Fernhill Rehabilitation and Care
5737 Ne 37th Avenue, Portland, OR 97211 · Multnomah County · (541) 908-1010
63 certified beds, about 44 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385237 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 8, 2025, inspectors cited 12 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 60 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated April 28, 2025.
Nurses and nurse aides worked 5.01 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
64.0% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to Sapphire Health Services, an affiliated group of 8 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1612/22
2503/24
212/24
304/25
106/25
1308/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 60 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
47D
10E
1F
Potential for minimal harm
0A
1B
0C
August 8, 2025Standard inspection, Complaint inspection · 13 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide resident council members with responses to concerns identified in resident council for 2 of 4 meetings reviewed for resident council. This placed residents at risk for delays in addressing care related concerns and diminished quality of life.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide a written grievance resolution or communicate with a resident or resident's representative regarding the resolution of a resident grievance for 1 of 3 (#36) sampled residents reviewed for personal property. This placed residents at risk for unaddressed concerns and grievances.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure kitchen food preparation areas were maintained in a clean and sanitary manner for 1 of 1 kitchen reviewed for sanitary kitchen practices. This placed residents at risk of illness and contaminated food.
- D 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to provide a homelike environment for 2 of 3 hallways reviewed for environment. This placed residents at risk for a lack of homelike environment.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by Resident 27 for 1 of 4 sampled resident (#24), reviewed for abuse. This placed residents at risk for additional physical abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interviews and record review it was determined the facility failed to report allegations of physical abuse within the mandated timeframe for 1 of 4 sampled residents (#24) for 1 of 2 Facility Reported Incident (FRI) reports reviewed for abuse. This placed residents at risk for further abuse.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure accurate MDS assessments were completed for 1 of 1 sampled resident (# 41) reviewed for dental. This placed residents at risk for an inaccurate picture of the resident's status.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, interviews and record review it was determined the facility failed to implement a comprehensive person-centered care plan for 1 of 2 sampled residents (#3) reviewed for accidents. This placed residents at risk for injury related to falls.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to provide an ongoing program to support individual activity interest and preferences for 1 of 1 sampled resident (#36) reviewed for activities. The failure to provide meaningful and preferred activities placed residents at risk for unmet psychosocial needs.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain vision services for 1 of 1 sampled resident (#41) reviewed for vision. This placed residents at risk for not adequately addressing vision related needs.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain dental services for 1 of 1 sampled resident (#41) reviewed for dental services. This placed residents at risk for unaddressed dental care needs.
- B Post nurse staffing information every day.
Inspectors wroteBased on interview and record review it was determined the facility failed to the ensure the DCSDR (Direct Care Staff Daily Report) postings were accurate for 15 of 45 days reviewed for staffing. This placed residents and visitors at risk for inaccurate staffing information.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on interview and record review it was determined the facility failed to return a power wheelchair to 1 of 3 resident (#51) reviewed for personal property. This placed residents at risk for decrease independence with mobility.
June 17, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident did not elope for 1 of 3 sampled residents (#1) reviewed for elopement. This placed residents at risk for injury.
April 28, 2025Complaint inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to timely assist a resident with a transfer for 1 of 3 sampled residents (#3) reviewed for accidents. As a result, Resident 3 was hospitalized and suffered a fractured femur.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse for 1 of 3 sampled residents (#6) reviewed for abuse. This placed residents at risk for abuse. Resident 7 was admitted to the facility in 5/2024, with diagnoses including acute pancreatitis (a condition that inflames the pancreas) and alcohol induced disorder (a condition that triggers mood disorders due to alcohol consumption). A Behavioral Care Plan was initiated on 6/14/24 and revised on 9/12/24, which indicated Resident 7 had a history of problematic manner which were characterized through abusive language, and threats due to a history of alcohol dependence. Staff were directed to remove other residents away from Resident 7 should she/he become aggressive or initiate verbal altercations with residents or staff. [...]
