Starfile / Oregon

CEDAR CROSSINGS

6003 SE 136TH AVENUE, PORTLAND, OR 97236 · CCN 385284

Inspection history vs Oregon & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$44,133

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

SAPPHIRE HEALTH SERVICES

Facilities in chain

8

Chain avg overall

1.80 / 5

Inspection citations (62)1 immediate jeopardy2 actual harm

1. EF0584Honor 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.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

2. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-01-17 · Health · corrected 2025-03-06

   Potential for minimal harm

3. BF0625Notify 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.2025-01-17 · Health · corrected 2025-03-06

   Potential for minimal harm

4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

5. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

7. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

8. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

9. EF0730Observe each nurse aide's job performance and give regular training.2025-01-17 · Health · corrected 2025-03-06

   Potential for more than minimal harm

10. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

11. EF0761Ensure 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.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

12. DF0791Provide or obtain dental services for each resident.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

13. DF0814Dispose of garbage and refuse properly.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

15. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-17 · Health · corrected 2025-03-06

    Potential for more than minimal harm

16. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-03 · Health · corrected 2024-11-04

    Potential for more than minimal harm

17. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-10-03 · Health · corrected 2024-11-04

    Potential for more than minimal harm

18. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-10-03 · Health · corrected 2024-11-04

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-17 · Health · corrected 2024-08-16

    Potential for more than minimal harm

20. DF0791Provide or obtain dental services for each resident.2024-07-17 · Health · corrected 2024-08-16

    Potential for more than minimal harm

21. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-17 · Health · corrected 2024-07-10

    Immediate jeopardy

22. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-06-17 · Health · corrected 2024-07-10

    Potential for more than minimal harm

23. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-06-17 · Health · corrected 2024-07-10

    Potential for more than minimal harm

24. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-03-22 · Health · corrected 2024-04-05

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-22 · Health · corrected 2024-04-05

    Potential for more than minimal harm

26. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-09 · Health · corrected 2023-12-07

    Actual harm

27. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-09 · Health · corrected 2023-12-07

    Potential for more than minimal harm

28. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-11-09 · Health · corrected 2023-12-07

    Potential for more than minimal harm

29. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

30. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

31. DF0558Reasonably accommodate the needs and preferences of each resident.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

32. EF0584Honor 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.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

34. DF0641Ensure each resident receives an accurate assessment.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

35. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

36. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

37. DF0679Provide activities to meet all resident's needs.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

38. DF0685Assist a resident in gaining access to vision and hearing services.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

42. DF0758Implement 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.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

43. EF0761Ensure 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.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

44. DF0790Provide routine and 24-hour emergency dental care for each resident.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

45. DF0791Provide or obtain dental services for each resident.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

46. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

47. EF0880Provide and implement an infection prevention and control program.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

48. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-08-14 · Health · corrected 2023-09-29

    Potential for more than minimal harm

49. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-03 · Health · corrected 2023-05-31

    Potential for more than minimal harm

50. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-27 · Health · corrected 2023-05-31

    Potential for more than minimal harm

51. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-27 · Health · corrected 2023-05-31

    Potential for more than minimal harm

52. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-27 · Health · corrected 2023-05-31

    Potential for more than minimal harm

53. GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-27 · Health · corrected 2023-05-31

    Actual harm

54. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

55. FF0727Have 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.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

56. FF0730Observe each nurse aide's job performance and give regular training.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

57. FF0732Post nurse staffing information every day.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

58. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

59. EF0761Ensure 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.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

60. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

61. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

62. DF0880Provide and implement an infection prevention and control program.2022-06-01 · Health · corrected 2022-07-14

    Potential for more than minimal harm

Ownership

Other facilities in PORTLAND

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.