All citations for Gresham Post Acute Care and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Gresham Post Acute Care and Rehabilitation

Last standard health inspection on record

December 19, 2025

Showing 26 to 50 of 65 citations

  1. No harm, with potential for more than minimal harm

    Assist a resident in gaining access to vision and hearing services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  2. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  3. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  4. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  5. No harm, with potential for more than minimal harm

    Provide care or services that was trauma informed and/or culturally competent.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  6. No harm, with potential for more than minimal harm

    Try 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  8. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  9. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  11. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  12. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  13. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  15. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  16. No harm, with potential for more than minimal harm

    Notify 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  18. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  19. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  21. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  22. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  23. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  25. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 31, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.