Overall sentiment across the reviews for Gresham Post Acute Care and Rehab is highly mixed and polarized, with a clear divide between strong, often exemplary therapy and rehabilitation services on one hand, and serious, recurring concerns about nursing care, safety, facility condition, and management responsiveness on the other hand. Many reviewers explicitly praise the physical therapy and rehab teams (with several staff members named), describing rigorous, uplifting therapy, a well-equipped gym, and successful rehabilitations that resulted in safe discharges home. These positive accounts highlight therapists and therapy managers who are compassionate, coordinated with insurance and equipment needs, and effective at improving mobility and function.
However, that positive picture of therapy and occasional caring staff is frequently overshadowed by repeated, specific complaints about nursing care and day-to-day caregiving. Multiple reviews describe neglectful or abusive behavior by CNAs and nurses — including aggressive conduct, inappropriate diapering requests, leaving residents in soiled diapers for extended periods, turning call buttons off, delayed assistance (including long waits for transfers and toilet help), and poor bedside manner. Several reviewers raised elder-abuse concerns, reported bedsores, infection risks, and even hospital readmissions or deaths that they attributed to inadequate nursing care or failures to follow up on abnormal findings. Named individuals are sometimes praised and sometimes sharply criticized, creating an inconsistent portrait of staff competence and compassion.
Medication and clinical safety issues recur as a major theme. Reviews describe medication discrepancies, delayed or missed pain medication, insulin administration errors (including an overdose), food being served without checking blood glucose for diabetics, and exposed medical records. There are also reports of delayed emergency response or failure to call 911 in timely fashion when a resident deteriorated. These are serious clinical lapses that, combined with reported documentation and charting errors, suggest systemic weaknesses in clinical governance and oversight.
Facility maintenance, cleanliness, and infection control appear inconsistent. Several reviewers reported appalling building conditions: foul smells, junk and hazards in hallways, holes in ceilings, dirty rooms with gloves on the floor, malfunctioning windows, and outdated equipment such as hand-crank beds. A COVID-19 outbreak was also mentioned. Other reviewers, however, reported clean, well-kept rooms and observed improvements after administration intervened. This suggests variability in environmental standards across units or over time, rather than uniformly good maintenance.
Dining and nutrition are another area of strong negative sentiment, though not universally. Many reviewers described meals as substandard: poor nutrition, sandwich dinners, lunch with a single chicken strip and raw tater tots, meals served at unsafe temperatures, and diabetics receiving the same food choices without glucose checks. A minority praised food preparation staff, indicating some pockets of competent meal service amid broader problems.
Management, administration, and communication are prominent concerns. Multiple reviews claim administrators were uncommunicative or dismissive, services were cut to save money, and complaints required ombudsman involvement; one reviewer noted an administrator was fired with some subsequent improvements reported. There are numerous reports of poor communication (misplaced paperwork, death certificate mishandling, doctor mislocation, delayed paperwork), social work or administrative absence at critical times, and a perception that billing or payer status (Medicare/Medicaid) drives priorities over patient care. While some families praised social services and care coordination, these positive accounts are inconsistent with the many reports of administrative failures.
Activities and social life are often cited as positives. Reviewers note a variety of daily activities, creative arts programs, Bingo and game days, and generally uplifting resident camaraderie. For families prioritizing engagement and therapy, these programs and a strong therapy department may be attractive. Several reviewers singled out CNAs and nurses who ‘went above and beyond,’ indicating that while staffing is inconsistent, dedicated individuals do exist and can make a significant positive difference.
Patterns and overall assessment: the reviews portray a facility with clear strengths in rehabilitation therapy and some compassionate frontline staff, but with significant systemic problems in nursing care, safety, cleanliness, clinical governance, and management responsiveness. The frequency and severity of negative reports — including medication errors, pressure sores, infection risks, negligent behavior, and even alleged links to death — are major red flags. Positive reports demonstrate the facility is capable of high-quality rehab and person-centered moments, but those positives are not uniformly experienced by all residents.
Recommendations based on these patterns: prospective residents and families should exercise caution and perform targeted due diligence. Ask for current staffing ratios, nurse and CNA turnover rates, recent inspection and deficiency reports, infection control policies (including COVID status), medication management protocols, and how diabetic diets and blood glucose checks are handled. Meet with the therapy team and ask for specific examples of outcomes, and inquire how the facility addresses complaints and follows up on clinical deterioration. If possible, speak with current families about nights and weekends (when many problems were reported), and confirm whether recent administrative changes have been sustained and resulted in measurable improvement. Given the ombudsman involvement and reports of an administrator being fired, there may be active efforts to improve, but the reviews indicate uneven and sometimes dangerous performance that warrants careful verification before choosing this facility.







