A Registered Nurse (RN) in our Skilled Nursing Facility is responsible for delivering high-quality, person-centered care to residents, coordinating with interdisciplinary teams, and ensuring compliance with all regulatory standards. Sapphire at Gracelen Terrace is long-term care.
Posted Sep 21
Shift and hours
Rotating
Unit and setting
Skilled Nursing Facility · Skilled Nursing seniors and individuals requiring specialized support
License
RN licenseRegistered Nurse (RN) Licensure in the State of practice
Term
Permanent
Do you qualify?
License
Registered Nurse (RN) Licensure in the State of practice
Also asks
Strong clinical skills and knowledge of geriatric careStrong clinical skills and knowledge of geriatric care.
Also asks
Proficiency in electronic health records (EHR) and basic computer skillsProficiency in electronic health records (EHR) and basic computer skills.
Also asks
Ability to perform physically demanding tasks including lifting, bending, standing, and assisting residents with mobilityAbility to perform physically demanding tasks, such as lifting, bending, standing, and assisting residents with mobility.
Also asks
Must be able to stand and walk for extended periodsMust be able to stand and walk for extended periods.:
Preferred
Experience
skilled nursing facility, long-term care, or acute care settingPrevious experience in a skilled nursing facility, long-term care, or acute care setting preferred.
Pays above most Portland staff RN rolesPortland staff RN postings that state pay run $48/hr to $60/hr, the middle half $52/hr to $55/hr, across 84 postings.
You would precept other nursesAssist in the orientation and training of new nursing staff to ensure compliance with facility policies and procedures.
Day to day
Conduct comprehensive assessments of residentsConduct comprehensive assessments of residents upon admission, change in condition, and periodically as required.
Day to day
Participate in care plan meetingsParticipate in care plan meetings with residents, families, and the care team to discuss goals, progress, and necessary adjustments.
Day to day
Provide direct nursing care including medications, treatments, and wound careProvide direct nursing care to residents, including administering medications, treatments, wound care, and other necessary interventions.
Day to day
Monitor and document health statusMonitor and document residents' health status, including vital signs, symptoms, and responses to treatment.
Day to day
Assist with ADLs as neededAssist with activities of daily living (ADLs) as needed, such as bathing, dressing, grooming, and feeding.
Day to day
Ensure care aligns with care plan and practice standardsEnsure all care provided is consistent with the resident's care plan and nursing standards of practice.
Day to day
Prepare, administer, and document medications and treatmentsPrepare, administer, and document prescribed medications and treatments accurately and safely.
Day to day
Monitor for adverse reactions and medication effectivenessMonitor residents for adverse reactions and medication effectiveness, and report concerns.
Day to day
Maintain MARs and oversee proper storage and handling of medicationsMaintain accurate and up-to-date medication administration records (MARs) and ensure proper storage and handling of medications.
Day to day
Liaison between residents, families, physicians, and healthcare professionalsServe as a liaison between residents, families, physicians, and other healthcare professionals to ensure effective communication and continuity of care.
Day to day
Report significant changes in resident conditionReport significant changes in resident conditions promptly and take appropriate action.
Day to day
Participate in shift change reports and interdisciplinary team meetingsParticipate in shift change reports, staff meetings, and interdisciplinary team meetings to ensure cohesive care delivery.
Day to day
Supervise and guide LPNs, CNAs, CMAs, and support staffSupervise and provide guidance to Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), Certified Medication Aids (CMAs) and other support staff.
Day to day
Delegate tasks and oversee nursing support staff performanceDelegate tasks appropriately and oversee the performance of assigned duties by nursing support staff.
Day to day
Document in EHR or paper chartsMaintain accurate, timely, and thorough documentation in residents' electronic health records (EHR) or paper charts as required.
Day to day
Ensure compliance with regulations and facility policiesEnsure compliance with federal, state, and local regulations, as well as facility policies and procedures.
Day to day
Assist in preparing facility for regulatory inspections and auditsAssist in preparing the facility for regulatory inspections and audits by maintaining high standards of care and documentation.
Day to day
Participate in QAPI programsParticipate in Quality Assurance and Performance Improvement (QAPI) programs to identify areas for improvement in resident care and safety.
Day to day
Follow infection control protocolsFollow infection control protocols, including proper hand hygiene, use of personal protective equipment (PPE), and disposal of biohazardous materials.
Day to day
Report incidents, accidents, or safety concernsReport and document any incidents, accidents, or safety concerns promptly and accurately.
Day to day
Advocate for resident rights, preferences, and needsAdvocate for the rights, preferences, and needs of residents, promoting a respectful and compassionate care environment.
