Federal inspection record · CMS data as of October 1, 2026

Fernhill Rehabilitation And Care

5737 Ne 37th Avenue, Portland, OR · (541) 908-1010

  • Cited for abuse (CMS abuse icon)

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
63
Residents per day
44
Ownership
For-Profit
Chain
Sapphire Health Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1993

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Oregon homes

Fernhill Rehabilitation And Care carries 84 inspection points. That is fewer than 27% of Oregon's 126 rated homes.

5★4★3★2★1★+4 homes above 169.2505102550100inspection points → fewer is better on the leftThis home · 84 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–14 pts
  • 4★ 14–41 pts
  • 3★ 41–65 pts
  • 2★ 65–95.25 pts
  • 1★ over 95.25 pts

Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

60 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 47 4 pts
E 10 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

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

    April 28, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 14, 2025

Everything else, by area of care

Quality of Life and Care17E
  1. D

    Provide activities to meet all resident's needs.

    August 8, 2025 · Standard · F679 · Corrected September 9, 2025

  2. D

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

    August 8, 2025 · Standard · F685 · Corrected September 9, 2025

  3. D

    Provide or obtain dental services for each resident.

    August 8, 2025 · Standard · F791 · Corrected September 9, 2025

  4. D

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

    June 17, 2025 · Complaint · F689 · Corrected June 9, 2025

  5. D

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

    December 5, 2024 · Complaint · F689 · Corrected January 6, 2025

  6. E

    Provide activities to meet all resident's needs.

    March 22, 2024 · Standard · F679 · Corrected May 8, 2024

  7. D

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

    March 22, 2024 · Standard · F677 · Corrected May 8, 2024

  8. D

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

    March 22, 2024 · Complaint · F684 · Corrected May 8, 2024

  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.

    March 22, 2024 · Standard · F688 · Corrected May 8, 2024

  10. D

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

    March 22, 2024 · Standard · F689 · Corrected May 8, 2024

  11. D

    Provide safe, appropriate pain management for a resident who requires such services.

    March 22, 2024 · Standard · F697 · Corrected May 8, 2024

  12. D

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

    March 22, 2024 · Standard · F698 · Corrected May 8, 2024

  13. E

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

    December 20, 2022 · Standard · F677 · Corrected January 9, 2023

  14. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    December 20, 2022 · Standard · F676 · Corrected January 9, 2023

  15. D

    Provide activities to meet all resident's needs.

    December 20, 2022 · Standard · F679 · Corrected January 9, 2023

  16. 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.

    December 20, 2022 · Standard · F688 · Corrected January 9, 2023

  17. D

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

    December 20, 2022 · Standard · F825 · Corrected January 9, 2023

Resident Rights12E
  1. E

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

    August 8, 2025 · Standard · F565 · Corrected September 9, 2025

  2. 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.

    August 8, 2025 · Standard · F585 · Corrected September 9, 2025

  3. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 8, 2025 · Complaint · F557 · Corrected September 9, 2025

  4. 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.

    August 8, 2025 · Standard · F584 · Corrected September 9, 2025

  5. 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.

    March 22, 2024 · Standard · F584 · Corrected May 8, 2024

  6. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 22, 2024 · Standard · F550 · Corrected May 8, 2024

  7. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    March 22, 2024 · Standard · F554 · Corrected May 8, 2024

  8. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    March 22, 2024 · Standard · F561 · Corrected May 8, 2024

  9. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 22, 2024 · Complaint · F580 · Corrected May 8, 2024

  10. D

    Keep residents' personal and medical records private and confidential.

    March 22, 2024 · Standard · F583 · Corrected May 8, 2024

  11. D

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

    December 20, 2022 · Standard · F552 · Corrected January 9, 2023

  12. 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.

    December 20, 2022 · Standard · F559 · Corrected January 9, 2023

Resident Assessment and Care Planning10E
  1. D

    Ensure each resident receives an accurate assessment.

    August 8, 2025 · Standard · F641 · Corrected September 9, 2025

  2. D

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

    August 8, 2025 · Standard · F656 · Corrected September 9, 2025

  3. D

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

    December 5, 2024 · Complaint · F656 · Corrected January 6, 2025

  4. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    March 22, 2024 · Standard · F645 · Corrected May 8, 2024

  5. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    March 22, 2024 · Standard · F636 · Corrected May 8, 2024

  6. D

    Ensure each resident receives an accurate assessment.

    March 22, 2024 · Standard · F641 · Corrected May 8, 2024

  7. D

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

    March 22, 2024 · Standard · F656 · Corrected May 8, 2024

  8. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 22, 2024 · Standard · F657 · Corrected May 8, 2024

  9. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    December 20, 2022 · Standard · F636 · Corrected January 9, 2023

  10. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    December 20, 2022 · Standard · F657 · Corrected January 9, 2023

Freedom from Abuse, Neglect, and Exploitation7D
  1. D

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

    August 8, 2025 · Complaint · F600 · Corrected September 9, 2025

  2. D

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

    August 8, 2025 · Complaint · F609 · Corrected September 9, 2025

  3. D

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

    April 28, 2025 · Complaint · F600 · Corrected May 14, 2025

  4. D

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

    March 22, 2024 · Complaint · F600 · Corrected May 8, 2024

  5. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    March 22, 2024 · Complaint · F602 · Corrected May 8, 2024

  6. D

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

    December 20, 2022 · Standard · F600 · Corrected January 9, 2023

  7. D

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

    December 20, 2022 · Standard · F604 · Corrected January 9, 2023

Pharmacy Service4D
  1. D

    Ensure that residents are free from significant medication errors.

