Starfile / Oregon

FERNHILL REHABILITATION AND CARE

5737 NE 37TH AVENUE, PORTLAND, OR 97211 · CCN 385237

Abuse icon

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

$8,278

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

SAPPHIRE HEALTH SERVICES

Facilities in chain

8

Chain avg overall

1.80 / 5

Inspection citations (63)1 actual harm

1. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

2. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

3. DF0584Honor 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.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

4. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

5. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

7. DF0641Ensure each resident receives an accurate assessment.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

9. DF0679Provide activities to meet all resident's needs.2025-08-08 · Health · corrected 2025-09-09

   Potential for more than minimal harm

10. DF0685Assist a resident in gaining access to vision and hearing services.2025-08-08 · Health · corrected 2025-09-09

    Potential for more than minimal harm

11. BF0732Post nurse staffing information every day.2025-08-08 · Health · corrected 2025-09-09

    Potential for minimal harm

12. DF0791Provide or obtain dental services for each resident.2025-08-08 · Health · corrected 2025-09-09

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-08 · Health · corrected 2025-09-09

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-17 · Health · corrected 2025-06-09

    Potential for more than minimal harm

15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-28 · Health · corrected 2025-05-14

    Potential for more than minimal harm

16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-28 · Health · corrected 2025-05-14

    Actual harm

17. DF0760Ensure that residents are free from significant medication errors.2025-04-28 · Health · corrected 2025-05-14

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-05 · Health · corrected 2025-01-06

    Potential for more than minimal harm

19. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-05 · Health · corrected 2025-01-06

    Potential for more than minimal harm

20. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

21. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

22. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

23. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

24. DF0583Keep residents' personal and medical records private and confidential.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

25. 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.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

27. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

28. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

29. DF0641Ensure each resident receives an accurate assessment.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

30. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

34. EF0679Provide activities to meet all resident's needs.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

36. DF0688Provide 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.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

37. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

38. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

40. DF0759Ensure medication error rates are not 5 percent or greater.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

41. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

42. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

43. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

44. DF0880Provide and implement an infection prevention and control program.2024-03-22 · Health · corrected 2024-05-08

    Potential for more than minimal harm

45. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-01 · Health · corrected 2023-06-20

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-16 · Health · corrected 2023-04-26

    Potential for more than minimal harm

47. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-16 · Health · corrected 2023-04-26

    Potential for more than minimal harm

48. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

49. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2022-12-20 · Health · corrected 2023-01-09

    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.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

51. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

52. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

53. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

54. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

55. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

56. DF0679Provide activities to meet all resident's needs.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

57. DF0688Provide 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.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

58. 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.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

59. DF0759Ensure medication error rates are not 5 percent or greater.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

60. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

61. DF0880Provide and implement an infection prevention and control program.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

62. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-12-20 · Health · corrected 2023-01-09

    Potential for more than minimal harm

63. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-12-20 · Health · corrected 2023-01-09

    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.