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.
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
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
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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.