Tigard Rehabilitation and Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 Google reviews
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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 (1/5 stars)
- Above-median deficiencies (11 vs median 9.0)
Bottom 25% in OR · Below recommended RN staffing · Above recommended total nurse staffing · Worst in SAPPHIRE HEALTH SERVICES chain · $35,714 in fines · Abuse citation
What this means for your family
While the facility has a capable rehabilitation team that can assist with complex recovery, the recurring reports of slow response times and hygiene issues are significant red flags. If you are considering this facility, we strongly recommend visiting during a weekend or evening shift to observe staffing levels and response times firsthand, and asking specifically about their current protocols for call-light monitoring.
Google Reviews
Google Reviews
44 reviews on Google“Tigard Rehabilitation and Care presents a highly polarized experience for families, with reviews oscillating between praise for specific staff members during recovery stays and severe allegations of neglect. While some families report positive outcomes and attentive care, multiple reviewers consistently cite dangerous delays in call-light response times, poor hygiene, and inadequate communication regarding patient needs. Potential residents and their families should be aware of these significant inconsistencies in care quality and staffing reliability.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and compassionate individual nursing staff
- Effective post-hospital rehabilitation therapy
- Responsive and helpful administrative communication for some families
- Proactive support for discharge planning and home safety
Concerns
- Excessive delays in responding to call lights (mentioned by 5 reviewers)
- Facility cleanliness and hygiene issues (mentioned by 4 reviewers)
- Inconsistent or poor communication regarding patient status (mentioned by 3 reviewers)
- Medication management errors or delays (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 50 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily operations and communication?
- 2Could you walk me through your current process for ensuring call lights are answered promptly, as we want to ensure my family member feels supported at all times?
- 3Given the facility's size, what specific steps are taken to maintain high standards of cleanliness and hygiene in the common areas and resident rooms?
- 4How does your nursing team manage the medication administration process to ensure accuracy and avoid any delays for residents?
- 5What does a typical day look like for residents here, and how do you encourage social engagement and activities for those in rehabilitation?
- 6How do you keep families updated on changes in a resident's health status, and what is the best way for us to stay in the loop regarding my family member's care?
Personalized based on this facility's data
Key Review Excerpts
“My girlfriend who had a stroke and was staying for physical and occupational therapy. When she called for help to the restroom, she was made to wait 40 mjnutes on several occassions. The cleaning staff must have been cut,it was dirty and smelled.”
“She was left in her bed for 5 days with only 1 visit from PT. She was expected to wear a diaper and go in it instead of being helped to a bedside commode because there hadn't been PT approval.”
“The staff kept in touch with me & fortunately were willing & able to fill in all the gaps left by the less than stellar hospice company we initially hired.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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 · 17 measures
12
measures
4
measures
1
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of recurring deficiencies, particularly around patient safety and abuse prevention, with families filing numerous complaints that triggered inspections. The most frequent problems involve proper treatment and care delivery, nursing staff competency and training, and emergency preparedness/safety systems. While all deficiencies have been corrected, the pattern of repeated issues across multiple surveys and the high number of complaint-triggered inspections (36 out of 74 total deficiencies) suggests ongoing operational challenges families should carefully evaluate.
Nov 17, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 18, 2025Complaint1
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 18, 2025Complaint8
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Jan 17, 2025Routine10
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jan 17, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Oct 10, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Federal Penalties
Fine
Apr 18, 2025
$35,714
Ownership & Operations
Who Operates This Facility
Tigard Rehabilitation and Care
for profit
Chain Affiliation
Sapphire Health Services
8 facilities nationwide
Chain avg rating: 1.8/5 · Rank 8 of 8 (Worst)
Ownership & Management
Owners
Becker, Andy
Owner
Hilty, Lisa
Owner
Morris, Bryan
Owner
Ricker, Kevin
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit sapphireattigardrehab.com
Medicare data downloads
Original nursing home datasets
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