All states › Oregon › Portland › Gateway Care and Retirement
39 NE 102nd Avenue Portland, OR 97220 · Multnomah County
All 30 nursing homes in Portland, OR (28 take Medicaid)
CMS certification number 385268 · See this home on Medicare Care Compare
Is Gateway Care and Retirement 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 Gateway Care and Retirement as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 4.37 hours per resident per day at Gateway Care and Retirement, below the Oregon median of 4.98 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.85 hours, 12% below its all-week average.
About this nursing home
Paying for care at Gateway Care and Retirement: Medicare and Medicaid
Gateway Care and Retirement 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 May 12, 2025 and found 8 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 34 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 34 citations at Gateway Care and Retirement across 9 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 33 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (10) and resident rights (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, July 15, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 15, 2025 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 12, 2025 · 10 citations · includes complaint inspection
EHonor 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.
EEnsure 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.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DProvide appropriate foot care.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
February 6, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 17, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 26, 2024 · 1 citation · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 2, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 4, 2023 · 7 citations
FProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure medication error rates are not 5 percent or greater.
CProvide a neutral and fair arbitration process and agree to arbitrator and venue.
October 5, 2023 · 1 citation · includes complaint inspection
EMake sure that a working call system is available in each resident's bathroom and bathing area.
September 13, 2022 · 11 citations
FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EHonor 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.
EHave 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.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure medication error rates are not 5 percent or greater.
DProvide or get specialized rehabilitative services as required for a resident.
Questions to ask on a tour of Gateway Care and Retirement
- CMS cited the home under its abuse and neglect rules on May 12, 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
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Location
Hospitals near Gateway Care and Retirement
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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0.7 mi
Adventist Medical Center PortlandEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 25m for patients treated and sent home
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2.6 mi
Providence Portland Medical Center PortlandEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 35m for patients treated and sent home
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5.5 mi
Legacy Emanuel Medical Center PortlandEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 50m for patients treated and sent home
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 Gateway Care and Retirement › All nursing homes in Portland ›
Compare Gateway Care and Retirement with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Providence Child Center · Portland · 5 stars · 2.5 mi
- Reedwood Post Acute · Portland · 5 stars · 3.9 mi
- Holladay Park Plaza · Portland · 5 stars · 4.4 mi
- Marquis Centennial Post Acute Rehab · Portland · 5 stars · 4.9 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
- Gresham Post Acute Care and Rehabilitation · Gresham · 2 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.