All citations for Tigard Rehabilitation and Care

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 Tigard Rehabilitation and Care

Last standard health inspection on record

May 11, 2026

Showing 1 to 25 of 44 citations

  1. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2026).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 11, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 9, 2026).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2025).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Dispose of garbage and refuse properly.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2023).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

  18. 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 May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

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

    Educate 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.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of May 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2026).

  24. 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 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.