Weekends
Weekends required
On call
On-call rotation
The workplace
Sapphire at Gracelen Terrace
Nursing Home
You would be walking into an 80-bed skilled nursing facility at 10948 SE Boise Street in Portland's Lents neighborhood, operated by Sapphire Health Services. The work is senior care. CNAs here give direct resident care — ADLs, vitals, mobility —…
Sapphire Health Services specializes in providing comprehensive care and living solutions tailored to meet the diverse needs of seniors and individuals requiring specialized support. With a commitment to excellence and a passion for exceptional care, we offer a range of services designed to promote independence, dignity, and well-being at every stage of life. We are committed to enhancing the quality of life for our residents and pride ourselves on fostering a warm and supportive environment where personalized care is tailored to meet specific needs. Sapphire Health Services is currently seeking a dedicated individual to join our team and uphold our commitment to excellence.
Job summary
A Registered Nurse (RN) in our Skilled Nursing Facility is responsible for delivering high-quality, person-centered care to residents, coordinating with interdisciplinary teams, and ensuring compliance with all regulatory standards. This role involves assessing resident needs, implementing individualized care plans, administering medications and treatments, and providing leadership to nursing staff. The RN plays a crucial role in enhancing the health and quality of life for residents.
Responsibilities
Conduct comprehensive assessments of residents upon admission, change in condition, and periodically as required.
Participate in care plan meetings with residents, families, and the care team to discuss goals, progress, and necessary adjustments.
Provide direct nursing care to residents, including administering medications, treatments, wound care, and other necessary interventions.
Monitor and document residents' health status, including vital signs, symptoms, and responses to treatment.
Assist with activities of daily living (ADLs) as needed, such as bathing, dressing, grooming, and feeding.
Ensure all care provided is consistent with the resident's care plan and nursing standards of practice.
Prepare, administer, and document prescribed medications and treatments accurately and safely.
Monitor residents for adverse reactions and medication effectiveness, and report concerns.
Maintain accurate and up-to-date medication administration records (MARs) and ensure proper storage and handling of medications.
Serve as a liaison between residents, families, physicians, and other healthcare professionals to ensure effective communication and continuity of care.
Report significant changes in resident conditions promptly and take appropriate action.
Participate in shift change reports, staff meetings, and interdisciplinary team meetings to ensure cohesive care delivery.
Supervise and provide guidance to Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), Certified Medication Aids (CMAs) and other support staff.
Assist in the orientation and training of new nursing staff to ensure compliance with facility policies and procedures.
Delegate tasks appropriately and oversee the performance of assigned duties by nursing support staff.
Maintain accurate, timely, and thorough documentation in residents' electronic health records (EHR) or paper charts as required.
Ensure compliance with federal, state, and local regulations, as well as facility policies and procedures.
Assist in preparing the facility for regulatory inspections and audits by maintaining high standards of care and documentation.
Participate in Quality Assurance and Performance Improvement (QAPI) programs to identify areas for improvement in resident care and safety.
Follow infection control protocols, including proper hand hygiene, use of personal protective equipment (PPE), and disposal of biohazardous materials.
Report and document any incidents, accidents, or safety concerns promptly and accurately.
Advocate for the rights, preferences, and needs of residents, promoting a respectful and compassionate care environment.
Other duties as assigned.
Requirements
Registered Nurse (RN) Licensure in the State of practice
Previous experience in a skilled nursing facility, long-term care, or acute care setting preferred.
Strong clinical skills and knowledge of geriatric care.
Excellent communication, interpersonal, and organizational skills.
Ability to work effectively as part of an interdisciplinary team.
Proficiency in electronic health records (EHR) and basic computer skills.
Critical thinking and problem-solving abilities.
Ability to perform physically demanding tasks, such as lifting, bending, standing, and assisting residents with mobility.
Must be able to stand and walk for extended periods.:
Employee
Benefits
Benefits of being a Sapphire Health Services employee include, but is not limited to:
PTO
401(K)
Medical/Health Insurance
Dental Insurance
Vision Insurance
Holiday Pay
Wellness Fund
Uniform Fund
Longevity Bonuses
Quarterly Vacation Drawing
Tuition Reimbursement
How to apply
At Sapphire Health Services we are dedicated to creating a supportive and enriching environment for both our residents and our team members. If you are a passionate healthcare professional looking to make a difference in the lives of residents, we encourage you to apply!
Address: 10948 SE Boise St., Portland, OR 97266
Our Mission: To Promote the highest quality of life for our residents, staff and communities. We strive to treat them all with the greatest consideration and respect.:
Neighborhoods+Young professionals cluster in Nob Hill (NW District) for Victorian streets and boutique retail ($340K–$400K), the Pearl District for loft-heavy walkable living ($365K–$455K), and Alberta Arts District for a hip, colorful, still-changing scene with $330K–$420K entry points. Hawthorne’s eclectic, bohemian, bookshop culture sits around $480K–$580K. Quieter residential bets include Sellwood-Moreland—historic, antique-district, river-oriented, $580K–$680K to buy, with a studio rent cited around $1,500—and Alameda, a stately tree-lined pocket of pre-1940s Craftsman, Tudor, bungalow, and Colonial homes (median purchase about $711,033, median rent $2,244) that is safer than 90% of Portland neighborhoods, under 15 minutes from downtown, and sandwiched between Alberta Arts, Williams, and Hollywood. Goose Hollow is the transit-first budget condo option at $290K–$340K. East of the Willamette is generally more sprawling and affordable; the west side is denser and more walkable. Just outside the city, Gresham is cheaper with an easier commute but higher crime than Beaverton, whose inbound trip is busier and more complicated.
