Find a nursing home

Home / Oregon / Portland

Gateway Care and Retirement

39 Ne 102nd Avenue, Portland, OR 97220 · Multnomah County · (503) 252-2461

59 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385268 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 12, 2025, inspectors cited 9 health deficiencies (the Oregon average is 9.2, the national average 9.2).

None of its 34 health citations since September 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.75 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

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.

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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
9E
4F
Potential for minimal harm
0A
0B
1C
July 15, 2025Complaint inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 8, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to properly store food and failed to maintain sanitary conditions in 1 of 1 kitchen. This placed residents at risk for foodborne illness and contaminated food.
May 12, 2025Standard inspection, Complaint inspection · 10 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a comfortable and homelike environment was maintained and reasonable care for the protection of resident property from loss or theft was maintained for 3 of 8 sampled residents (#s 30, 33 and 308) reviewed for environment and personal property. This placed residents at risk for discomfort, lack of a homelike environment and loss of personal items.
  2. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to store all medications and biologicals under proper temperature controls and ensure expired medications were identified and disposed of for 1 of 1 medication storage rooms and 1 of 2 medication carts This placed residents at risk for reduced medication efficacy and receiving outdated medications.
  3. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure the call light sytem was functional for 4 of 24 sampled residents (#s 2, 29, 43 and 304) reviewed for a functional call light system. This placed residents at risk for delayed care needs.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to report results of abuse investigations to the State Survey Agency within the required time frame for 2 of 4 sampled residents (#s 7 and 19) reviewed for abuse. This placed residents at risk for abuse.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to revise, update and implement the care plan for 1 of 5 sampled residents (#48) reviewed for accidents. This placed resident at risk for unmet nutritional needs.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide the necessary services to maintain good grooming and personal hygiene for 1 of 4 sampled resident (#29) reviewed for ADLs. This placed resident at risk for lack of personal hygiene and ADL care needs.
  7. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dependent residents were provided assistance with toenail care for 2 of 4 sampled residents (#s 2 and 30) reviewed for foot care. This placed residents at risk for discomfort and inadequate foot care needs.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure supervision and safety interventions were in place to prevent smoking related accidents for 1 of 2 sampled residents (#305) reviewed for smoking safety. This placed residents at risk for burns and accidents.
  9. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure food was served at an appetizing temperature for 1 of 2 sampled residents (#11) reviewed for food. This placed residents at risk for food that was not palatable, safe or appetizing.
  10. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activities program for 1 of 1 sampled resident (#33) reviewed for activities. This placed residents at risk for a decline in psychosocial well-being and diminished quality of life.
February 6, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to implement care plan interventions to prevent an elopement for 1 of 4 sampled residents (#1) reviewed for elopement. This placed residents at risk for an unsafe elopement and injury.
May 17, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, it was determined the facility failed to ensure residents were free from abuse for 1 of 5 sampled residents (#1) reviewed for abuse. This placed residents at risk for abuse.
April 26, 2024Complaint inspection · 1 citation
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 7, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure physician orders were followed and medical conditions were assessed for 3 of 3 sampled residents (#s 1, 2 and 5) reviewed for physician orders and weight. This placed residents at risk for worsening health conditions and unmet needs.
April 2, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure safety interventions were in place to prevent elopement for 1 of 1 sampled resident (#1) reviewed for elopement. This put residents at risk for potentially avoidable accidents.
December 4, 2023Standard inspection · 7 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to adhere to transmission based precautions for 1 of 1 sampled residents (#107) reviewed for transmission based precautions and failed to process and transport laundry to prevent potential cross contamination for 1 of 1 laundry room reviewed for infection control. This placed residents at risk for infection.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure resident needs and preferences related to lighting were accommodated for 2 of 2 sampled residents (#s 3 and 205) reviewed for accommodation of needs. This placed residents at risk for lack of access to lighting and an unhomelike environment.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the Office of the State Long Term Care Ombudsman was notified of resident hospitalization for 1 of 1 sampled resident (#33) reviewed for hospitalization. This placed residents at risk for lack of advocacy by the Ombudsman's office.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to comprehensively assess a resident's dental status for 1 of 1 sampled resident (#46) reviewed for dental. This placed residents at risk for lack of dental care and weight loss.
  5. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident call lights were answered timely for 1 of 4 sampled residents (#36) reviewed for sufficient nurse staffing. This placed residents at risk for untimely assistance with ADL needs.
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were free from a medication error rate of five percent or more for 2 of 8 sampled residents (#s 32 and 107) reviewed for medication administration. The facility's medication administration error rate was eight percent. This placed residents at risk for adverse medication consequences.
  7. C
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    F848 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 15, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure arbitration would be held in a location convenient to both the resident and the facility for 1 of 1 facilities reviewed for arbitration. This placed residents at risk of not being able to attend arbitration or being burdened with unreasonable travel expenses.
October 5, 2023Complaint inspection · 1 citation
  1. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a call light system was adequately equipped to relay resident calls to caregivers for assistance on 2 of 2 hallways reviewed for call light response times. This placed residents at risk for lack of timely assistance and unmet needs.
September 13, 2022Standard inspection · 11 citations
  1. F
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure staff received annual training on abuse, neglect, exploitation of resident property and dementia management for 9 of 10 randomly selected staff (#s 17, 18, 20, 21, 22, 23, 26, 27 and 28) reviewed for sufficient and competent nursing staff. This placed residents at risk for abuse, unmet needs and diminished quality of life.
  2. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to have a system in place to ensure CNA staff received 12 hours of in-service training annually for 4 of 5 randomly selected staff members (#s 19, 20, 22 and 23) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care.
  3. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to develop and implement policies and procedures regarding residents' rights to formulate advance directives for 4 of 4 sampled residents (#s 21, 44, 250 and 252) reviewed for advance directives. This placed residents at risk of not having their health care preferences followed.
  4. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure RN coverage for eight consecutive hours per day for 9 of 68 days reviewed for staffing. This placed residents at risk for unassessed needs and lack of care.
  5. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure medications and biologicals were secured and only accessible to authorized persons for 2 of 2 halls observed. This placed residents at risk for drug diversion.
  6. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to store food at the appropriate temperature to prevent the spread of food-borne illness and failed to provide a designated hand hygiene sink in 1 of 1 kitchen reviewed for food storage and hygiene. This placed residents at risk of food-borne illness and cross contamination.
  7. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to obtain informed consent prior to administration of a psychotropic medication for 1 of 5 sampled residents (#17) reviewed for unnecessary medications. This placed residents at risk for being uninformed of the risks and benefits of their medications.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide bathing assistance for 3 of 4 sampled residents (#s 20, 36 and 42) reviewed for ADL care. This placed residents at risk for lack of personal hygiene.
  9. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents with limited ROM received appropriate care and services to maintain their level of functioning for 1 of 2 sampled residents (#19) reviewed for positioning and mobility. This placed residents at risk for decreased ROM.
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication administration error rate of less than 5%. There were two errors in 27 opportunities resulting in a 7.41% error rate. This placed residents at risk for reduced medication efficacy and adverse medication side effects.
  11. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 25, 2022
    Inspectors wroteBased on interview and record review it was determined the facility failed to implement therapy orders in a timely manner for 1 of 1 sampled resident (#20) reviewed for therapy services. This placed residents at risk for a decline in mobility and lack of quality of life.