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from significant medication errors for 1 of 3 sampled residents (#2) reviewed for medications. This placed residents at risk of adverse side effects for lack of medication administration.
December 5, 2024Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to implement the plan of care for 1 of 3 sampled residents (#1) reviewed for resident safety and elopement. This placed residents at risk of an unsafe elopement.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide adequate supervision and failed to thoroughly evaluate and analyze an elopement for 1 of 3 sampled residents (#1) reviewed for elopement. This placed residents at risk for an unsafe elopement.
March 22, 2024Standard inspection, Complaint inspection · 25 citations
- E 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to provide a comfortable, clean and homelike environment for 1 of 1 dining/activity room and 1 of 1 resident lounge reviewed for environment. This placed residents at risk for an unsatisfying meal and activity experience and living in an institutionalized environment.
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were referred to the appropriate state-designated authority for a Level II PASARR evaluation (evaluation for individuals with a mental disorder) for 4 of 4 sampled residents (#s 9, 14, 18 and 34) reviewed for PASARRs. This placed residents at risk for not receiving specialized mental health services.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to provide an ongoing program to support individual activity interests and preferences for 3 of 4 sampled residents (#s 9, 13 and 19) reviewed for activities. This placed residents at risk for unmet psychosocial needs and diminished quality of life.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure food was flavorful, palatable, attractive and served at an appetizing temperature for 3 of 3 sampled residents (#s 10, 196 and 246) reviewed for food. This placed residents at risk for diminished nutrition and quality of life.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure snacks were available at non-traditional times or outside of scheduled meal service times for 1 of 1 kitchen and 1 of 4 sampled residents (#246) reviewed for food. This placed residents at risk for unmet nutritional needs.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and record review it was determined the facility's quality assessment and performance improvement committee (QAPI) failed to systematically identify and correct deficiencies in the areas of abuse, completing assessments, care plan revisions, activities of daily living, activities meeting resident's needs and preferences, range of motion and mobility and medication error rates. This placed residents at risk of abuse, unassessed care needs, inaccurate care plans, unmet hygiene needs, reduced quality of life, reduced mobility and increased pain and adverse medication side effects.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were treated in a dignified manner for 1 of 1 sampled resident (#23) reviewed for dignity. This placed residents at risk for decreased quality of life.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to assess a resident's ability to self-administer medications for 1 of 1 sampled resident (#12) reviewed for self-administration of medications. This placed residents at risk for adverse side effects.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview and record review it was determined the facility failed to support a resident's choice to smoke for 1 of 4 sampled residents (#31) reviewed for choices. This placed residents at risk for lack of self-determination.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a resident's privacy was maintained for 2 of 2 sampled residents (#s13 and 23) reviewed for privacy. This placed residents at risk for loss of dignity and privacy.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident funds were not used for unauthorized purchases for 1 of 4 sampled residents (#10) reviewed for choices. This placed residents at risk for misappropriation of money.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively assess residents for 3 of 10 sampled residents (#s 9, 14 and 19) reviewed for medications, skin conditions and activities. This placed residents at risk for unassessed and unmet needs.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure MDS assessments were coded accurately for 2 of 2 sampled residents (#s 22 and 31) reviewed for hospice services (specialized care for people near end of life) and hospitalization. This placed residents at risk for inaccurate assessments.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review it was determined the facility failed to develop a person-centered care plan for activities for 1 of 4 sampled residents (# 9) who were reviewed for activities. This placed residents at risk for unmet care needs.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure care plans were revised to accurately reflect the needs of residents for 1 of 2 sampled residents (#35) reviewed for care plans. This placed residents at risk for unmet needs.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received showers for 1 of 6 sampled residents (#31) reviewed for ADLs. This placed residents at risk for unmet hygiene needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 3 of 7 sampled residents (#s 6, 10 and 26) reviewed for medications, change of condition and dialysis. This placed residents at risk for unmet care needs and illness.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide appropriate treatment and services to prevent a potential decrease in range in motion for 1 of 2 sampled residents (#31) reviewed for position and mobility. This placed residents at risk for worsening contractures (a permanent tightening of the muscle, tendons and skin causing the joint to shorten and stiffen) and conditions.