Regency Gresham Nursing & Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 79 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 83.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 47 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 128 beds and averages 90.1 residents a day — about 70% occupied, or roughly 38 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.75 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.90 hrs/resident/day on weekends vs 5.59 on weekdays — 12% thinner on weekends. RN hours go from 0.73 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2025-09-19 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review it was determined the facility failed to ensure medications were not expired for 2 of 8 medication storage areas. This placed residents at risk for decreased medication efficiency. Findings include:On 9/18/25 at 8:41 AM, an observation was made in the 300-hall medication cart with Staff 21 (CMA). An open bottle of calcium citrate plus vitamin D was observed in the medication cart with an expiration of 8/2025.On 9/18/25 at 8:52 AM, Staff 22 (LPN Resident Care Manager) acknowledged the expired bottle of calcium citrate plus vitamin D and stated medications were to be discarded when expired.On 9/18/2025 at 10:04 AM, Medication Storage room [ROOM NUMBER] was observed with Staff 26 (Infection Preventionist), the following expired medication were observed: Major Bisacodyl Suppositories with an expiration of 4/2025. Good Sense Hemorrhoidal Suppositories with an expiration of 11/2024. Antifungal cream with an expiration of 11/2024. Hydrogel with an expiration of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure food and beverages were labeled and stored in a manner to minimize spoilage and cross contamination for 3 of 3 unit refrigerators and 1 of 2 kitchen refrigerators reviewed for sanitary conditions. This placed residents at risk for foodborne illness. Findings include:Review of the US FDA 2022 Food Code indicated the following:-Food prepared and held cold must be clearly marked with date prepared or by day which the food shall be consumed or discarded.-Food must be labeled with a use-by date if stored for at least 24 hours. -Time/temperature control for safety foods must be stored within refrigeration units and held at temperatures of 41 degrees F or below. The facility's Food and Safety Sanitation policy, dated 2023, revealed the following: -Perishable foods with expiration dates should be used prior to the use-by date on the package.-All time and temperature control for safety foods, including leftovers, should be labeled, covered and dated when stored. -Refrigerated food should be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined the facility failed to ensure dependent residents received required assistance with ADLs for 1 of 3 sampled resident (#98) reviewed for ADLs. This placed residents at risk for lack of personal hygiene. Findings include:Resident 98 was admitted to the facility in 7/2025 with diagnoses including congestive heart failure and anxiety. Resident 98's Significant Change MDS dated [DATE] indicated the resident was dependent on staff for personal hygiene and grooming. Resident 98 was observed on 9/15/25 at 10:45 AM, 9/16/25 at 8:50 AM and on 9/18/25 at 8:40 AM with a significant amount of visible facial hair. On 9/15/25 at 11:00 AM Resident 98 stated she/he did not want to have facial hair and would like staff to take care of her/his facial hair. Resident 98 stated she/he relied on staff to shave unwanted facial hair. On 9/18/25 at 8:43 AM, Staff 27 (CNA) stated her morning routine included reviewing the shower schedule for residents assigned to her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-19 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure residents who were trauma survivors received trauma-informed care for 2 of 3 sampled residents (#s 49 and 68) reviewed for mood. This placed residents at risk for re-traumatization and decreased quality of life. Findings include: The facility's revised 10/2022 Trauma Informed Care Policy procedure was to screen residents upon admission for trauma-informed care needs which included identifications of triggers and history of trauma. Staff were directed to utilize family/friends/responsible parties for history, triggers and interventions. Interventions for care planning were expected to include triggers for trauma. 1.Resident 68 was admitted to the facility in 3/2025 with a diagnosis including PTSD (Post Traumatic Stress Disorder). Resident 68's 3/28/25 admission MDS assessed her/him as cognitively intact, with a diagnosis including PTSD. On 9/15/25 at 12:00 PM Resident 68 acknowledged her/his diagnosis of PTSD and stated yelling may trigger a negative response for her/him. No evidence was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-19 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to follow physician orders for blood pressure medications for 1 of 5 sampled residents (#6) reviewed for unnecessary medications. This placed residents at risk for adverse side effects to blood pressure medications. Findings include:Resident 6 was admitted to the facility in 2012 with diagnoses including hypertension (high blood pressure).A review of physician orders revealed a 2/6/25 order for Metoprolol Succinate ER (a medication used to treat hypertension) with directions to hold if the blood pressure was below 100/60 or the heart rate was below 60 beats per minute and a 7/12/25 order for Prazosin HCL (a medication used to treat hypertension) with directions to hold if the blood pressure was below 100/60.A review of the 9/2025 MAR revealed on 9/18/25 Resident 6's blood pressure was 106/54 and her/his Metoprolol Succinate ER was documented as given by Staff 20 (CMA).On 9/18/25 at 12:39 PM, Staff 20 