Fire safety inspections

20 fire safety citations on file: 11 on May 12, 2025, 4 on December 4, 2023, 5 on September 13, 2022.

Every fire safety citation20 citations
  1. F
    Address patient/client population and determine types of services needed.
    E 7 · May 12, 2025 · Corrected (the home has a date of correction)
  2. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · May 12, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 12, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 12, 2025 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 12, 2025 · Corrected (the home has a date of correction)
  7. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · May 12, 2025 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 12, 2025 · Corrected (the home has a date of correction)
  9. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · May 12, 2025 · Corrected (the home has a date of correction)
  10. D
    Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
    K 255 · May 12, 2025 · Corrected (the home has a date of correction)
  11. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 12, 2025 · Corrected (the home has a date of correction)
  12. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · December 4, 2023 · Corrected (the home has a date of correction)
  13. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 4, 2023 · Corrected (the home has a date of correction)
  14. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · December 4, 2023 · Corrected (the home has a date of correction)
  15. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 4, 2023 · Corrected (the home has a date of correction)
  16. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 13, 2022 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 13, 2022 · Corrected (the home has a date of correction)
  18. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 13, 2022 · Corrected (the home has a date of correction)
  19. E
    Install noncombustible or limited-combustible interior walls.
    K 163 · September 13, 2022 · Corrected (the home has a date of correction)
  20. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 13, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)4.755.033.86
Registered nurses0.550.720.69
All nursing staff on weekends4.234.513.42
Nurse aides3.35
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)not reported47.4%45.8%
Registered nurse turnovernot reported51.6%42.9%
Administrators who left2

CMS expects 3.06 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 4.96 on weekdays and 4.23 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.57 in April to June 2025 to 4.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.750.554.964.23 4.9%0 of 9057
Oct to Dec 20254.970.455.184.41 6.0%0 of 9257
Jul to Sep 20255.040.465.304.38 6.1%0 of 9257
Apr to Jun 20255.570.565.725.20 6.9%0 of 9155
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oregon, Jan to Mar 20264.910.645.124.406.2%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.

MeasureThis homeOregonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.814.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.41.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.32.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.72.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.020.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.35.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.313.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
8.421.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.016.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.41.8

Owners and operators

Legal business name: SAPPHIRE AT GATEWAY LLC. CMS links this home to Sapphire Health Services, a group of 8 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Becker, Andrew5% or greater direct ownership interestIndividual10%01/01/2018
Ricker, Kevin5% or greater direct ownership interestIndividual90%07/15/2014
Altea Medical Oregon LLCOperational/managerial controlOrganization01/01/2024
Sapphire Healthcare Srvs.Operational/managerial controlOrganization01/01/2015
Ames, DeborahOperational/managerial controlIndividual01/01/2025
Millington, SethOperational/managerial controlIndividual02/17/2025
Hilty, LisaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/28/2025
Morris, BryanIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/28/2025
Altea Medical Oregon LLCAdp of the SNFOrganization10/01/2025
Sapphire Healthcare Srvs.Adp of the SNFOrganization06/22/2025
Ames, DeborahAdp of the SNFIndividual01/01/2025
Millington, SethAdp of the SNFIndividual02/17/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 12, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on May 12, 2025: "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."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 12, 2025: "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."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 15, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.23 hours per resident per day, below the Oregon average of 4.51.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Common questions

What is Gateway Care and Retirement's Medicare star rating?
CMS rates Gateway Care and Retirement 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gateway Care and Retirement get at its last inspection?
9 health deficiencies at the standard inspection on May 12, 2025. The Oregon average is 9.2.
Has Gateway Care and Retirement been fined?
CMS lists no fines in the last three years.
Does Gateway Care and Retirement 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 Gateway Care and Retirement?
CMS lists 12 owners and managers, and links the home to Sapphire Health Services. Legal business name: SAPPHIRE AT GATEWAY LLC.

Sources

Find a nursing home Read an inspection