Rivercrest Post Acute
148 Hood Street, Oregon City, OR 97045 · Clackamas County · (503) 656-4035
53 certified beds, about 51 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385245 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2026, inspectors cited 15 health deficiencies (the Oregon average is 9.2, the national average 9.2).
None of its 35 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $18,075 in the last three years; the largest was $18,075, and the latest is dated November 22, 2024.
Nurses and nurse aides worked 4.95 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
63.0% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.
July 30, 2026Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide supervision to prevent elopement for 1 of 3 sampled residents (#6) reviewed for accidents. This placed residents at risk for elopement.
February 13, 2026Standard inspection · 15 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation and interview it was determined the facility failed to provide a private space for resident council meetings for 1 of 1 resident council group reviewed for privacy. This placed residents at risk for a lack of participation in group discussions regarding facility policies, procedures and resident rights.
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure advance directives were offered or obtained for 4 of 4 sampled residents (#s 4, 22, 25, and 26) reviewed for advance directives. This placed residents at risk for personal health care choices not being honored.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide a recapitulation of the resident's stay at the time of discharge for 3 of 3 sampled residents (#s 61, 62, and 63) reviewed for Beneficiary Notification Review. This placed residents at risk for lack of knowledge regarding their care and treatment provided during their stay at the facility.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to investigate the root cause of resident falls for 8 of 10 sampled fall investigations and the facility failed to ensure safety interventions were in place to prevent smoking related accidents for 1 of 6 sampled residents (#7) reviewed for accidents. This placed residents at risk for further falls and smoking injuries.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 2 of 5 sampled CNA staff (#s 15, 16, and 17) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of competent staff.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review it was determined the facility failed to report allegations of abuse for 1 of 1 sample resident (#2) reviewed for abuse. This placed residents at risk for resident-to-resident abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to investigate an allegation of abuse for 1 of 1 sampled resident (#2) reviewed for abuse. This placed residents at risk for continued abuse.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review it was determined the facility failed to accurately code an MDS assessment for 1 of 2 sampled residents (#1) reviewed for respiratory care. This placed residents at risk for unassessed needs.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review it was determined the facility failed to complete a baseline care plan within 48 hours of a resident's admission for 1 of 1 sampled resident (#28) reviewed for dialysis. This placed residents at risk for dialysis access site complications.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review it was determined the facility failed to develop a comprehensive care plan for 2 of 5 sampled residents (#s 22 and 28) reviewed for nutrition and pain. This placed residents at risk for unmet needs.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received treatment and care for a catheter for 1 of 1 sampled resident (#25) reviewed for urinary catheter. This placed residents at risk for urinary tract infections.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from unnecessary antiplatelet medications for 1 of 1 sampled resident (#28) reviewed for dialysis. This placed residents at risk for adverse side effects.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to store resident food in a sanitary manner for 1 of 1 resident refrigerator reviewed for food safety. This placed residents at risk for contamination and at risk for foodborne illness.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and record review it was determined the facility failed to follow transmission-based precautions for 1 of 1 facility reviewed for infection control. This placed residents at risk for infection.
- B Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure survey results of the previous year were readily accessible for 1 of 1 facility reviewed for resident council. This placed residents and the public at risk for not being informed of the facility's survey history.
November 19, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 2 of 6 sampled residents (#s 2 and 22) reviewed for medication. This placed residents at risk for adverse side effects.
April 18, 2025Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure falls were evaluated to ensure resident safety and to ensure care plan interventions were followed for 2 of 4 sampled residents (#s 3 and 7) reviewed for accidents. This placed residents at risk for continued accidents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure staff followed contact precautions for 1 of 3 sampled residents (#1) reviewed for infection control. This placed residents at risk for cross contaminations.
October 11, 2024Standard inspection, Complaint inspection · 10 citations
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review it was determined the facility failed to have the Medical Director attend the Quality Assessment and Assurance and Quality Assurance Performance Improvement (QAA/QAPI) committee meetings. This placed residents at risk for unidentified needs.
- E 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure carpet, flooring and doors were in good repair 1 of 1 facility and 3 of 19 resident rooms reviewed for homelike environment. This placed residents at risk for injury from damaged surfaces and lack of a homelike environment.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to promote self determination for 1 of 3 sampled residents (#5) reviewed for choices. This placed residents at risk for lack of honoring choices and room preferences.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were informed in writing of changes in financial coverage for 1 of 3 sampled residents (#3) reviewed for advance beneficiary notification. This placed residents at risk for unknown financial liabilities and lack of knowledge regarding the right to appeal the decision.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure personal privacy was honored for 1 of 1 resident (#187) reviewed for privacy. This placed residents at risk for breaches of confidentiality.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review it was determined the facility failed to develop a comprehensive person centered care plan for 1 of 3 recently admitted residents (#85) reviewed for incontinence and respiratory care. This placed residents at risk for unmet needs.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure residents received appropriate ADL assistance for 1 of 3 sampled residents (#136) reviewed for activities of daily living. This placed residents at risk for lack of grooming and personal hygiene.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received support to maintain continence for 1 of 2 residents (#85) reviewed for incontinence. This placed residents at increased risk for skin breakdown and loss of dignity.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician's orders for continuous oxygen use for 1 of 1 (#85) sampled resident reviewed for respiratory care. This place residents at risk for complications related to chronic respiratory disease.
