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Home / Oregon / Sheridan

Rivers Edge Rehabilitation and Care

411 Se Sheridan Road, Sheridan, OR 97378 · Yamhill County · (503) 843-2204

51 certified beds, about 38 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2012

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385275 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 5, 2026, inspectors cited 11 health deficiencies (the Oregon average is 9.2, the national average 9.2).

None of its 36 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.79 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

68.5% of nursing staff left within the year CMS measured (Oregon average 47.4%).

CMS links it to Sapphire Health Services, an affiliated group of 8 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
29D
7E
0F
Potential for minimal harm
0A
0B
0C
June 5, 2026Standard inspection, Complaint inspection · 11 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide a clean and well-maintained homelike environment for 3 of 7 sampled residents (#s 5, 27, and 28) and 2 of 5 resident hallways reviewed for environment. This placed residents at risk for lack of a homelike environment.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure kitchen staff wore appropriate hair restraints during meal preparation, provide a sanitary kitchen environment and ensure proper hand hygiene practices were followed for 1 of 1 facility kitchen reviewed for sanitation. This placed residents at risk for unsanitary foods and food-borne illness.
  3. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure the facility was free from pests for 1 of 1 sampled facility reviewed for environment. This placed residents at risk for a lack of sanitary conditions.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure allegations of abuse were reported timely for 1 of 6 sampled residents (#45) reviewed for accidents and abuse. This placed residents at risk for continued abuse.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the MDS was coded accurately related to oxygen and non-invasive mechanical ventilator for 1 of 3 sampled residents (#7) reviewed for respiratory care. This placed residents at risk for inaccurate assessments.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide PRN insulin per physician orders for 1 of 5 sampled residents (#4) reviewed for unnecessary medications. This placed residents at risk for elevated blood sugars.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure aspiration precautions were followed for 2 of 5 sampled resident (#s 38 and 44) reviewed for accidents. This placed residents at risk for adverse outcomes related to aspiration.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to maintain oxygen equipment for 1 of 3 sampled residents (#7) reviewed for oxygen therapy. This placed residents at risk for increased risk for respiratory failure.
  9. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident had transporation for dialysis for 1 of 1 sampled residents (#4) reviewed for dailysis. This placed residents at risk for fluid retention.
  10. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's bowel care was held per physician orders and labs were monitored for 2 of 5 sampled residents (#2 and 4) This placed residents at risk for dehydration.
  11. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 15, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility had a medication error rate of greater than 5%. The facility error rate was with 32 percent with 8 errors in 25 opportunities. This placed resident at risk for adverse medication regimen.
March 3, 2025Standard inspection, Complaint inspection · 20 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure resident equipment, resident windows, walls, and bathroom lighting were in good working order and water was hot for 4 of 8 sampled residents (#s 6, 13, 22, and 26) reviewed for environment. This placed residents at risk for an unhomelike environment.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on observation and interview it was determined the facility failed to store food in a sanitary manner for 1 of 1 resident refrigerator reviewed for food safety. This placed residents at risk for foodborne illnesses.
  3. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were offered pneumonia vaccines for 5 of 5 sampled residents (#s 19, 22, 26, 38, and 39) reviewed for vaccines. This places residents at risk for pneumonia.
  4. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide dementia training for 5 of 5 sampled staff (#s 4, 9, 21, 22, and 23) reviewed for dementia training. This placed residents with dementia at risk of not receiving appropriate care and services to attain or maintain their highest practicable self.
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview, observation and record review it was determined the facility failed to follow resident rights for 2 of 2 sampled residents (#s 13 and 26) reviewed for resident rights and incontinence care. This placed residents at risk for lack of dignity.
  6. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident or resident's representative was provided the risk and benefits information for psychotropic medications prior to administration for 1 of 5 sampled residents (#9) reviewed for medications. This placed residents at risk for lack of informed consent.
