Gateway Care and Retirement
39 Ne 102nd Avenue · Portland, OR · 97220 · 5032522461
59 certified beds For profit - Limited Liability company Chain: Sapphire Health Services
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Potential for harm · F July 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · E May 12, 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 June 20, 2025 · Resident Rights
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Potential for harm · D May 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 12, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 12, 2025
Provide appropriate foot care.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · E May 12, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · D May 12, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · E May 12, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 20, 2025 · Environmental
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Potential for harm · D May 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 12, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · D May 17, 2024 · 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 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D April 2, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D December 4, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 15, 2024 · Resident Rights
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Potential for harm · D December 4, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 15, 2024 · Resident Rights
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Potential for harm · D December 4, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 15, 2024 · Nursing and Physician Services
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Potential for harm · D December 4, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected January 15, 2024 · Pharmacy Service
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Potential for harm · F December 4, 2023
Provide and implement an infection prevention and control program.
Corrected January 15, 2024 · Infection Control
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No harm found · C December 4, 2023
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected January 15, 2024 · Administration
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Potential for harm · E October 5, 2023 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 17, 2023 · Environmental
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Potential for harm · D September 13, 2022
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 25, 2022 · Resident Rights
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Potential for harm · E September 13, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 25, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385268 · certified since September 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.