% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
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
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)
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
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)
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 |
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.
45% of new residents, often for short stays.
40% 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.
Rank #71 / 74Payroll — state benchmarkedThis home is ranked 71st out of 74 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Oregon average: 65.7%Tigard Rehabilitation and Care is administrated by Jeffrey Zheng.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 31 | This facility has 39% fewer total deficiencies than a typical Oregon nursing home (19 vs. OR avg 31).↓ 39% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6.3 | 10.3 | This facility has 39% fewer deficiencies per year than a typical Oregon nursing home (6.3 vs. OR avg 10.3).↓ 39% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.9 | 4.4 | This facility has 57% fewer deficiencies per inspection than a typical Oregon nursing home (1.9 vs. OR avg 4.4).↓ 57% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Oregon nursing home (10 vs. OR avg 7).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOregon average 5.1
Last Health inspection on Nov 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.
16 of 49 citations resulted from standard inspections; 15 of 49 resulted from complaint investigations; and 18 of 49 came from combined inspections (standard and complaint).
100% worse than Oregon averageOregon average: 0.5
0
100% better than Oregon averageOregon average: 1.2
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 18, 2025
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.
Tigard Rehabilitation and Care is located in Tigard, Oregon.
Here are the financial assistance programs available to residents in Oregon.
1.8 miles from city center
Estimated distance in miles from Tigard's city center to Tigard Rehabilitation and Care's address, calculated via Google Maps.
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
43% better than Oregon averageOregon average ratio: 2.92:1
5% better than Oregon averageOregon 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.
8.7 hoursThis 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.
10 hoursThis 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.
7.9 hoursThis role is partially covered by contractors.
Total hours from contractors
4,958 contractor hours this quarter
| Certified Nursing Assistant | 50 | 62 | 112 | 17,656 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 15 | 27 | 42 | 6,100 | 91 | 100% | 10 |
| Medication Aide/Technician | 11 | 10 | 21 | 2,948 | 91 | 100% | 8.9 |
| Registered Nurse | 1 | 33 | 34 | 1,129 | 75 | 82% | 8.7 |
| RN Director of Nursing | 2 | 1 | 3 | 1,040 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 616 | 65 | 71% | 9.2 |
| Dental Services Staff | 3 | 0 | 3 | 603 | 58 | 64% | 8.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 557 | 75 | 82% | 7.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 536 | 73 | 80% | 6.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 279 | 38 | 42% | 7.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 273 | 52 | 57% | 4.1 |
| Qualified Social Worker | 0 | 2 | 2 | 144 | 46 | 51% | 3.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 124 | 40 | 44% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 121 | 25 | 27% | 4.8 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 6 | 7% | 5.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents 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.
14.2
35% worse than Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.7
11% better than Oregon averageOregon 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
14.9%
9% better than Oregon averageOregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
29.0%
16% worse than Oregon averageOregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.2%
46% better than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.7%
139% worse than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
13.7%
98% worse than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
3.2%
53% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
7.5%
43% worse than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
3.3%
29% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
16.0%
21% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Oregon averageOregon 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
89.3%
In line with Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
34% better than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
11% better than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
40.9%
89% worse than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.0%
13% worse than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.1%
29% worse than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse 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.
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)
40% lower than Oregon averageOregon average: $60K
41% fewer fines than Oregon averageOregon 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 averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 18, 2025 · $36K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025Last updated: Jan 2026
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 | -1% | -9% | 0 | 12 | 3.0 | 1 | 31 | 75 | Eea Company | - | - | - | 385283 | ||||
| Avamere Court at Keizer |
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. | Keizer | 69 | 77.1% | +17% | 4.47 | -48% | -15% | 0 | 18 | 6.0 | - | 52 | 76 | Ari Cbc LLC | $14.3M | $5.3M | 37.2% | 385233 | ||||
| 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. | Tigard | 112 | 34.6% | -47% | 6.05 | +62% | +15% | 1 | 49 | 4.9 | 1 | 58 | 35 | - | $5.1M | $1.7M | 32.9% | 385272 |
Historical financial and operational data for Tigard Rehabilitation and Care based on CMS SNF Cost Reports.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
The legal owner and operator of Tigard Rehabilitation and Care is Sapphire at Tigard Rehab, LLC.
Tigard Rehabilitation and Care has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to OR state health department records, Tigard Rehabilitation and Care's license number is 385272.
Tigard Rehabilitation and Care's occupancy is 35%.
The team at Tigard Rehabilitation and Care can be reached at [email protected].
Jeffrey Zheng is the administrator of Tigard Rehabilitation and Care.
Tigard Rehabilitation and Care has 112 beds.
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
