REGENCY GRESHAM NURSING & REHABILITATION CENTER

GRESHAM, OR · 128 beds · For profit - Limited Liability company

90 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
6
0.6x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

September 18, 2025

18 deficiencyies
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

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

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

June 30, 2024

2 deficiencyies
F0577 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

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.

See full violation history →

Staffing

0.58
RN hrs/res/day
0.95
LPN hrs/res/day
3.66
CNA hrs/res/day
4.55
Weekend hrs/res/day
35%
Total nurse turnover
33%
RN turnover

A nurse checks on each resident roughly every 4.6 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: REGENCY PACIFIC MANAGEMENT
  • BEDDOE, MARVIN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/26/2007

    33% Individual
  • CLAY, JAMES

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/23/2007

    33% Individual
  • STROUD, DAVID

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/23/2007

    33% Individual
  • REGENCY PACIFIC MANAGEMENT LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2010

    Organization
  • BEDDOE, MARVIN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/01/2017

    Individual

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