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SAPPHIRE HEALTH SERVICES

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

8

States

1

Beds

528

Avg score

69.9

Avg turnover

65%

Federal fines

$175,143

Flags across this group

2 of the group's homes carry a CMS abuse icon. 1 home is in or a candidate for the Special Focus Facility programme.

All 8 homes

B

81.5/100

Gateway Care And Retirement

Portland, OR · Multnomah County

CMS 3/559 bedsFor-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
n/a
Serious cites
0

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.

B

80/100

Cedar Crossings

Portland, OR · Multnomah County

CMS 3/589 bedsFor-profitMedicaid
Nurse hours
5.24 /day
Staff turnover
65%
Serious cites
0

Cedar Crossings runs on a for-profit LLC out of Portland, and its bedside hours look strong at first, 5.24 per resident day, well above the national average of 3.86. But the people providing that care don't stay: turnover sits at 64.5%, against a national 45.8%, and weekend staffing drops about 11% below its own weekday level. The inspection record is where the picture darkens. Fifty-seven deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings, two fines totaling $32,383, and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but that's self-reported data, the surveyor findings tell a different story.

B

79/100

Rivers Edge Rehabilitation And Care

Sheridan, OR · Yamhill County

CMS 2/551 bedsFor-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
69%
Serious cites
0

Rivers Edge runs a leaner ship than most on paper, 5.79 nurse hours per resident day is roughly half again the national average, and the quality measures hold up well. But two things stand out. First, 68.5% annual staff turnover means more than two-thirds of the nursing team leaves every year, which is a lot of new faces for 51 residents to get used to, and weekend coverage already drops about 12% below weekday levels. Second, the current inspection record carries 42 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last full inspection was in March 2025, so the picture is reasonably current. Corporate-owned and for-profit, it's a place where the numbers cut both ways.

B

72/100

Belmont Care And Rehabilitation

Portland, OR · Multnomah County

CMS 2/541 bedsFor-profitMedicaid
Nurse hours
5.26 /day
Staff turnover
69%
Serious cites
0

Belmont Care and Rehabilitation runs 41 beds in Portland under for-profit LLC ownership, and the raw staffing number looks strong: 5.26 nurse hours per resident day, roughly a third more than the national average of 3.86. But that average hides a lot. Weekend staffing drops about 7% below the home's own weekday coverage, and annual turnover sits at 68.6% against a national 45.8%, meaning most of the people providing that care are new, and the ones working weekends are stretched thinnest. The inspection record is the bigger concern: 47 deficiencies, including five tied to abuse and one serious enough to reach harm or jeopardy level. The most recent inspection was in February 2025.

C

65/100

Gresham Post Acute Care And Rehabilitation

Gresham, OR · Multnomah County

CMS 2/578 bedsFor-profitMedicaid
Nurse hours
6.25 /day
Staff turnover
66%
Serious cites
0

Gresham Post Acute runs 78 certified beds as a for-profit LLC, and its staffing is genuinely unusual: 6.25 nurse hours per resident day, roughly 62% above the national average of 3.86. That's a real investment in direct care, though weekend coverage dips about 9% below its own weekday level. The problems show up elsewhere. Staff turnover sits at 66.2% against a national 45.8%, meaning a large share of the people providing that care are new or on their way out. Its current record carries 51 deficiencies, six at harm or jeopardy level, one abuse-related, plus two fines totaling $76,801. The most recent inspection was December 19, 2025.

C

64/100

Fernhill Rehabilitation And Care

Portland, OR · Multnomah County

CMS 2/563 bedsFor-profitMedicaid
Nurse hours
5.01 /day
Staff turnover
64%
Serious cites
0

Abuse icon on record

Fernhill Rehabilitation And Care runs on a paradox: 5.01 nurse hours per resident day, roughly 30% above the national average, which is why CMS gives it 4 stars for staffing. But look at what happens around that staffing. Weekend coverage drops about 7% below weekday levels, so the hours aren't as steady as the annual figure suggests. Annual turnover hits 64% against a national 45.8%, meaning most of the people providing that care are new to the building. The inspection record backs that up: 60 deficiencies, one at harm or jeopardy level and seven abuse-related, with a 2-star health inspection rating and a 2025-08-08 survey. One fine of $8,278. The staffing is real. The consistency and safety record aren't keeping pace.

C

64/100

Myrtle Point Rehabilitation & Care

Myrtle Point, OR · Coos County

CMS 2/535 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
67%
Serious cites
0

Abuse icon on record

Myrtle Point Rehabilitation & Care runs high on nurse hours, about 5.06 per resident per day, roughly a third above the national average, and CMS gives it 4 of 5 stars for staffing. That number wobbles on weekends, though, dropping about 14% below its own weekday level, and annual turnover sits at 67.2% against a 45.8% national average, so the people providing that care keep changing. The inspection record is where things get serious: 71 deficiencies, including 11 tied to abuse and 3 at harm or jeopardy level, plus a $59,140 fine. Its most recent inspection was April 2026, and CMS rates its health inspection performance 1 out of 5.

D

54/100

Tigard Rehabilitation And Care

Tigard, OR · Washington County

CMS 1/5112 bedsFor-profitMedicaid
Nurse hours
5.08 /day
Staff turnover
59%
Serious cites
0

Special Focus Facility

Tigard Rehabilitation and Care has one clear strength: nurse staffing runs about 5.08 hours per resident day, roughly a third above the national average, though weekend coverage dips about 7% below its own weekday levels. That staffing isn't holding the rest together. The home carries 44 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, plus $69,509 in fines across three penalties, and CMS has placed it in the Special Focus Facility program, its lowest inspection rating. Staff turnover sits at 58.6% against a national 45.8%, so the people providing that above-average care keep leaving.