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Complaint Investigation

Gresham Post Acute Care And Rehabilitation

Inspection Date: December 19, 2025
Total Violations 18
Facility ID 385190
Location GRESHAM, OR
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Inspection Findings

F-Tag F0552

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-12-19.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-12-19.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0584 during a complaint investigation conducted on 2025-12-19.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0604 during a standard health inspection conducted on 2025-12-19.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-12-19.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0685

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0685 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Assist a resident in gaining access to vision and hearing services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0699

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0700

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-12-19.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-12-19.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0759

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-12-19.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-12-19.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-12-19.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of GRESHAM POST ACUTE CARE AND REHABILITATION.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-01-16.

πŸ“‹ Inspection Summary

GRESHAM POST ACUTE CARE AND REHABILITATION in GRESHAM, OR inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GRESHAM, OR, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRESHAM POST ACUTE CARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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