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Nursing HomeMedicaid Investigative

Belmont Care and Rehabilitation

Below-average Medicare ratings β€” review the inspection history and ask the administrator about recent corrections before visiting.

812 Se 48th Avenue, Southeast Portland Β· Portland, OR 9721541 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 15 Google reviews

5
4
3
2
1
Belmont Care and Rehabilitation Nursing Home in Portland, OR β€” Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (16 vs median 9.0)
  • High staff turnover (98%)
  • High RN turnover (80%)

Below average in OR Β· Below recommended RN staffing Β· Above recommended total nurse staffing Β· Very high staff turnover Β· No penalties on record Β· Abuse citation

Source: Medicare data

What this means for your family

While some families report friendly staff, the facility has a history of severe allegations including physical abuse, medication errors, and poor communication. If you choose this facility, you must implement a rigorous daily check-in schedule and verify medication administration personally, as multiple reviewers have noted significant failures in these areas.

Google Reviews

Google Reviews

15 reviews on Google
β€œFamilies should approach this facility with significant caution due to serious allegations regarding physical abuse, medication errors, and lack of responsiveness to family concerns. While some family members of current residents report a positive experience with the staff, there is a recurring pattern of complaints regarding understaffing and poor management communication.”

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms2.0Value1.0

Strengths

  • Friendly and helpful staff members
  • Supportive environment for some long-term residents

Concerns

  • Serious allegations of physical and mental abuse (mentioned by 2 reviewers)
  • Medication management errors and delays (mentioned by 2 reviewers)
  • Poor communication and unreturned calls (mentioned by 2 reviewers)
  • Understaffing and lack of work ethic (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'18(1)3.03.0'21(4)5.01.0'23(1)3.34.5'25(2)1.0'26(1)

Distribution Β· 15 analyzed

5
6
4
2
3
0
2
0
1
7

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much care the management puts into responding to everyone's feedback; how has that feedback helped improve the facility's cleanliness recently?
  • 2What specific steps are in place to ensure medication is administered accurately and on time for every resident?
  • 3How does the nursing team handle medical emergencies or urgent care needs during the overnight hours?
  • 4We want to make sure we stay in the loop, so what is the best way for us to communicate with the staff and expect timely updates on our loved one?
  • 5What kind of daily activities or social outings are planned to keep the residents engaged and part of a supportive community?
  • 6With the small, intimate size of 41 residents, how do you ensure there is always enough staff available to provide attentive, one-on-one care?

Personalized based on this facility's data


Key Review Excerpts

β€œMy husband is there & everyone is and doing a great job πŸ’™β€

Long-term resident's family Β· 2025β˜…β˜…β˜…β˜…β˜…

β€œI’ve lived here for around four years, and the whole time I’ve suffered from physical abuse as well as mental abuse.”

Long-term resident Β· 2021β˜…β˜†β˜†β˜†β˜†

β€œTheir lack of work ethic is mind boggling... they allowed visitors of her roommate in without masks and gave my mom covid...”

Rehab patient's family Β· 2021β˜…β˜†β˜†β˜†β˜†
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day Β· Medicare 2026
RN Hours
0.59hrs
78%
Registered nurses for medical care
Total Nursing
5.19hrs
OK
All nurses + aides combined
Staff Turnover
98%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages Β· 16 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Long-Stay Residents
🚢

Residents whose walking got worse

↓ Lower is better
This Facility26.8%
Worse than Avg
Here
26.8%
US
15.3%
OR
22.5%
Multnomah
21.2%
πŸ˜”

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
OR
4.9%
Multnomah
4.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

πŸ’Š

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
19.5%
OR
12.5%
Multnomah
12.3%
πŸ’Š

Residents on antipsychotic medication

↓ Lower is better
This Facility22.6%
Worse than Avg
Here
22.6%
US
15.5%
OR
14.0%
Multnomah
14.5%
πŸ”’

Residents who were physically restrained

↓ Lower is better
This Facility7.3%
Worse than Avg
Here
7.3%
US
0.1%
OR
0.1%
Multnomah
0.3%
πŸ’‰

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Multnomah
94.2%
Short-Stay Residents (Rehab / Post-Acute)
πŸ’‰

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
81.8%
OR
85.5%
Multnomah
84.2%
πŸ’Š

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility13.9%
Worse than Avg
Here
13.9%
US
1.6%
OR
1.5%
Multnomah
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback Β· Medicare 2026

16deficiencies
Well above state avg (10.4)
12 complaint-triggered

Families have filed multiple complaints triggering serious deficiencies at this facility, including concerns about protection from abuse and neglect that have recurred across several surveys. The facility shows persistent issues with daily care assistance, safety supervision, and care planning that appear repeatedly from 2023 through 2025. While all deficiencies show correction dates, the pattern of recurring problems in core care areas warrants careful consideration during any visit.

Feb 28, 2025Routine
13
0712Potential for harm Β· WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm Β· WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0565Potential for harm Β· PatternCorrected

Resident Rights Deficiencies

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

0576Potential for harm Β· PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0880Potential for harm Β· PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

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.

0610Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0641Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0699Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0909Potential for harm Β· IsolatedCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

0324Potential for harm Β· IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0923Potential for harm Β· IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 28, 2025Complaint
8
0745Potential for harm Β· PatternCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0584Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0791Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0677Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 25, 2024Complaint
3
0814Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0600Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0677Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 11, 2024Complaint
1
0555Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to choose his or her attending physician.

Dec 1, 2023Routine
12
0018Potential for harm Β· WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0761Potential for harm Β· WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0727Potential for harm Β· PatternCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0730Potential for harm Β· PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0801Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

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

0947Potential for harm Β· PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0679Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

0825Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 23, 2023Routine
23
0689Actual harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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

0020Potential for harm Β· WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0324Potential for harm Β· WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm Β· WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm Β· WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0912Potential for harm Β· WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0584Potential for harm Β· PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm Β· PatternCorrected

Quality of Life and Care Deficiencies

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

0727Potential for harm Β· PatternCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0812Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm Β· PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0924Potential for harm Β· PatternCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0583Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0600Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0655Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0791Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0809Potential for harm Β· IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0810Potential for harm Β· IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0372Potential for harm Β· IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0761Potential for harm Β· IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Belmont Care and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Sapphire Health Services

Chain Size

8 facilities nationwide

Chain avg rating: 1.8/5 Β· Rank 4 of 8

Ownership & Management

Owners

Becker, Andrew

Owner

30%

Hilty, Lisa

Owner

25%

Morris, Bryan

Owner

5%

Ricker, Kevin

Owner

40%

Key personnel

Sapphire Healthcare Srvs.ManagerAmes, DeborahManagerMina, ErinManagerBelmont Hc Investors, LLCAdp of the SnfSapphire Healthcare Srvs.Adp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources β€” Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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