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the environment was free of potential accident hazards and the facility failed to ensure assistive devices were in safe operating condition to prevent accidents for 2 of 4 sampled residents (#s 7 and 9) reviewed for accidents. This placed the residents at risk for potential accidents.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide appropriate and timely pain management for 1 of 1 sampled resident (#40) reviewed for pain. This placed residents at risk for unresolved pain.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure communication occurred between the facility and the dialysis provider for 1 of 1 sampled residents (#26) reviewed for dialysis. This placed residents at risk for delayed treatment.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication pass error rate of less than 5%. There were three errors in 32 opportunities resulting in an 9.38% error rate. This placed residents at risk for adverse medication side effects.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure appropriate infection control during Covid-19 testing for 2 of 2 sampled residents (#s 13 and 33) reviewed for Covid-19 testing. This placed residents at risk for inaccurate Covid-19 test results, cross-contamination and infection.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to notify a resident's representative of a resident's hospitalization for 1 of 2 sampled residents (#96) reviewed for notification of change. This placed residents at risk of their representatives being uninformed.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from abuse for 3 of 6 sampled residents (#s 16, 18, 22, 34 and 40) reviewed for abuse. This placed residents at risk for physical abuse.
December 20, 2022Standard inspection · 16 citations
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and record review it was determined the facility failed to have a qualified and trained Infection Preventionist in place for 1 of 1 facility reviewed for infection prevention and control. This placed residents at risk for inadequate infection control.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide adequate bathing, hygiene and grooming for 6 of 10 sampled residents (#s 5, 8, 9, 13, 15, 227) reviewed for ADLs. This placed residents at risk for unmet hygiene and grooming needs.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a psychotropic medication consent was provided for 3 of 5 sampled residents (#s 3,18 and 21) reviewed for unnecessary medications. This placed residents at risk for being uninformed of risks and benefits of medications.
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide advance notice to residents prior to receiving a new roommate for 1 of 1 sampled resident (#7) reviewed for notification of roommate changes. This placed residents at risk for potential adjustment difficulties.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 2 residents (#177) reviewed for abuse. This placed residents at risk for abuse.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were assessed and monitored for physical restraints for 1 of 1 sampled resident (#8) reviewed for restraints. This placed residents at risk for inappropriate use of a restraints.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents' communication needs and abilities and activity interests were accurately and comprehensively assessed for 1 of 4 sampled residents (#227) reviewed for communication and activities. This placed residents at risk for unmet needs.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure care plans were revised to accurately reflect the needs of residents for 2 of 2 sampled residents (#s 8 and 77) reviewed for restraints and dialysis. This placed residents at risk for unmet needs.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide appropriate treatment and services in the area of communication for 1 of 1 sampled resident (#227) reviewed for communication needs. This placed residents at risk for diminished quality of life and potential decline in their ability to carry out activities of daily living.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to develop and implement a person-centered activities program for 3 of 4 sampled residents (#s 5, 9, 227) reviewed for activities. This placed residents at risk for unmet activity needs and a diminished quality of life.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received appropriate treatment and services to increase range of motion for 1 of 2 sampled residents (#227) reviewed for rehabilitative and restorative services and to ensure residents with limited mobility received appropriate services and equipment for 1 of 2 sampled residents (#9) reviewed for position and mobility. This placed residents at risk for decline in ADL function and worsening contractures.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to respond to medication adverse consequences for 1 of 5 sampled residents (#21) reviewed for unnecessary medications. This placed residents at risk for worsening medication adverse side effects.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication error rate of less than 5%. There were six errors in 28 opportunities resulting in a 21.43% error rate. This placed residents at risk for reduced medication efficacy and adverse medication side effects.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to obtain specialized rehabilitative services for 1 of 2 sampled residents (#227) reviewed for rehabilitative and restorative services. This placed residents at risk for a decline in functional abilities and diminished quality of life.
