Rivercrest Post Acute

Name: Rivercrest Post Acute
Address: 148 HOOD STREET, Oregon City, OR, 97045, US
Telephone: 5036564035

148 Hood Street, Oregon City, OR 97045 · Clackamas County · 53 certified beds · avg 51 residents/day · certified since Jun 22, 1994

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$18,075

Fines, last 3 years

5.81

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 13, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Feb 13, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 13, 2026	B · Minimal risk, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Nov 19, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 18, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 18, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 11, 2024	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · from a complaint
Oct 11, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Oct 11, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Oct 11, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Oct 11, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Oct 11, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Jul 14, 2023	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jul 14, 2023	E · Potential for harm, repeated	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 15).

Year	Citations	Worst severity that year
2023	6	E
2024	10	F
2025	3	D
2026	15	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $18,075.

Date	Type	Amount / length
Nov 22, 2024	Fine	$18,075

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Oregon avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.81	5.42	3.95	top 23% in Oregon; top 5% in the U.S.
Registered Nurse hours	0.44	0.78	0.69	bottom 14% in Oregon; bottom 29% in the U.S.
Weekend total nurse staffing	5.30	4.85	3.50	top 19% in Oregon; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.48	0.48	bottom 45% in Oregon; bottom 45% in the U.S.
Total nursing staff turnover (%)	63.0	47.4	45.8	bottom 16% in Oregon; bottom 12% in the U.S.
RN turnover (%)	75.0	51.6	42.9	bottom 11% in Oregon; bottom 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.95, RN 0.38, weekend 4.51. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Apt, Frederick	Individual	Operational/Managerial Control	NOT APPLICABLE	05/10/2024
Bailey, Spencer	Individual	Operational/Managerial Control	NOT APPLICABLE	09/03/2024
Bailey, Spencer	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Jergensen, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	05/10/2024
Mitchell, John	Individual	Operational/Managerial Control	NOT APPLICABLE	05/10/2024
Morris, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Morris, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Oregon City 148 Realty LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Providence Administrative Consulting Services INC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Rami, Zahlia	Individual	Operational/Managerial Control	NOT APPLICABLE	02/19/2025
Truist Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Does your facility have an active resident council, and how does management respond to its concerns?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Marquis Oregon City Post Acute Rehab	0.6 mi	Oregon City, OR	★★★★★	4/5
Avamere Rehabilitation of Oregon City	1.2 mi	Oregon City, OR	★★☆☆☆	2/5
Rose Linn Care Center	3.1 mi	West Linn, OR	★★★☆☆	4/5
Avamere Rehabilitation of Clackamas	3.1 mi	Gladstone, OR	★★★★☆	3/5
Fernwood Supportive Living at Madrona Grove	6.5 mi	Portland, OR	★★★★☆	3/5
Willamette View Health Center	6.6 mi	Milwaukie, OR	★★★★★	5/5
Stanley Post Acute	6.8 mi	Milwaukie, OR	★★★☆☆	3/5
Marquis Hope Village	7.6 mi	Canby, OR	★★★★☆	4/5
The Pearl at Kruse Way	8.1 mi	Lake Oswego, OR	★★★★☆	4/5
Marquis Tualatin Post Acute Rehab	8.6 mi	Tualatin, OR	★★★★★	4/5
Marquis Wilsonville Post Acute Rehab	8.8 mi	Wilsonville, OR	★★★★★	5/5
Gracelen Care Center	10.3 mi	Portland, OR	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Oregon City →

Facility data as of CMS processing date 2026-08-01. CCN 385245.

The Care File

Visit checklist — Rivercrest Post Acute

148 Hood Street, Oregon City, OR 97045 · 5036564035

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $18,075

Questions for the administrator:

☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 385245 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)