- D 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure medication storage areas were free of expired medication and biologicals for 1 of 1 medication storage room and 1 of 3 treatment carts reviewed for medication storage. This placed residents at risk for diminished treatment efficacy.
July 14, 2023Standard inspection · 6 citations
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 3 of 5 sampled CNA staff (#s 8, 11 and 12) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of competent staff.
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff received 12 hours of in-service training annually for 4 of 5 randomly selected staff members (#s 8, 9, 10 and 12) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician's orders for 1 of 5 sampled residents (#17) reviewed for unnecessary medications. This placed residents at risk for adverse medical consequences.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician orders for oxygen therapy for 1 of 1 sampled resident (#17) reviewed for oxygen. This placed residents at risk for unmet respiratory needs.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to store drugs and biologicals in locked compartments for 1 of 2 medication carts observed during this survey. This placed residents at risk for medication diversion and accidents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure physician's visit notes were in the resident's clinical record for 1 of 5 sampled residents (#2) reviewed for unnecessary medications. This placed residents at risk for inaccurate or incomplete records.
Fire safety inspections
8 fire safety citations on file: 4 on February 13, 2026, 2 on October 11, 2024, 2 on July 14, 2023.
Every fire safety citation8 citations
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 22, 2024 | Fine | $18,075 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.95 | 5.03 | 3.86 |
| Registered nurses | 0.38 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.51 | 4.51 | 3.42 |
| Nurse aides | 3.68 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 63.0% | 47.4% | 45.8% |
| Registered nurse turnover | 75.0% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.12 on weekdays and 4.51 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.95 | 0.38 | 5.12 | 4.51 | 33.2% | 1 of 90 | 51 |
| Oct to Dec 2025 | 4.48 | 0.33 | 4.64 | 4.08 | 30.6% | 0 of 92 | 50 |
| Jul to Sep 2025 | 4.32 | 0.28 | 4.46 | 3.97 | 25.1% | 0 of 92 | 50 |
| Apr to Jun 2025 | 4.37 | 0.27 | 4.52 | 4.01 | 33.1% | 0 of 91 | 50 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Oregon
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Oregon, all employers | |||
| CNAs (nursing assistants) | $23.96 | $22.83 to $28.40 | 14,800 |
| LPNs and LVNs | $38.69 | $35.11 to $43.60 | 4,260 |
| Registered nurses | $62.02 | $51.55 to $64.63 | 39,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.8 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.0 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 13.9 | 15.4 |
Owners and operators
Legal business name: RIVERCREST SNF HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Truist Bank | 5% or greater security interest | Organization | 09/01/2024 | |
| Apt, Frederick | Operational/managerial control | Individual | 05/10/2024 | |
| Bailey, Spencer | Operational/managerial control | Individual | 09/03/2024 | |
| Jergensen, Joshua | Operational/managerial control | Individual | 05/10/2024 | |
| Mitchell, John | Operational/managerial control | Individual | 05/10/2024 | |
| Morris, Christopher | Operational/managerial control | Individual | 09/01/2024 | |
| Rami, Zahlia | Operational/managerial control | Individual | 02/19/2025 | |
| Oregon City 148 Realty LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Providence Administrative Consulting Services Inc | Adp of the SNF | Organization | 09/01/2024 | |
| Bailey, Spencer | Adp of the SNF | Individual | 07/10/2025 | |
| Morris, Christopher | Adp of the SNF | Individual | 07/10/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on July 30, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on February 13, 2026: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 13, 2026: "Ensure each resident receives an accurate assessment."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on February 13, 2026: "Observe each nurse aide's job performance and give regular training."
Other nursing homes nearby
- Marquis Oregon City Post Acute Rehab Oregon City, 0.6 mi · 5 of 5 stars · 13 citations
- Avamere Rehabilitation of Oregon City Oregon City, 1.2 mi · 2 of 5 stars · 61 citations
- Rose Linn Care Center West Linn, 3.1 mi · 3 of 5 stars · 14 citations
- Avamere Rehabilitation of Clackamas Gladstone, 3.1 mi · 4 of 5 stars · 16 citations
- Fernwood Supportive Living at Madrona Grove Portland, 6.5 mi · 4 of 5 stars · 19 citations
- Willamette View Health Center Milwaukie, 6.6 mi · 5 of 5 stars · 5 citations
- Stanley Post Acute Milwaukie, 6.8 mi · 3 of 5 stars · 32 citations
- Marquis Hope Village Canby, 7.6 mi · 4 of 5 stars · 14 citations
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Rivercrest Post Acute's Medicare star rating?
- CMS rates Rivercrest Post Acute 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rivercrest Post Acute get at its last inspection?
- 15 health deficiencies at the standard inspection on February 13, 2026. The Oregon average is 9.2.
- Has Rivercrest Post Acute been fined?
- Yes. CMS lists 1 fine totaling $18,075 in the last three years.
- Does Rivercrest Post Acute accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rivercrest Post Acute?
- CMS lists 11 owners and managers, and links the home to PACS Group. Legal business name: RIVERCREST SNF HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.