  7. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to follow up on grievances for 1 of 4 sampled residents (# 26) reviewed for staffing. This placed residents at risk for not having their needs addressed.
  8. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by another resident for 1 of 3 sampled residents (#39) reviewed for abuse. This placed residents at risk for injury related to abuse.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide bowel care and failed to follow physician orders for medication parameters for 3 of 5 sampled residents (#s 9, 22, and 24) reviewed for medications. This placed residents at risk for constipation and adverse medication regimen.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure cigarette lighters were not stored in resident rooms for 1 of 3 sampled residents (#5) reviewed for smoking. This placed residents at risk for burns.
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure respiratory equipment was maintained for 1 of 1 sampled resident (#13) reviewed for respiratory care. This placed residents at risk for increased risk for respiratory concerns.
  12. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide care and services related to dialysis for 1 of 1 sampled resident (#22) reviewed for dialysis. This placed residents at risk for dialysis access complications.
  13. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident who was a trauma survivor received trauma-informed care for 1 of 3 sampled resident (#12) reviewed for abuse. This placed residents at risk for unmet trauma needs and a decrease in their quality of life.
  14. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure each CNA received annual performance reviews for 2 of 5 sampled CNAs (#s Staff 21 and Staff 23) reviewed for in-service education. This placed residents at risk for lack of care by competent staff.
  15. D
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide medically-related social services for arranging mental health services for 2 of 2 sampled residents (#s 20 and 39) reviewed for abuse and unnecessary medications. This placed residents at risk for unmet behavioral health needs and a decrease in their quality of life.
  16. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to act upon pharmacist recommendations for 1 of 5 sampled residents (# 32) reviewed for unnecessary medications. This placed residents at risk for a decrease in their quality of life.
  17. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide a rationale for PRN psychotropic medication and develop a care plan related to antianxiety medication side effects for 1 of 5 sampled residents (#9) reviewed for unnecessary medications. This placed residents at risk for sedation. Findings including: Resident 9 was admitted to the facility in 6/2022, with a diagnosis of depression. Resident 9's hospice Certification and Plan of Care revealed Resident 9 was admitted to hospice services on 1/17/25, with orders for lorazepam (an antianxiety medication) was to be administered PRN for restlessness. A care plan revised 1/28/25 revealed Resident 9 had ineffective coping and anxious behavior. Interventions included to give reassurance, report delusions to the nurse, and to See Psychotropic medication plan of care. [...]
  18. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a therapy evaluation was obtained for 1 of 2 sampled residents (#38) reviewed for discharge. This placed residents at risk for weakness.
  19. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 1 of 3 sampled resident (# 12) reviewed for binding arbitration agreement. This placed residents at risk of being uninformed regarding their legal rights.
  20. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to offer Covid-19 vaccines for 3 of 5 sampled residents (#s 19, 38 and 39) reviewed for vaccines. This placed residents at risk for respiratory illness.
October 6, 2023Standard inspection, Complaint inspection · 5 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were treated with dignity and respect for 1 of 2 sampled residents (#13) reviewed for dignity. This placed residents at risk for lack of privacy and dignity.
  2. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure resident bathrooms were clean and kept in good repair for 1 of 2 sampled resident rooms (#26) reviewed for environment. This placed residents at risk for living in an unhomelike environment.
  3. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to transmit Discharge MDS Assessments and Quarterly MDS Assessments in a timely manner for 2 of 14 sampled residents (#s 32 and 139) reviewed for MDS completion. This placed residents at risk for untimely, inaccurate records and unmet needs.
  4. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide a restorative program to prevent further decline in range of motion for 3 of 3 sampled residents (#s 5, 14 and 17) who were reviewed for mobility. This placed residents at risk for a decline in their range of motion abilities.
  5. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication error rate of less than five percent. There were three errors in 27 opportunities resulting in an 11.11% error rate. This placed residents at risk for adverse medication consequences.

