Rivers Edge Rehabilitation and Care
411 Se Sheridan Road · Sheridan, OR · 97378 · 5038432204
51 certified beds For profit - Corporation Chain: Sapphire Health Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
97% 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: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.93 | 0.55–0.75 |
| Weekend hours / resident-day | 5.00 | ≈ weekday level |
| Nursing turnover / year | 97% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D March 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · E March 3, 2025
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 April 17, 2025 · Resident Rights
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Potential for harm · D March 3, 2025
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.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 3, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Observe each nurse aide's job performance and give regular training.
Corrected April 17, 2025 · Nursing and Physician Services
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Potential for harm · D March 3, 2025
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.
Corrected April 17, 2025 · Pharmacy Service
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Potential for harm · E March 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2025 · Nutrition and Dietary
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Potential for harm · D March 3, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected April 17, 2025 · Administration
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Potential for harm · E March 3, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2025 · Infection Control
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Potential for harm · D March 3, 2025
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.
Corrected April 17, 2025 · Infection Control
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Potential for harm · E March 3, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 17, 2025 · Nursing and Physician Services
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Potential for harm · D March 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 3, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 3, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 17, 2025 · Pharmacy Service
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Potential for harm · D October 6, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 15, 2023 · Resident Rights
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Potential for harm · D October 6, 2023 · 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, 2023 · Resident Rights
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Potential for harm · D October 6, 2023 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 6, 2023 · found via complaint
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.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · D October 6, 2023 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected November 15, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385275 · certified since July 10, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.