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Nursing HomeMedicaid Investigative

Gateway Care and Retirement

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

39 Ne 102nd Avenue, Northeast Portland · Portland, OR 9722059 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 9 Google reviews

Gateway Care and Retirement Nursing Home in Portland, OR — Street View
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1/ 10
low Risk

Quality Concerns Identified

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

  • Above-median deficiencies (11 vs median 9.0)

Above average in OR · Below recommended RN staffing · Above recommended total nurse staffing · Best in SAPPHIRE HEALTH SERVICES chain · No penalties on record

Source: Medicare data

What this means for your family

This facility has received multiple reports of severe neglect and poor hygiene, which should be a major red flag for any family. While administrative staff may be friendly during the admissions process, the consistent pattern of communication failures and patient care issues suggests you should look elsewhere for your loved one's care.

Google Reviews

Google Reviews

9 reviews on Google
Gateway Care and Retirement faces severe criticism regarding patient neglect, hygiene standards, and administrative integrity. Families report significant issues with communication, staffing shortages leading to bedsores, and alleged financial mismanagement, making it a highly concerning option for long-term or rehabilitative care.

Quality Themes

Tap a score for details
FoodN/AStaff2.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms1.0Value1.0

Strengths

  • Responsive admissions staff
  • Friendly administrative personnel

Concerns

  • Poor hygiene and facility cleanliness (mentioned by 2 reviewers)
  • Staffing shortages and neglect of patient needs (mentioned by 2 reviewers)
  • Lack of communication with family members (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.02025(8)3.52026(2)

Distribution · 10 analyzed

5
3
4
0
3
0
2
1
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how responsive and friendly your admissions and administrative teams are; how do you ensure that same level of warmth extends to the daily caregiving staff?
  • 2What specific protocols do you have in place to ensure the facility and resident rooms are kept impeccably clean and hygienic every day?
  • 3How does the nursing team communicate important updates or changes in a resident's health status to family members to ensure we are always in the loop?
  • 4With the current staffing levels, how do you ensure that every resident's individual needs and personal care requests are met promptly and without neglect?
  • 5Can you walk us through the process for handling medical emergencies or sudden changes in health during the overnight hours?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Facility is dirty and smells. Staff is rude, unhelpful and don’t do their job. Patients are dirty and don’t get cleaned or properly taken care of.

Rehab patient's family · 2025☆☆☆☆

First of all, they failed to call me when my mom arrived, despite assurances that they would keep me informed. This lack of communication set the tone for the rest of our experience.

Terminally ill patient's family · 2025☆☆☆☆

They are stealing my friends money. They lied on forms and said he didn't want to get his direct deposit anymore and for them to have it.

Friend of resident · 2025☆☆☆☆
Source: 9 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility44.9%
Worse than Avg
Here
44.9%
US
15.3%
OR
22.5%
Multnomah
20.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
19.4%
OR
22.1%
Multnomah
22.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.5%
OR
12.5%
Multnomah
11.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.6%
Mixed vs Avgs
Here
4.6%
US
12.1%
OR
4.9%
Multnomah
4.2%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Multnomah
93.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.4%
Worse than Avg
Here
19.4%
US
14.4%
OR
15.3%
Multnomah
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.5%
Better than Avg
Here
92.5%
US
81.8%
OR
85.5%
Multnomah
83.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
79.7%
OR
81.2%
Multnomah
81.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
OR
1.5%
Multnomah
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Above state avg (10.4)
8 complaint-triggered

Gateway Care has faced multiple family complaints that triggered inspections, indicating ongoing concerns about resident safety and care quality. The facility has persistent issues with accident prevention and safety hazards, fire safety systems, and medication management that have recurred across multiple surveys from 2022 to 2025. While all deficiencies show correction dates, the pattern of repeated problems in critical areas like safety and medication errors suggests systemic challenges that families should investigate thoroughly during visits.

Jul 15, 2025Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

May 12, 2025Routine
19
0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0584Potential for harm · 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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0656Potential for harm · 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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0689Potential for harm · 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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0255Potential for harm · IsolatedCorrected

Egress Deficiencies

Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

May 12, 2025Complaint
2
0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0609Potential for harm · 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.

Feb 6, 2025Complaint
1
0689Potential for harm · 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.

May 17, 2024Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

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.

Apr 26, 2024Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gateway Care and Retirement

Organization Type

for profit

Chain Affiliation

Chain Name

Sapphire Health Services

Chain Size

8 facilities nationwide

Chain avg rating: 1.8/5 · Rank 1 of 8 (Best)

Ownership & Management

Owners

Becker, Andy

Owner

10%

Ricker, Kevin

Owner

90%

Hilty, Lisa

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Morris, Bryan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Altea Medical Oregon LLCManagerSapphire Healthcare Srvs.ManagerAmes, DeborahManagerMillington, SethManagerAltea Medical Oregon LLCAdp 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 — 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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