- D Provide and implement an infection prevention and control program.
Inspectors wrote1. Based on observation, interview and record review it was determined the facility failed to properly clean and store reusable medical supplies for 2 of 2 residents (#s 9 and 227) reviewed for tube feeding equipment and medication administration. This placed residents at risk for infections.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents or their representatives were provided education regarding the benefits, risks and potential side effects of the pneumococcal immunization and provided the opportunity to accept or decline pneumococcal vaccinations for 2 of 5 sampled residents (#s7 and 13) reviewed for immunizations. This placed residents at risk for making uninformed healthcare decisions and not being protected against pneumococcal disease.
Fire safety inspections
14 fire safety citations on file: 4 on March 22, 2024, 5 on December 20, 2022, 5 on October 1, 2019.
Every fire safety citation14 citations
- F Have simulated fire drills held at unexpected times.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install an approved automatic sprinkler system.
- D Ensure proper usage of power strips and extension cords.
- F Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- L Have simulated fire drills held at unexpected times.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 28, 2025 | Fine | $8,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.01 | 5.03 | 3.86 |
| Registered nurses | 1.00 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.67 | 4.51 | 3.42 |
| Nurse aides | 3.33 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 64.0% | 47.4% | 45.8% |
| Registered nurse turnover | 71.4% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.15 on weekdays and 4.67 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.77 in April to June 2025 to 5.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.01 | 1.00 | 5.15 | 4.67 | 5.2% | 0 of 90 | 44 |
| Oct to Dec 2025 | 4.87 | 0.86 | 5.02 | 4.48 | 4.7% | 0 of 92 | 45 |
| Jul to Sep 2025 | 5.57 | 0.89 | 5.75 | 5.11 | 8.3% | 0 of 92 | 42 |
| Apr to Jun 2025 | 4.77 | 0.82 | 4.97 | 4.27 | 2.5% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.8 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.1 | 13.9 | 15.4 |
Owners and operators
Legal business name: SAPPHIRE AT FERNHILL LLC. CMS links this home to Sapphire Health Services, a group of 8 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Becker, Andrew | 5% or greater direct ownership interest | Individual | 30% | 09/01/2023 |
| Hilty, Lisa | 5% or greater direct ownership interest | Individual | 25% | 09/01/2023 |
| Morris, Bryan | 5% or greater direct ownership interest | Individual | 5% | 09/01/2023 |
| Ricker, Kevin | 5% or greater direct ownership interest | Individual | 40% | 09/01/2023 |
| Sapphire Healthcare Srvs. | Operational/managerial control | Organization | 11/28/2023 | |
| Bhumkar, Nishita | Operational/managerial control | Individual | 01/01/2025 | |
| McKay, Alex | Operational/managerial control | Individual | 07/23/2024 | |
| Sapphire Healthcare Srvs. | Adp of the SNF | Organization | 06/30/2025 | |
| Bhumkar, Nishita | Adp of the SNF | Individual | 01/01/2025 | |
| McKay, Alex | Adp of the SNF | Individual | 07/23/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 18 problems in this area, most recently on August 8, 2025: "Provide activities to meet all resident's needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on August 8, 2025: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on August 8, 2025: "Ensure each resident receives an accurate assessment."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on August 8, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
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Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Fernhill Rehabilitation and Care's Medicare star rating?
- CMS rates Fernhill Rehabilitation and Care 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fernhill Rehabilitation and Care get at its last inspection?
- 12 health deficiencies at the standard inspection on August 8, 2025. The Oregon average is 9.2.
- Has Fernhill Rehabilitation and Care been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Fernhill Rehabilitation and Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fernhill Rehabilitation and Care?
- CMS lists 10 owners and managers, and links the home to Sapphire Health Services. Legal business name: SAPPHIRE AT FERNHILL LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.