Tigard Rehabilitation and Care, Tigard, Oregon
- 44
- Citations from health inspectionsOregon average: 34 a home
- 2
- Residents harmed or put in dangerOregon average: 1.5 a home
- $57,681
- Fines from the federal governmentOregon average: $27,522 a home
- 1 out of 5
- Overall rating in starsOregon average: 3.1
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 44 citations. Residents were in immediate danger in two findings. Federal fines came to $57,681 (three fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 5.08 hours each dayThe Oregon average is 5.03 hours
- Time from registered nurses
- 0.47 hours each dayThe Oregon average is 0.72 hours
- Nursing staff who left during one year
- 58.6%against the Oregon average of 47.4%
- Beds that are certified
- 112
- Ownership
- Limited Liability company (for profit)
- Chain
- Sapphire Health Services, with eight homes
- Street address
- 14145 Sw 105th Avenue, Tigard, Oregon 97224
- County
- Washington
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
13 citations dated May 11, 2026
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, one or a few residents.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
Three citations dated Nov. 17, 2025
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 18, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Jan. 17, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
One citation dated Oct. 10, 2024
- F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 3, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 11, 2024
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 11, 2023
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
15 citations dated Aug. 11, 2023
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 11, 2026 | Fine | $9,214 |
| May 11, 2026 | Fine | $12,753 |
| April 18, 2025 | Fine | $35,714 |
Ownership and Management of the Home
- The home is run by Sapphire Healthcare Srvs. (operational or managerial control).
Four people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 385272. Other homes in Oregon.