Regency Gresham Nursing & Rehabilitation Center
5905 Se Powell Valley Rd, Gresham, OR 97080 · Multnomah County · (503) 665-1151
128 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385015 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 19, 2025, inspectors cited 6 health deficiencies (the Oregon average is 9.2, the national average 9.2).
None of its 21 health citations since April 2023 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 5.39 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
29.7% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to Regency Pacific Management, an affiliated group of 27 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.
804/23
707/24
609/25
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 21 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
8E
0F
Potential for minimal harm
0A
0B
0C
September 19, 2025Standard inspection · 6 citations
- 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.
Inspectors wroteBased on observations, interviews, and record review it was determined the facility failed to ensure medications were not expired for 2 of 8 medication storage areas. This placed residents at risk for decreased medication efficiency.
- 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 food and beverages were labeled and stored in a manner to minimize spoilage and cross contamination for 3 of 3 unit refrigerators and 1 of 2 kitchen refrigerators reviewed for sanitary conditions. This placed residents at risk for foodborne illness.
- D 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 ensure dependent residents received required assistance with ADLs for 1 of 3 sampled resident (#98) reviewed for ADLs. This placed residents at risk for lack of personal hygiene.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents who were trauma survivors received trauma-informed care for 2 of 3 sampled residents (#s 49 and 68) reviewed for mood. This placed residents at risk for re-traumatization and decreased quality of life.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for blood pressure medications for 1 of 5 sampled residents (#6) reviewed for unnecessary medications. This placed residents at risk for adverse side effects to blood pressure medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure infection control practices were implemented for 1 of 3 residents (#49) reviewed for catheter care. This placed residents at risk for infection.
July 1, 2024Standard inspection, Complaint inspection · 7 citations
- E Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure residents were aware of the right to review survey results for 2 of 2 floors and failed to make survey results were readily accessible for 1 of 2 floors reviewed for resident rights. This placed residents and the public at risk for not being informed of the facility's survey history.
- 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 maintain a homelike and comfortable environment for 2 of 3 halls reviewed for environment. This placed residents at risk for living in an unkempt and uncomfortable environment.
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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 hospitalizations for 3 of 3 sampled residents (#s 40, 87 and 339) reviewed for hospitalization. This placed residents at risk for lack of advocacy by the Ombudsman's office.
- 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 foods were labeled and stored in a way to minimize food spoilage and cross contamination for 1 of 1 kitchen and 1 of 3 snack/resident refrigerators reviewed for sanitary food storage. This placed residents at risk for potential infections related to foodborne pathogens.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure resident representatives were informed in writing of changes in financial coverage for 1 of 4 sampled residents (#340) reviewed for advance beneficiary notification. This placed residents and their representatives at risk for unknown financial liabilities and lack of knowledge regarding the right to appeal the decision.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide residents with a written notice of the facility's bed hold policy at the time of transfer to the hospital for 1 of 3 sampled residents (#40) reviewed for hospitalization and discharge. This placed residents at risk for lack of knowledge regarding their choices and potential financial responsibilities.
- 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 revise and update a care plan intervention for clothing preferences and call light use for 1 of 2 sampled residents (# 45) reviewed for care planning. This placed residents at risk for unmet of care needs.
April 21, 2023Standard inspection · 8 citations
- 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide written information to residents concerning the right to formulate an advance directive for 5 of 6 sampled residents (#s 30, 41, 55, 59 and 399) reviewed for advance directives. This placed residents at risk for not having their health care decisions honored.
- E 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 revise care plans for 4 of 13 sampled residents (#'s 21, 28, 49 and 52) reviewed for communication, environment and ADLs. This placed residents at risk for lack of person-centered care.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accommodate resident needs for 2 of 6 sampled residents (#s 21 and 77) reviewed for environment. This placed residents at risk for lack of accommodation of needs and preferences.
- 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 interview and record review it was determined the facility failed to ensure a resident's missing personal property was adequately addressed for 1 of 2 sampled residents (#67) reviewed for personal property. This placed residents at risk for loss of personal items.
- D 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 ADL care for 1 of 6 sampled residents (#55) reviewed for ADLs. This placed residents at risk for poor hygiene.
- 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 determine the facility failed to follow physician's orders and implement timely interventions after an injury for 1 of 2 sampled residents (#21) reviewed for abuse. This placed residents at risk for lack of adequate care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide respiratory care and services for 1 of 3 sampled residents (#13) reviewed for respiratory services. This placed residents at risk for unmet respiratory needs.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide sufficient staffing to meet the needs of residents for 3 of 6 sampled residents (#s 197, 203 and 297) reviewed for staffing. This placed residents at risk for unmet needs.