stated she had given Resident 6 Metoprolol Succinate ER during the morning pass. Staff 20 acknowledged…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-19 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure infection control practices were implemented for 1 of 3 residents (#49) reviewed for catheter care. This placed residents at risk for infection. Findings include: Resident 49 was admitted to the facility in 8/2025 with diagnoses including PTSD (Post Traumatic Stress Disorder) and urine retention. Resident 49's 9/5/25 Catheter Evaluation revealed she/he required an indwelling urine catheter. On 9/15/25 at 1:41 PM, 9/17/25 at 8:40 AM and on 9/18/25 at 8:25 AM Resident 49 was observed in bed or in her/his wheelchair with her/his catheter bag and tubing in direct contact with the floor. On 9/17/25 at 8:42 AM, Staff 25 (CNA) stated Resident 49's catheter bag and tubing should not touch the floor. Staff 25 stated if she observed the catheter bag and tubing on the floor, she would pick it up.On 9/17/25 at 8:50 AM and on 9/18/25 at 8:27 AM, Staff 9 (LPN) confirmed Resident 49's catheter bag and tubing was on the floor. Staff 9 stated the bag should be kept off the floor and below the level of the bladder to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-01 · tag F0577 — pattern
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined the facility failed to ensure residents were aware of the right to review survey results for 2 of 2 floors and failed to make survey results were readily accessible for 1 of 2 floors reviewed for resident rights. This placed residents and the public at risk for not being informed of the facility's survey history. Findings include: On 6/27/24 at a resident meeting at 2:00 PM residents asked if they were allowed to know the results of the current survey when it was completed. None of the 8 residents attending were aware there was a copy of the survey results located on the first floor near the elevator. Residents further stated most second floor residents could not easily access the first floor without assistance from staff. On 6/28/24 at 2:00 PM no accessible survey results were observed on second floor. On 6/28/24 at 2:00 PM Staff 14 (Activities Director) stated there used to be a place by the nurses station on the second floor where the results of the survey were available in the past, but she believed it disappeared during a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-01 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview it was determined the facility failed to maintain a homelike and comfortable environment for 2 of 3 halls reviewed for environment. This placed residents at risk for living in an unkempt and uncomfortable environment. Findings include: 1. Observations of the facility's general environment and residents' rooms from 6/24/24 through 7/1/24 identified the following issues: -room [ROOM NUMBER] had wall damage behind the bed with missing paint and exposed drywall; -room [ROOM NUMBER] had wall damage behind the bed with missing paint, exposed drywall, several brown spots on the ceiling and a fan with dirty blades; -room [ROOM NUMBER] had wall damage on the right side of the bed with missing paint and exposed drywall; -room [ROOM NUMBER] had damage to the lower portion of the door with sharp/jagged edges; -room [ROOM NUMBER] had wall damage to the left of the door with missing paint and exposed drywall; -room [ROOM NUMBER] had lower wall damage on two walls including behind the bed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-01 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure the Office of the State Long Term Care Ombudsman was notified of resident hospitalizations for 3 of 3 sampled residents (#s 40, 87 and 339) reviewed for hospitalization. This placed residents at risk for lack of advocacy by the Ombudsman's office. Findings include: 1. Resident 40 was admitted to the facility in 12/2023 with diagnoses including dementia and heart disease. Resident 40's 2/26/24 Discharge MDS indicated the resident was discharged to an acute care hospital. Review of Resident 40's health record revealed no documentation to indicate the state/local Ombudsman was notified Resident 40 was discharged to a hospital. On 7/1/24 at 11:02 AM Staff 1 (Administrator) stated the facility did not notify the Ombudsman of discharged residents. 2. Resident 87 was admitted to the facility in 5/2024 with a diagnosis of spinal cord compression. A 5/23/24 Nursing Note indicated Resident 87 was sent to the hospital. No evidence was found in the resident's clinical record to indicate the Office of the State…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure foods were labeled and stored in a way to minimize food spoilage and cross contamination for 1 of 1 kitchen and 1 of 3 snack/resident refrigerators reviewed for sanitary food storage. This placed residents at risk for potential infections related to foodborne pathogens. Findings include: Review of the US FDA 2022 Food Code revealed: -food prepared and held cold must be clearly marked with date prepared or by day which the food shall be consumed or discarded with a maximum of seven days. Observation on 6/24/24 at 9:12 AM of the following items placed on the dishwashing station by Staff 21 (Cook): -An undated plastic container of macaroni with red meat sauce. -A container of whipped topping dated 6/7. -A container of undated gelatin. Observation of the kitchen on 6/24/24 at 9:12 AM revealed the following: Freezer: -An open plastic bag with three waffles dated 4/16/24. -An undated open plastic bag of five garden burgers with freezer burn. -A box of undated garlic bread sticks. - A large…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to REGENCY PACIFIC MANAGEMENT — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OR