Starfile / Oregon

TIGARD REHABILITATION AND CARE

14145 SW 105TH AVENUE, TIGARD, OR 97224 · CCN 385272

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

$35,714

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 (48)1 immediate jeopardy

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-17 · Health · corrected 2025-12-17

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-17 · Health · corrected 2025-12-17

   Potential for more than minimal harm

3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-17 · Health · corrected 2025-04-01

   Potential for more than minimal harm

4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-18 · Health · corrected 2025-08-20

   Potential for more than minimal harm

5. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-01-17 · Health · corrected 2025-03-03

   Potential for more than minimal harm

6. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-01-17 · Health · corrected 2025-03-03

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-17 · Health · corrected 2025-03-03

   Potential for more than minimal harm

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

   Potential for more than minimal harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2025-01-17 · Health · corrected 2025-03-03

   Potential for more than minimal harm

10. DF0730Observe each nurse aide's job performance and give regular training.2025-01-17 · Health · corrected 2025-03-03

    Potential for more than minimal harm

11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-17 · Health · corrected 2025-03-03

    Potential for more than minimal harm

12. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-10-10 · Health · corrected 2024-11-05

    Potential for more than minimal harm

13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-03 · Health · corrected 2024-06-04

    Potential for more than minimal harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-05-14

    Potential for more than minimal harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-11 · Health · corrected 2024-01-16

    Potential for more than minimal harm

16. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-12-11 · Health · corrected 2024-01-16

    Potential for more than minimal harm

17. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

18. DF0578Honor 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.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

19. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

20. 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.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

23. FF0730Observe each nurse aide's job performance and give regular training.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

24. EF0759Ensure medication error rates are not 5 percent or greater.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

25. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

27. EF0814Dispose of garbage and refuse properly.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

29. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

30. FF0880Provide and implement an infection prevention and control program.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

31. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-08-11 · Health · corrected 2023-09-19

    Potential for more than minimal harm

32. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-17 · Health · corrected 2023-06-16

    Potential for more than minimal harm

33. DF0610Respond appropriately to all alleged violations.2023-05-17 · Health · corrected 2023-06-16

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-17 · Health · corrected 2023-06-16

    Potential for more than minimal harm

35. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-17 · Health · corrected 2023-06-16

    Potential for more than minimal harm

36. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-05-17 · Health · corrected 2023-06-16

    Potential for more than minimal harm

37. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

38. DF0578Honor 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.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

39. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

41. DF0679Provide activities to meet all resident's needs.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

42. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

43. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

44. FF0730Observe each nurse aide's job performance and give regular training.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

45. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

46. KF0880Provide and implement an infection prevention and control program.2022-06-16 · Health · corrected 2022-07-28

    Immediate jeopardy

47. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

48. DF0887Educate 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.2022-06-16 · Health · corrected 2022-07-28

    Potential for more than minimal harm

Ownership

Other facilities in TIGARD

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