Rivers Edge Rehabilitation and Care

Name: Rivers Edge Rehabilitation and Care
Address: 411 SE SHERIDAN ROAD, Sheridan, OR, 97378, US
Telephone: 5038432204

411 SE Sheridan Road, Sheridan, OR 97378 · Yamhill County · 51 certified beds · avg 38 residents/day · certified since Jul 10, 2012

Part of chain: SAPPHIRE HEALTH SERVICES (8 facilities, chain avg rating 1.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.92

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 (36)

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
Jun 5, 2026	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.
Jun 5, 2026	E · Potential for harm, repeated	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.
Jun 5, 2026	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Jun 5, 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.
Jun 5, 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.
Jun 5, 2026	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.
Jun 5, 2026	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.
Jun 5, 2026	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.
Jun 5, 2026	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.
Jun 5, 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.
Jun 5, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 3, 2025	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.
Mar 3, 2025	E · Potential for harm, repeated	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.
Mar 3, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 3, 2025	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.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 3, 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.
Mar 3, 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.
Mar 3, 2025	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. · from a complaint
Mar 3, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Mar 3, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Mar 3, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Mar 3, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 6, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint
Oct 6, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (20 → 11).

Year	Citations	Worst severity that year
2023	5	D
2025	20	E
2026	11	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)

No fines or payment denials in the published 3-year window.

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)	6.92	5.42	3.95	top 3% in Oregon; top 2% in the U.S.
Registered Nurse hours	0.97	0.78	0.69	top 18% in Oregon; top 17% in the U.S.
Weekend total nurse staffing	6.10	4.85	3.50	top 3% in Oregon; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.48	0.48	top 22% in Oregon; top 24% in the U.S.
Total nursing staff turnover (%)	68.5	47.4	45.8	bottom 5% in Oregon; bottom 7% in the U.S.
RN turnover (%)	50.0	51.6	42.9	top 40% in Oregon; bottom 39% 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 5.79, RN 0.81, weekend 5.11. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Becker, Andrew	Individual	5% or Greater Direct Ownership Interest	30%	11/28/2022
Hilty, Lisa	Individual	5% or Greater Direct Ownership Interest	25%	11/28/2022
Morris, Bryan	Individual	5% or Greater Direct Ownership Interest	5%	11/28/2022
Ricker, Kevin	Individual	5% or Greater Direct Ownership Interest	40%	11/28/2022
Livingston, Rachel	Individual	Operational/Managerial Control	NOT APPLICABLE	08/26/2024
Livingston, Rachel	Individual	ADP of the SNF	NOT APPLICABLE	08/26/2024
Ruden, Nathan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Ruden, Nathan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Sapphire Healthcare SRVS.	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2023
Sapphire Healthcare SRVS.	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2025

Questions to ask on your visit

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

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Village at Hillside	11.0 mi	McMinnville, OR	★★★★★	5/5
Dallas Retirement Village Health Center	11.9 mi	Dallas, OR	★★★★☆	4/5
Evan Terrace Post Acute	12.5 mi	McMinnville, OR	★☆☆☆☆	1/5
Life Care Center of McMinnville	13.3 mi	McMinnville, OR	★★★★☆	3/5
Avamere Court at Keizer	18.8 mi	Keizer, OR	★★★★☆	4/5
Independence Health and Rehabilitation	19.1 mi	Independence, OR	★★☆☆☆	2/5
Keizer Nursing and Rehabilitation	19.7 mi	Keizer, OR	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Sheridan →

Facility data as of CMS processing date 2026-08-01. CCN 385275.

The Care File

Visit checklist — Rivers Edge Rehabilitation and Care

411 SE Sheridan Road, Sheridan, OR 97378 · 5038432204

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 385275 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)