Provider Details - Tigard Rehabilitation And Care | Licensed Long-Term Care Settings Search

Tigard Rehabilitation And Care

14145 SW 105TH AVENUE
Tigard, OR 97224

(503) 639-1144
aceesay@sapphirehealthservices.com

Administrator name: Ansumana Ceesay

ID: 38L600
Status: Open
Type: Nursing Facility
Licensed beds: 112
Accepts Medicaid: Yes
Memory Care: No

Owner: Lisa Hilty

Owner since: 9/1/2023

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Tigard Rehabilitation And Care
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
8/7/2026	285C03	Complaint, Licensure Complaint	0
5/27/2026	233432	Complaint, Re-Licensure	0
5/11/2026	2303A4	Complaint, Re-Licensure, Recertification	15
2/25/2026	1F1652	Complaint, Re-Licensure	0
11/17/2025	1DB539	Complaint, Re-Licensure	4
9/25/2025	1D7A2B	Complaint, Re-Licensure	0
7/18/2025	0QRZ	Complaint, State Licensure	2
4/21/2025	EFY3	Complaint, Licensure Complaint, State Licensure	0
3/13/2025	1WM3	Complaint, Licensure Complaint, State Licensure	0
1/17/2025	39MM	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	9

20 records found | Page 1 of 2

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Tigard Rehabilitation And Care
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to assist with toileting Failed to assure proper hydration Failed to assure resident was safe Failed to follow care plan Failed to investigate injury of unknown origin to rule out abuse Failed to protect resident from financial exploitation Failed to protect resident from inappropriate sexual contact Failed to protect resident from rough treatment Failed to provide appropriate skin care Failed to provide medical treatment as ordered Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Physical Abuse Abuse: Sexual Abuse
4/29/2024	OR0005016100	Failed to protect resident from inappropriate sexual contact	2	Abuse: Neglect
11/13/2022	OR0003869700	Failed to protect resident from inappropriate sexual contact	2	Abuse: Sexual Abuse
1/13/2022	OR0003405600	Failed to provide appropriate skin care	4	Abuse: Neglect
1/6/2022	OR0003405601	Failed to assist with toileting	3	Abuse: Neglect
9/1/2021	OR0003193700	Failed to assure resident was safe	2	Abuse: Neglect
7/29/2021	OR0003144102	Failed to assure proper hydration	3	Abuse: Neglect
7/1/2021	OR0003127000	Failed to assure proper hydration	3	Abuse: Neglect
6/15/2018	HB188609	Failed to provide safe environment	2	Abuse: Financial abuse
1/24/2018	OR0001434100	Failed to provide medical treatment as ordered	3	Abuse: Neglect
10/27/2017	OR0001387800	Failed to investigate injury of unknown origin to rule out abuse	2	Abuse: Neglect

25 records found | Page 1 of 3

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Tigard Rehabilitation And Care
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to adequately care plan related to falls Failed to administer medication as ordered Failed to administer ordered medication Failed to answer call light in a timely manner Failed to assist with ambulation or mobility Failed to assist with dressing or grooming Failed to assist with toileting Failed to assure resident rights Failed to communicate necessary information Failed to intervene when resident's condition changed Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to provide a safe medication administration system Failed to provide a therapeutic diet Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide or maintain resident care equipment Failed to provide oversight and monitoring of change of condition Failed to provide proper food/nutrition Failed to provide safe environment Failed to provide service Failed to provide social services Failed to submit timely or adequate staffing documentation Failure to provide a system that prevents theft or misuse of medication	Level Level Between And	Type Type Licensing Violation
7/31/2025	CALMS - 00084575	Failed to provide appropriate staffing	2	Licensing Violation
4/15/2025	939519 - 1436583	Failed to provide safe environment	2	Licensing Violation
3/10/2025	CALMS - 00073914	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
1/6/2025	939514 - 1404294	Failed to assure resident rights	2	Licensing Violation
10/17/2024	OR0005427100	Failed to provide service	2	Licensing Violation
9/25/2024	CALMS - 00063156	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
7/17/2024	OR0005219100	Failed to assure resident rights	2	Licensing Violation
2/7/2024	OR0004805200	Failed to administer medication as ordered	2	Licensing Violation
11/27/2023	OR0004648201	Failed to provide safe environment	2	Licensing Violation
11/9/2023	OR0004617700	Failed to provide appropriate skin care	2	Licensing Violation

68 records found | Page 1 of 7

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Provider Details - Tigard Rehabilitation And Care
Sanction Sanction	Allegation Allegation Failed to provide appropriate skin care Failed to provide infection control Failed to provide safe environment	Type Type License Condition	Effective date Effective date From To	End date End date From To
NFCD25-00048	Failed to provide safe environment	License Condition	4/18/2025	6/11/2025
NFCD22-00151	Failed to provide infection control	License Condition	6/13/2022	6/17/2022
NFCD22-00091	Failed to provide appropriate skin care	License Condition	3/3/2022	5/16/2022

3 records found

Provider Details - Tigard Rehabilitation And Care

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