SNF
TIGARD REHABILITATION AND CARE
CCN: 385272 · TIGARD, OR 97224 · Washington County
Abuse citation flag
Overview
- Address
- 14145 SW 105TH AVENUE, TIGARD, OR 97224
- Phone
- 5036391144
- Certified beds
- 112
- Avg daily residents
- 65 (58% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2006-04-01
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.06 | 3.57 | 5.47 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.47 | 0.62 | 0.50 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.01 | 0.79 | 1.09 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.58 | 2.15 | 3.87 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.48 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.66
hrs / resident / day
RN (weekend)
0.36
hrs / resident / day
Total nurse (adjusted, weekend)
5.04
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
1.27
higher acuity than avg
Case-Mix Index Ratio
0.92
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-17 | 11 | 7 | 7 | 56 | 1 | 56 |
| Cycle 2/3 (prior) | 2023-08-11 | 25 | 15 | 25 | 168 | 1 | 168 |
Total weighted health score
84.0
lower is better
Deficiencies (48)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
47 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-17 | 2025-12-17 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-11-17 | 2025-12-17 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-11-17 | 2025-04-01 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-18 | 2025-08-20 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-17 | 2025-03-03 |
| 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-01-17 | 2025-03-03 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-01-17 | 2025-03-03 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-17 | 2025-03-03 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-17 | 2025-03-03 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-01-17 | 2025-03-03 |
| 0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-01-17 | 2025-03-03 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-10-10 | 2024-11-05 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-03 | 2024-06-04 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-11 | 2024-05-14 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-11 | 2024-01-16 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-12-11 | 2024-01-16 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-08-11 | 2023-09-19 |
| 0578 | Honor 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. | D | 2023-08-11 | 2023-09-19 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-08-11 | 2023-09-19 |
| 0584 | Honor 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. | E | 2023-08-11 | 2023-09-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-11 | 2023-09-19 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-11 | 2023-09-19 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-08-11 | 2023-09-19 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-08-11 | 2023-09-19 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-08-11 | 2023-09-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-11 | 2023-09-19 |
| 0814 | Dispose of garbage and refuse properly. | E | 2023-08-11 | 2023-09-19 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-11 | 2023-09-19 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-08-11 | 2023-09-19 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-08-11 | 2023-09-19 |
| 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2023-08-11 | 2023-09-19 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-05-17 | 2023-06-16 |
| 0610 | Respond appropriately to all alleged violations. | D | 2023-05-17 | 2023-06-16 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-17 | 2023-06-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-17 | 2023-06-16 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-05-17 | 2023-06-16 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-06-16 | 2022-07-28 |
| 0578 | Honor 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. | D | 2022-06-16 | 2022-07-28 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-06-16 | 2022-07-28 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-06-16 | 2022-07-28 |
| 0679 | Provide activities to meet all resident's needs. | D | 2022-06-16 | 2022-07-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-06-16 | 2022-07-28 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2022-06-16 | 2022-07-28 |
| 0730 | Observe each nurse aide's job performance and give regular training. | F | 2022-06-16 | 2022-07-28 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-06-16 | 2022-07-28 |
| 0880 | Provide and implement an infection prevention and control program. | K | 2022-06-16 | 2022-07-28 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-06-16 | 2022-07-28 |
| 0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2022-06-16 | 2022-07-28 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$35,714
| Date | Type | Fine amount |
|---|---|---|
| 2025-04-18 | Fine | $35,714 |
Source: CMS Nursing Home Penalties.
Ownership & Corporate Structure
Chain: SAPPHIRE HEALTH SERVICES
- Chain ID
643- Facilities in chain
- 8
- Legal business name
- SAPPHIRE AT TIGARD REHAB LLC
Chain-average star ratings (for peer context)
Overall
1.8
Health
1.8
Staffing
3.4
QM
3.3
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| SAPPHIRE HEALTHCARE SRVS. | OPERATIONAL/MANAGERIAL CONTROL | since 08/01/2023 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| BECKER, ANDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/13/2022 |
| HILTY, LISA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/13/2022 |
| MORRIS, BRYAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/13/2022 |
| RICKER, KEVIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/13/2022 |
| LARSON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2023 |
| ZHENG, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 09/10/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- Yes — last 2 cycles
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.09488 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.87189 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.50482 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.47159 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 5.03692 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 64.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.79267 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.15431 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.62480 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.57178 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.14815 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.8 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 643 | Chain ID |
| Provider Information | Chain Name | SAPPHIRE HEALTH SERVICES | Chain Name |
| Provider Information | City/Town | TIGARD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 385272 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Washington | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2006-04-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 45.4181 | Latitude |
| Provider Information | Legal Business Name | SAPPHIRE AT TIGARD REHAB LLC | Legal Business Name |
| Provider Information | Location | 14145 SW 105TH AVENUE,TIGARD,OR,97224 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.79 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 112 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 8 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.26532 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.91846 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 14145 SW 105TH AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | TIGARD REHABILITATION AND CARE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 330 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 1 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 56 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 7 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 56 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 11 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 15 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-08-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 168 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 25 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 168 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 25 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.35550 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.47990 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.01289 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.58192 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04447 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.46702 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.06182 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OR | State |
| Provider Information | Telephone Number | 5036391144 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 35714.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.65970 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 84.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 97224 | ZIP Code |