Young professionals cluster in Nob Hill (NW District) for Victorian streets and boutique retail ($340K–$400K), the Pearl District for loft-heavy walkable living ($365K–$455K), and Alberta Arts District for a hip, colorful, still-changing scene with $330K–$420K entry points. Hawthorne’s eclectic, bohemian, bookshop culture sits around $480K–$580K. Quieter residential bets include Sellwood-Moreland—historic, antique-district, river-oriented, $580K–$680K to buy, with a studio rent cited around $1,500—and Alameda, a stately tree-lined pocket of pre-1940s Craftsman, Tudor, bungalow, and Colonial homes (median purchase about $711,033, median rent $2,244) that is safer than 90% of Portland neighborhoods, under 15 minutes from downtown, and sandwiched between Alberta Arts, Williams, and Hollywood.
Goose Hollow is the transit-first budget condo option at $290K–$340K. East of the Willamette is generally more sprawling and affordable; the west side is denser and more walkable. Just outside the city, Gresham is cheaper with an easier commute but higher crime than Beaverton, whose inbound trip is busier and more complicated.
Getting around+Sources do not name hospital campuses, MAX lines to them, or parking at medical centers. What they do establish is that neighborhood choice locks in commute rhythm more here than in many cities: the west side is denser and more walkable, the east side more sprawling, and Goose Hollow is called transit-first. Walkability, a robust public-transit system, and a strong biking culture are consistent pros; worsening traffic is a consistent con. Gresham is described as an easier, more affordable commute into Portland than Beaverton, where inbound traffic is busier and more complicated. Relocators are warned not to pick a house before they understand the daily commute that neighborhood creates.
Sources do not name hospital campuses, MAX lines to them, or parking at medical centers. What they do establish is that neighborhood choice locks in commute rhythm more here than in many cities: the west side is denser and more walkable, the east side more sprawling, and Goose Hollow is called transit-first.
Walkability, a robust public-transit system, and a strong biking culture are consistent pros; worsening traffic is a consistent con. Gresham is described as an easier, more affordable commute into Portland than Beaverton, where inbound traffic is busier and more complicated.
Relocators are warned not to pick a house before they understand the daily commute that neighborhood creates.
Outdoors+In town: Washington Park and the International Rose Test Garden (over 10,000 bushes and 610-plus varieties since 1924), plus Wilshire, Grant, and Irving Parks within walking distance of Alameda, and the Willamette riverfront at OMSI. Within about an hour to 90 minutes you can hike waterfalls in the Columbia River Gorge (Multnomah Falls), ski or snowboard on Mount Hood, reach the Oregon coast, taste Willamette Valley wineries, or paddleboard on the Columbia. Nature access is the lifestyle feature locals mention first—often “30 minutes away” for city-adjacent green, 90 minutes for completely different terrain. Summers can turn scorching and smoky from wildfires; the rest of the year is mild but gray.
In town: Washington Park and the International Rose Test Garden (over 10,000 bushes and 610-plus varieties since 1924), plus Wilshire, Grant, and Irving Parks within walking distance of Alameda, and the Willamette riverfront at OMSI. Within about an hour to 90 minutes you can hike waterfalls in the Columbia River Gorge (Multnomah Falls), ski or snowboard on Mount Hood, reach the Oregon coast, taste Willamette Valley wineries, or paddleboard on the Columbia.
Nature access is the lifestyle feature locals mention first—often “30 minutes away” for city-adjacent green, 90 minutes for completely different terrain. Summers can turn scorching and smoky from wildfires; the rest of the year is mild but gray.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in Portland
Portland is less one city than a stack of neighborhoods split by the Willamette, and a relocating nurse will feel that on day one: Nob Hill and the Pearl are walkable and loft-Victorian; Alberta Arts is colorful and still relatively reachable; Sellwood-Moreland and Alameda are quieter, historic, and family-scaled, with Alameda called safer than 90% of the city. What is genuinely distinct is the pairing of a James Beard–dense food-cart and coffee culture with nature that is actually close—Washington Park’s International Rose Test Garden in town, Multnomah Falls and Gorge hikes, Mount Hood skiing, and the coast inside about 90 minutes—plus no sales tax. The honest tradeoffs are a long gray winter (SAD comes up constantly), visible homelessness and drug activity concentrated downtown even as residential neighborhoods a few miles out feel quaint and safe, steep income taxes, and housing that still runs from Goose Hollow condos near $300K to Laurelhurst near $1 million. Transit, bikes, and walk scores are real assets; Beaverton-inbound traffic is not. If food, rain-tolerant outdoor access, and an easy-going pace matter more than winter sun or a polished core, Portland still earns the move.
