All states › Oregon › Gresham › Gresham Post Acute Care and Rehabilitation
405 NE 5th Street Gresham, OR 97030 · Multnomah County
All 4 nursing homes in Gresham, OR (4 take Medicaid)
CMS certification number 385190 · See this home on Medicare Care Compare
Is Gresham Post Acute Care and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Gresham Post Acute Care and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Oregon average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 6.43 hours per resident per day at Gresham Post Acute Care and Rehabilitation, above the Oregon median of 4.98 (US median: 3.72). About 1.06 of those hours are from registered nurses. On weekends it falls to 5.84 hours, 9% below its all-week average. 48.3% of nursing staff left within a year (Oregon median 40.8%).
About this nursing home
Paying for care at Gresham Post Acute Care and Rehabilitation: Medicare and Medicaid
Gresham Post Acute Care and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oregon's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 19, 2025 and found 16 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 51 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 51 citations at Gresham Post Acute Care and Rehabilitation across 6 inspection dates, 5 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 23, 2023. The most common areas cited were quality of life and care (22) and resident rights (9). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 23, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
December 19, 2025 · 18 citations · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide care or services that was trauma informed and/or culturally competent.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DProvide and implement an infection prevention and control program.
November 24, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 17, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 30, 2024 · 12 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe and appropriate respiratory care for a resident when needed.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
October 31, 2023 · 1 citation · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
May 23, 2023 · 18 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
IHave a plan that describes the process for conducting QAPI and QAA activities.
EObserve each nurse aide's job performance and give regular training.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate foot care.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DProvide or get specialized rehabilitative services as required for a resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Gresham Post Acute Care and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on May 23, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 19, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $76,801 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 17, 2025 | Fine | $19,949 |
| Aug 30, 2024 | Fine | $56,852 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near Gresham Post Acute Care and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.6 mi
Legacy Mount Hood Medical Center GreshamEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 34m for patients treated and sent home
-
6.3 mi
Adventist Medical Center PortlandEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 25m for patients treated and sent home
- 7.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Gresham Post Acute Care and Rehabilitation › All nursing homes in Gresham ›
Compare Gresham Post Acute Care and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Fairlawn Health and Rehabilitation of Cascadia · Gresham · 5 stars · 1.5 mi
- Marquis Centennial Post Acute Rehab · Portland · 5 stars · 1.9 mi
- Regency Gresham Nursing & Rehabilitation Center · Gresham · 5 stars · 3.0 mi
- Providence Child Center · Portland · 5 stars · 8.9 mi
Other Sapphire Health Services nursing homes in Oregon
- Cedar Crossings · Portland · 3 stars
- Fernhill Rehabilitation and Care · Portland · 3 stars
- Belmont Care and Rehabilitation · Portland · 3 stars
- Gateway Care and Retirement · Portland · 3 stars
- Rivers Edge Rehabilitation and Care · Sheridan · 2 stars
- Myrtle Point Rehabilitation & Care · Myrtle Point · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Sapphire Health Services nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.