Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385190

Gresham Post Acute Care And Rehabilitation

52 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $136,749.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
52
Total citations
52
Last 3 years
6
Actual harm+
3
Federal penalties
$136,749
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care23 Resident Rights9 Care Planning6 Medication & Pharmacy6 Nursing & Physician Services4

Most common F-tags at this facility

F6844 F6863 F6903 F5522 F6412

Citation history

52 on record
SurveyF-TagViolationSeveritySource
Dec 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 19, 2025F584Honor 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.DComplaint
Dec 19, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 19, 2025F761Ensure 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.DStandard
Dec 19, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 19, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 19, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Dec 19, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 19, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 19, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 19, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Dec 19, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 19, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 19, 2025F641Ensure each resident receives an accurate assessment.DStandard
Dec 19, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Dec 19, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 19, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Nov 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 30, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Aug 30, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 30, 2024F758Implement 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.DStandard
Aug 30, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 30, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Aug 30, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 30, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 30, 2024F641Ensure each resident receives an accurate assessment.DStandard
Aug 30, 2024F625Notify 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.DStandard
Aug 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 30, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Oct 31, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 23, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.IComplaint
May 23, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 23, 2023F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
May 23, 2023F761Ensure 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.DComplaint
May 23, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
May 23, 2023F730Observe each nurse aide's job performance and give regular training.EComplaint
May 23, 2023F727Have 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.DComplaint
May 23, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.JComplaint
May 23, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
May 23, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 23, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 23, 2023F687Provide appropriate foot care.DComplaint
May 23, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 23, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 23, 2023F679Provide activities to meet all resident's needs.DComplaint
May 23, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
May 23, 2023F578Honor 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.DComplaint
May 23, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 23, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $136,749 .

DateTypeFinePayment denial
Jun 17, 2025Fine$19,949—
Aug 30, 2024Fine$56,852—
May 23, 2023Fine$59,948—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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