Fire safety inspections
8 fire safety citations on file: 3 on September 19, 2025, 1 on July 1, 2024, 4 on April 21, 2023.
Every fire safety citation8 citations
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
- D Have proper medical gas storage and administration areas.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.39 | 5.03 | 3.86 |
| Registered nurses | 0.69 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.90 | 4.51 | 3.42 |
| Nurse aides | 3.75 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 29.7% | 47.4% | 45.8% |
| Registered nurse turnover | 33.3% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 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 5.59 on weekdays and 4.90 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.14 in April to June 2025 to 5.39 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 | 5.39 | 0.69 | 5.59 | 4.90 | 1.3% | 0 of 90 | 90 |
| Oct to Dec 2025 | 5.35 | 0.56 | 5.56 | 4.79 | 0.4% | 0 of 92 | 89 |
| Jul to Sep 2025 | 5.21 | 0.58 | 5.46 | 4.56 | 0.7% | 0 of 92 | 90 |
| Apr to Jun 2025 | 5.14 | 0.52 | 5.39 | 4.54 | 0.2% | 0 of 91 | 92 |
| 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 | 9.4 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.3 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.0 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.8 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.5 | 16.1 | 12.0 |
Owners and operators
Legal business name: REGENCY GRESHAM NURSING & REHABILITATION CENTER, LLC. CMS links this home to Regency Pacific Management, a group of 27 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stroud, David | 5% or greater direct ownership interest | Individual | 33% | 04/23/2007 |
| Regency Pacific Management LLC | Operational/managerial control | Organization | 04/01/2010 | |
| Beddoe, Marvin | Operational/managerial control | Individual | 04/23/2007 | |
| Beddoe, Sandra | Operational/managerial control | Individual | 06/01/2001 | |
| Dunham, Sarah | Operational/managerial control | Individual | 09/01/2022 | |
| Knippers, Anthony | Operational/managerial control | Individual | 07/16/2018 | |
| Rapp, Andrew | Operational/managerial control | Individual | 03/08/2016 | |
| Omnicare LLC | Adp of the SNF | Organization | 09/01/2013 | |
| Regency Pacific Management LLC | Adp of the SNF | Organization | 08/26/2025 | |
| Beddoe, Marvin | Adp of the SNF | Individual | 04/23/2007 | |
| Beddoe, Sandra | Adp of the SNF | Individual | 06/01/2001 | |
| Clay, James | Adp of the SNF | Individual | 07/01/2007 | |
| Dunham, Sarah | Adp of the SNF | Individual | 09/01/2022 | |
| Knippers, Anthony | Adp of the SNF | Individual | 07/16/2018 | |
| Rapp, Andrew | Adp of the SNF | Individual | 03/08/2016 | |
| Stroud, David | Adp of the SNF | Individual | 07/01/2007 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on July 1, 2024: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 19, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 19, 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on September 19, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Fairlawn Health and Rehabilitation of Cascadia Gresham, 1.9 mi · 5 of 5 stars · 26 citations
- Gresham Post Acute Care and Rehabilitation Gresham, 3 mi · 2 of 5 stars · 51 citations
- Village Manor of Cascadia Wood Village, 4.2 mi · 4 of 5 stars · 24 citations
- Marquis Centennial Post Acute Rehab Portland, 4.8 mi · 5 of 5 stars · 19 citations
- Village Health Care Gresham, 5.3 mi · 2 of 5 stars · 44 citations
- Lacamas Creek Post Acute Camas, 7.2 mi · 5 of 5 stars · 36 citations
- Cedar Crossings Portland, 7.3 mi · 3 of 5 stars · 57 citations
- Avalon Care Center - Portland Portland, 7.8 mi · 3 of 5 stars · 32 citations
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 Regency Gresham Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Regency Gresham Nursing & Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Regency Gresham Nursing & Rehabilitation Center get at its last inspection?
- 6 health deficiencies at the standard inspection on September 19, 2025. The Oregon average is 9.2.
- Has Regency Gresham Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Regency Gresham Nursing & Rehabilitation Center 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 Regency Gresham Nursing & Rehabilitation Center?
- CMS lists 16 owners and managers, and links the home to Regency Pacific Management. Legal business name: REGENCY GRESHAM NURSING & REHABILITATION CENTER, 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.