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Gresham Post Acute Care and Rehabilitation

Residential Care Facility

405 NE 5th Street, Gresham, OR 97030

Nursing Home Care

In historic downtown Gresham Oregon, Gresham Rehab and Specialty Care is a top-notch skilled nursing and inpatient rehab community serving the East Multnomah County area

Operated by Avamere, which runs 41 communities in our directory.

Gresham Post Acute Care and Rehabilitation is licensed for 78 beds, about typical for the area, where senior care communities in Gresham average about 65 beds.

Federal reporting puts occupancy at about 91% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Gresham average of roughly 80%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gresham average about 3.5 stars. Its most recent standard health inspection was in December 2025 and recorded 19 deficiencies.

Residents receive about 6.3 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Communities in Gresham average about 5.3 hours. Nursing staff turnover over the past year was about 66%, which is high and can affect continuity of care.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 51 problems at Gresham Post Acute Care and Rehabilitation. 6 findings involved harm to a resident, including 2 that put residents in immediate danger. 5 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $76,801.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected December 2025, after a complaint. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025, after a complaint. Corrected by January 22, 2026.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by January 22, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint. Corrected by December 4, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Gresham Post Acute Care and Rehabilitation offers nursing home care.

Facility details

  • Organization type for-profit corporation
  • Beds / units 78
  • Occupancy 91%
  • Nursing hours per resident/day 6.3
  • Annual staff turnover 66%
  • Last health inspection December 2025

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