Gresham Post Acute Care and Rehab

    405 NE 5th St, Gresham, OR, 97030
    2.7 · 46 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful, unsafe facility; leadership failures

    I placed a loved one here and regret it. I saw repeated neglect - delayed meds, improper insulin administration (an overdose), soiled diapers, poor charting, ambulance runs and ultimately mishandling after a death. The building was dirty, smelled of urine, had fall hazards and privacy breaches; meals were poor and unsafe for diabetics. The therapy team (Ty, Crystal and others) and a few CNAs (Ali, Jen, Yolanda) were excellent, but overall I would not recommend this facility - it feels unsafe until leadership fixes staffing, care, and conditions.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.65 · 46 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.1
    • Staff

      2.4
    • Meals

      1.8
    • Amenities

      2.4
    • Value

      1.0

    Pros

    • Strong physical therapy and rehabilitation services
    • Compassionate, skilled therapists and therapy managers (e.g., Ty)
    • Successful rehab outcomes resulting in discharge (walking with a cane, return home)
    • Some attentive and caring CNAs and nurses (e.g., Ali, Jen, Yolanda, Katie)
    • Well-equipped and extensive physical therapy gym
    • Creative arts and varied daily activities (Bingo, game days, arts)
    • Helpful coordination for insurance and equipment needs (e.g., Crystal)
    • Some good medical attention, wound care and speech therapy reported
    • Occasional clean, well-kept rooms and frequent check-ins
    • Positive resident camaraderie and uplifting atmosphere in some stays
    • Food preparation staff praised by some reviewers
    • Social services and transportation management described as efficient in some reports
    • Observed improvements after administration intervention in some cases

    Cons

    • Unsafe and unsanitary facility conditions (smell, junk in halls, holes in ceiling)
    • Neglectful, abusive, or aggressive staff conduct (CNA aggression, elder abuse concerns)
    • Inconsistent and often poor nursing care and bedside manner
    • Medication mismanagement including insulin administration errors and delays
    • Delayed pain management and slow response to call buttons/emergency needs
    • Poor meal quality, lack of nutrition, cold meals, same meals given to diabetics
    • Understaffing and unfilled shifts leading to delayed assistance
    • Failure to prevent or treat pressure sores/bedsores and delayed wound attention
    • Safety hazards: outdated equipment (hand-crank beds), fall risks
    • Administration unresponsive, poor communication, and billing-focused behavior
    • Documentation/charting errors and exposed medical records (privacy breaches)
    • Inadequate discharge planning and failures arranging medical transport
    • Reports of hospital readmissions, infections, and deaths linked to care lapses
    • COVID-19 outbreak and concerns about infection control
    • Night-shift issues and reports of strange or creepy nighttime behavior

    Summary review

    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.

    Location

    Map showing location of Gresham Post Acute Care and Rehab

    About Gresham Post Acute Care and Rehab

    Gresham Post Acute Care and Rehab sits as a smaller skilled nursing facility with 78 beds, where the staff pays close attention to daily needs and works hard to create a warm, family-like atmosphere, and when people walk through the halls, you'll probably notice staff and residents greeting each other and sharing stories or enjoying activities together, which helps form strong friendships and trust between everyone. Residents can get skilled nursing care, rehabilitation programs, and short- or long-term stays based on what they need, with professional caregivers giving physical, occupational, and speech therapy for people recovering from surgeries, injuries, or illnesses, and there's also wound care, neurological recovery, lymphedema, and pulmonary programs backed by advanced technology like Lifeline services, all meant to boost healing and make recovery smoother and safer.

    The focus remains on holistic wellness, so you'll find stimulating daily activities, educational events, and entertainment that keep folks engaged and social, and there's support for spiritual needs too, all tailored to help people feel healthier and happier. Specialized dietary services make sure everyone gets three nutritious meals every day, and residents can rely on 24-hour licensed nursing staff, medication supervision, regular health checkups, and sense of community, which goes a long way especially when someone's feeling under the weather or just wants to talk about what happened in the newspaper that morning. Private memory care units sit on the first floor for those who need them, and some rooms feature amenities like full bathrooms, individual temperature controls, cable TV, and all included utilities. Housekeeping, laundry, and social services are covered, so residents and families don't have to fret about those details.

    The facility takes residents with Medicaid, Medicare, and several managed care plans, and is part of Sapphire Health Services, always working for respectful treatment toward residents, staff, and the wider community. Gresham Post Acute Care and Rehab gives structure through activities and personalized services so people can keep their dignity and friendships, whether they're staying short-term for rehab or settling in longer, and even though their technical status had an issue due to a connectivity error recently, the basic care and steady routines still speak for themselves.

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