Fernhill Rehabilitation and Care
5737 Ne 37th Avenue · Portland, OR · 97211 · 5419081010
63 certified beds For profit - Corporation Chain: Sapphire Health Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 4.48 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (61 in the current record)
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Potential for harm · D August 8, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 9, 2025 · Resident Rights
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Potential for harm · E August 8, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 9, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
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 September 9, 2025 · Resident Rights
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Potential for harm · E August 8, 2025
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 September 9, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Ensure each resident receives an accurate assessment.
Corrected September 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Provide activities to meet all resident's needs.
Corrected September 9, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected September 9, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Provide or obtain dental services for each resident.
Corrected September 9, 2025 · Quality of Life and Care
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Potential for harm · E August 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 9, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 8, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B August 8, 2025 · found via complaint
Post nurse staffing information every day.
Corrected September 9, 2025 · Nursing and Physician Services
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Potential for harm · D June 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 9, 2025 · Quality of Life and Care
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Actual harm · G April 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 14, 2025 · Quality of Life and Care
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Potential for harm · D April 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 28, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 14, 2025 · Pharmacy Service
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Potential for harm · D December 5, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2025 · Quality of Life and Care
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Potential for harm · D March 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 8, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 8, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 8, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 8, 2024 · Resident Rights
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Potential for harm · E March 22, 2024
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 May 8, 2024 · Resident Rights
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Potential for harm · D March 22, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 8, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 28, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385237 · certified since July 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.