Rivercrest Post Acute
148 Hood Street · Oregon City, OR · 97045 · 5036564035
53 certified beds For profit - Limited Liability company Chain: Pacs Group
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 4.08 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $18,075 |
Inspection citations (34 in the current record)
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Potential for harm · E February 13, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · E February 13, 2026
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.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D February 13, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026
Respond appropriately to all alleged violations.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 13, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D February 13, 2026
Ensure each resident receives an accurate assessment.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · E February 13, 2026
Observe each nurse aide's job performance and give regular training.
Corrected March 25, 2026 · Nursing and Physician Services
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Potential for harm · D February 13, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 25, 2026 · Pharmacy Service
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Potential for harm · D February 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · D February 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 25, 2026 · Infection Control
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No harm found · B February 13, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D November 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 19, 2025 · Infection Control
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Potential for harm · D October 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 11, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 11, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 11, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · E October 11, 2024 · found via complaint
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.
Corrected November 15, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 22, 2024 | Fine | $18,075 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385245 · certified since June 22, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.