Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 385272

Tigard Rehabilitation And Care

48 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $35,714.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
36
Last 3 years
1
Actual harm+
1
Federal penalties
$35,714
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights9 Nursing & Physician Services6 Abuse & Neglect4 Care Planning4

Most common F-tags at this facility

F6846 F6003 F7303 F5522 F6562

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Nov 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 17, 2025F730Observe each nurse aide's job performance and give regular training.DComplaint
Jan 17, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jan 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 17, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard
Jan 17, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Oct 10, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
May 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 11, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Dec 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 11, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Aug 11, 2023F880Provide and implement an infection prevention and control program.FComplaint
Aug 11, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
Aug 11, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 11, 2023F814Dispose of garbage and refuse properly.EComplaint
Aug 11, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Aug 11, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Aug 11, 2023F759Ensure medication error rates are not 5 percent or greater.EComplaint
Aug 11, 2023F730Observe each nurse aide's job performance and give regular training.FComplaint
Aug 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 11, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 11, 2023F584Honor 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.EComplaint
Aug 11, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Aug 11, 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
Aug 11, 2023F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
May 17, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 17, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 17, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 17, 2023F610Respond appropriately to all alleged violations.DComplaint
May 17, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 16, 2022F887Educate 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.DStandard
Jun 16, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 16, 2022F880Provide and implement an infection prevention and control program.KStandard
Jun 16, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 16, 2022F730Observe each nurse aide's job performance and give regular training.FStandard
Jun 16, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jun 16, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 16, 2022F679Provide activities to meet all resident's needs.DStandard
Jun 16, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 16, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jun 16, 2022F578Honor 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.DStandard
Jun 16, 2022F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $35,714 .

DateTypeFinePayment denial
Apr 18, 2025Fine$35,714—
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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