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B

81.5/100

Above average

Gateway Care And Retirement

39 Ne 102Nd Avenue, Portland, OR 97220

CMS 3/5 stars #18 of 33 in Multnomah County (503) 252-2461
Certified beds
59
Occupancy
96%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Gateway Care And Retirement

Gateway Care and Retirement runs 59 beds in Portland under for-profit LLC ownership, and its staffing is where the trouble sits: Medicare rates it 1 out of 5 stars for nurse staffing, well below what most Oregon homes manage. That thin coverage matters more given the inspection record, 34 deficiencies logged, three of them abuse-related, though none rose to the level of immediate harm. Quality measures land mid-pack at 3 stars, and the last full inspection was in May 2025, so the picture is current. For a family weighing this one, the question isn't whether the place is safe today; it's whether the staffing numbers hold up when a resident needs help fast.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing25/30Stability7.5/15Outcomes9/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

25/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →5.94 total nurse hours per resident per day (national median 3.77)
  • →0.55 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →No turnover figure reported, scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.75 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.55 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.23 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnoverNot reported

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 12, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of SAPPHIRE HEALTH SERVICES, which operates 8 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Gateway Care And Retirement

What is the ElderGrade for Gateway Care And Retirement? +

Gateway Care And Retirement holds an ElderGrade of B (81.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Gateway Care And Retirement? +

Residents receive an average of 4.75 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Gateway Care And Retirement been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Gateway Care And Retirement accept Medicaid? +

Yes, Gateway Care And Retirement is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.