    April 28, 2025 · Complaint · F760 · Corrected May 14, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    March 22, 2024 · Standard · F759 · Corrected May 8, 2024

  3. 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.

    December 20, 2022 · Standard · F758 · Corrected January 9, 2023

  4. D

    Ensure medication error rates are not 5 percent or greater.

    December 20, 2022 · Standard · F759 · Corrected January 9, 2023

Infection Control4F
  1. D

    Provide and implement an infection prevention and control program.

    March 22, 2024 · Standard · F880 · Corrected May 8, 2024

  2. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    December 20, 2022 · Standard · F882 · Corrected January 9, 2023

  3. D

    Provide and implement an infection prevention and control program.

    December 20, 2022 · Standard · F880 · Corrected January 9, 2023

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 20, 2022 · Standard · F883 · Corrected January 9, 2023

Nutrition and Dietary3E
  1. E

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

    August 8, 2025 · Standard · F812 · Corrected September 9, 2025

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    March 22, 2024 · Complaint · F804 · Corrected May 8, 2024

  3. 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.

    March 22, 2024 · Standard · F809 · Corrected May 8, 2024

Nursing and Physician Services1B
  1. B

    Post nurse staffing information every day.

    August 8, 2025 · Complaint · F732 · Corrected September 9, 2025

Administration1E
  1. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    March 22, 2024 · Standard · F867 · Corrected May 8, 2024

Inspection history

  1. 2025-08-08

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-03-22

    30 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

  3. 2022-12-20

    18 health deficiencies · 5 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 5 h 25 min of nursing staff time a day, 51 min of it from a registered nurse.

This home

5 h 25 min

Oregon average

5 h 8 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 70% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$8,278 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-28Fine$8,278

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better98.8%95.3%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better100.0%94.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse3.7%2.4%3.2%
Percentage of long-stay residents who have depressive symptoms3.9 pts worse8.8%4.9%13.5%
Percentage of long-stay residents who lose too much weight2.6 pts better2.0%4.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts worse20.4%12.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.8 pts worse29.1%14.3%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better12.3%18.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better11.1%14.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.7%1.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts worse3.1%2.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse22.7%20.8%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse5.9%5.6%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.4 pts worse66.4%85.8%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts worse3.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.2 pts worse69.7%80.9%80.1%

·

Who owns and runs it

10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Ricker, Kevin5% Or Greater Direct Ownership Interest · Individual40%8 facilities
Becker, Andrew5% Or Greater Direct Ownership Interest · Individual30%8 facilities
Hilty, Lisa5% Or Greater Direct Ownership Interest · Individual25%8 facilities
Morris, Bryan5% Or Greater Direct Ownership Interest · Individual5%8 facilities
Bhumkar, NishitaOperational/Managerial Control · Individual0%5 facilities
Bhumkar, NishitaAdp Of The SNF · Individual0%5 facilities
Mckay, AlexOperational/Managerial Control · Individual0%1 facilities
Mckay, AlexAdp Of The SNF · Individual0%1 facilities
Sapphire Healthcare Srvs.Operational/Managerial Control · Organization0%8 facilities
Sapphire Healthcare Srvs.Adp Of The SNF · Organization0%8 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. D

    Install an approved automatic sprinkler system.

    March 22, 2024 · K351 · Corrected May 8, 2024

  2. D

    Provide properly protected cooking facilities.

    December 20, 2022 · K324 · Corrected February 7, 2023

  3. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 20, 2022 · K345 · Corrected February 7, 2023

  4. D

    Inspect, test, and maintain automatic sprinkler systems.

    December 20, 2022 · K353 · Corrected February 7, 2023

  5. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 20, 2022 · K355 · Corrected February 7, 2023

  6. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 1, 2019 · K321 · Corrected November 15, 2019

  7. F

    Provide properly protected cooking facilities.

    October 1, 2019 · K324 · Corrected November 15, 2019

  8. F

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    October 1, 2019 · K342 · Corrected November 15, 2019

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 1, 2019 · K353 · Corrected November 20, 2019

Egress2F
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 22, 2024 · K211 · Corrected May 8, 2024

  2. F

    Install emergency lighting that can last at least 1 1/2 hours.

    December 20, 2022 · K291 · Corrected February 7, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    March 22, 2024 · K712 · Corrected May 8, 2024

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure proper usage of power strips and extension cords.

    March 22, 2024 · K920 · Corrected May 8, 2024

·

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