Fire safety inspections

20 fire safety citations on file: 8 on June 5, 2026, 2 on February 23, 2026, 7 on March 3, 2025, 3 on October 6, 2023.

Every fire safety citation20 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · June 5, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 5, 2026 · Corrected (the home has a date of correction)
  3. F
    Have power receptacles that are properly grounded.
    K 912 · June 5, 2026 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 5, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 5, 2026 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 5, 2026 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · June 5, 2026 · Corrected (the home has a date of correction)
  8. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 5, 2026 · Corrected (the home has a date of correction)
  9. F
    Provide a written emergency evacuation plan.
    K 711 · February 23, 2026 · Corrected (the home has a date of correction)
  10. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · February 23, 2026 · Corrected (the home has a date of correction)
  11. F
    Establish policies and procedures including evacuation.
    E 20 · March 3, 2025 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 3, 2025 · Corrected (the home has a date of correction)
  13. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 3, 2025 · Corrected (the home has a date of correction)
  14. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 3, 2025 · Corrected (the home has a date of correction)
  15. E
    Provide a written emergency evacuation plan.
    K 711 · March 3, 2025 · Corrected (the home has a date of correction)
  16. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 3, 2025 · Corrected (the home has a date of correction)
  17. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · March 3, 2025 · Corrected (the home has a date of correction)
  18. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 6, 2023 · Corrected (the home has a date of correction)
  19. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 6, 2023 · Corrected (the home has a date of correction)
  20. E
    Have restrictions on the use of flammable curtains.
    K 751 · October 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)5.795.033.86
Registered nurses0.810.720.69
All nursing staff on weekends5.114.513.42
Nurse aides4.22
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)68.5%47.4%45.8%
Registered nurse turnover50.0%51.6%42.9%
Administrators who left2

CMS expects 3.21 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 6.07 on weekdays and 5.11 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.72 in April to June 2025 to 5.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.790.816.075.11 8.7%0 of 9038
Oct to Dec 20255.790.936.105.00 10.5%0 of 9239
Jul to Sep 20255.880.646.045.47 24.3%0 of 9238
Apr to Jun 20255.720.765.885.31 27.2%0 of 9136
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oregon, Jan to Mar 20264.910.645.124.406.2%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOregonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.214.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.42.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
21.620.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.55.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.413.915.4

Owners and operators

Legal business name: SAPPHIRE AT RIVERS EDGE LLC. CMS links this home to Sapphire Health Services, a group of 8 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Becker, Andrew5% or greater direct ownership interestIndividual30%11/28/2022
Hilty, Lisa5% or greater direct ownership interestIndividual25%11/28/2022
Morris, Bryan5% or greater direct ownership interestIndividual5%11/28/2022
Ricker, Kevin5% or greater direct ownership interestIndividual40%11/28/2022
Sapphire Healthcare Srvs.Operational/managerial controlOrganization09/01/2023
Livingston, RachelOperational/managerial controlIndividual08/26/2024
Ruden, NathanOperational/managerial controlIndividual01/01/2025
Sapphire Healthcare Srvs.Adp of the SNFOrganization06/30/2025
Livingston, RachelAdp of the SNFIndividual08/26/2024
Ruden, NathanAdp of the SNFIndividual01/01/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on June 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 5, 2026: "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."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 5, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on June 5, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Common questions

What is Rivers Edge Rehabilitation and Care's Medicare star rating?
CMS rates Rivers Edge Rehabilitation and Care 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rivers Edge Rehabilitation and Care get at its last inspection?
11 health deficiencies at the standard inspection on June 5, 2026. The Oregon average is 9.2.
Has Rivers Edge Rehabilitation and Care been fined?
CMS lists no fines in the last three years.
Does Rivers Edge Rehabilitation and Care 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 Rivers Edge Rehabilitation and Care?
CMS lists 10 owners and managers, and links the home to Sapphire Health Services. Legal business name: SAPPHIRE AT RIVERS EDGE LLC.

Sources

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