Portland, OR

Belmont Care And Rehabilitation

2-star overall rating with 2-star inspections with abuse icon flag with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

812 Se 48th Avenue, Portland, OR

(503) 236-2624

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

41

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sapphire Health Services

Operator or chain grouping

Approved since

2012-12-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

1.26

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.48

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

5.23

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.75

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.86

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

5.27

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

98%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,784

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

54.01

Composite VBP score used to determine payment impact.

Payment multiplier

1.0088

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.91

Baseline 100.00% · Performance 51.85% · Measure score 5.91 · Achievement 2.89 · Improvement 5.91

Adjusted total nurse staffing

4.89

Baseline 3.71 hours · Performance 4.47 hours · Measure score 4.89 · Achievement 4.89 · Improvement 3.18

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 32.26%
8.2%
24.1 pts better
Numerator 20 · Denominator 62
Staff flu vaccination coverage 27.52%
42%
14.5 pts worse
Numerator 30 · Denominator 109
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.5%
4.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
95.2%
2.2 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury 5.6%
2.4%
3.2 pts worse
3.3%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.4% · Q3 5.9% · Q4 5.9% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.9%
4.7%
3.8 pts better
11.4%
10.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight 0.0%
5.0%
5 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.9%
12.5%
6.6 pts better
19.6%
13.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 10.3% · Q3 6.9% · Q4 3.4% · 4Q avg 5.9%
Percentage of long-stay residents who received an antipsychotic medication 20.2%
14.7%
5.5 pts worse
16.7%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 16.7% · Q3 25.0% · Q4 25.0% · 4Q avg 20.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 4.9%
0.1%
4.8 pts worse
0.1%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.9% · Q4 14.7% · 4Q avg 4.9%
Percentage of long-stay residents whose ability to walk independently worsened 26.8%
24.1%
2.7 pts worse
16.3%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.3%
15.8%
2.5 pts worse
14.9%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 23.1% · Q3 23.1% · Q4 4.0% · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.7%
1.1 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
2.0%
1.3 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.2%
22.2%
5 pts better
19.8%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 12.2% · Q3 8.5% · Q4 27.0% · 4Q avg 17.2%
Percentage of long-stay residents with pressure ulcers 4.5%
6.5%
2 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.1% · Q3 1.7% · Q4 3.7% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
85.4%
10.4 pts better
81.7%
14.1 pts better
Short Stay · 2024Q4-2025Q3 · Q3 100.0% · Q4 96.2% · 4Q avg 95.8%
Percentage of short-stay residents who newly received an antipsychotic medication 20.0%
1.7%
18.3 pts worse
1.6%
18.4 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-28 · Fire 2025-02-28

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-12-01 · Fire 2023-12-01

15 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-05-23 · Fire 2023-05-23

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-18

F · Potential for more than minimal harm 2023-12-01

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-01-20

F · Potential for more than minimal harm 2023-12-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-01-20

F · Potential for more than minimal harm 2023-05-23

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-05-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-05-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-05-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-05-23

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-06-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-28

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-28

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-28

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F699 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-02-28

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2025-04-18

E · Potential for more than minimal harm 2024-07-25

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-25

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-03-11

F555 · Resident Rights Deficiencies

Health

Honor the resident's right to choose his or her attending physician.

Corrected 2024-04-05

E · Potential for more than minimal harm 2023-12-01

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-01

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-01

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-20

E · Potential for more than minimal harm 2023-12-01

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-01

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-01

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-01-20

D · Potential for more than minimal harm 2023-12-01

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-01-20

G · Actual harm 2023-05-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-23

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F809 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-05-23

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-06-28

Penalties and ownership

What sits behind the stars

Ownership

Ricker, Kevin

5% Or Greater Direct Ownership Interest · Individual

40% 8 facilities 2022-08-01
Becker, Andy

5% Or Greater Direct Ownership Interest · Individual

30% 8 facilities 2022-08-01
Hilty, Lisa

5% Or Greater Direct Ownership Interest · Individual

25% 7 facilities 2022-08-01
Morris, Bryan

5% Or Greater Direct Ownership Interest · Individual

5% 7 facilities 2022-08-01
Ames, Deborah

Operational/Managerial Control · Individual

0% 3 facilities 2025-01-01
Mina, Erin

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-26
Sapphire Healthcare Srvs.

Operational/Managerial Control · Organization

0% 7 facilities 2022-08-01

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