See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Rivers Edge Rehabilitation and Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

411 Se Sheridan Road, Sheridan, OR 9737851 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 22 Google reviews

5
4
3
2
1

Watch Rivers Edge Rehabilitation and Care

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (20 vs median 9.0)
  • High staff turnover (98%)
  • High RN turnover (80%)

Below average in OR · Below recommended RN staffing · Above recommended total nurse staffing · Very high staff turnover · No penalties on record

Source: Medicare data

What this means for your family

While some visitors have reported positive interactions with staff, the recurring reports of poor facility maintenance, hygiene concerns, and a depressing environment are significant red flags. We strongly recommend an unannounced visit to inspect the cleanliness of the rooms and the condition of the residents before making any decisions.

Google Reviews

Google Reviews

22 reviews on Google
Reviews for Rivers Edge Rehabilitation and Care are highly polarized, with significant concerns regarding the facility's physical condition and the quality of care. While a few visitors have praised the staff as attentive, multiple reviewers describe the building as run-down, dreary, and unhygienic, with reports of unkempt residents and poor maintenance.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean1.0Activities8.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Helpful and professional staff interactions
  • Quiet, rural location
  • Good patient-to-staff ratio (noted in specific positive reviews)

Concerns

  • Facility is run-down, dirty, and poorly maintained (mentioned by 5 reviewers)
  • Residents appear unkempt or disheveled (mentioned by 3 reviewers)
  • Dark, dreary, and depressing environment (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'20(3)'22(1)'24(2)'26(4)

Distribution · 23 analyzed

5
6
4
6
3
0
2
0
1
11

How They Respond to Reviews

82%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the management is very responsive to feedback online; how does the team use resident and family input to improve the facility's upkeep and cleanliness?
  • 2Since the facility has a great staffing ratio, how do the caregivers ensure that residents are always well-groomed and dressed comfortably each morning?
  • 3What specific steps are being taken to address recent maintenance needs and ensure the common areas feel bright and welcoming for residents?
  • 4How does the nursing team handle medical emergencies or changes in health status during the overnight hours?
  • 5What kind of daily activities or social outings are available to help keep the residents engaged and active in this quiet, rural setting?
  • 6How does the staff maintain consistent communication with families regarding any changes in a resident's care plan or daily well-being?

Personalized based on this facility's data


Key Review Excerpts

This is a small and older nursing home, but on 6 visits there I always found the staff professional and attentive, and the facility nicely kept.

Visitor · 2018★★★★★

The place is very run down. It's the worst establishment I've ever seen. The place should be closed down, honestly. The walls have mold. No indoor air conditioner. My uncle was unkempt and dirty.

Family member · 2023☆☆☆☆

I could see people lying in beds, in the dark, during broad daylight, in tiny, shallow rooms. The rooms looked like closets, really.

Delivery driver · 2025☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.93hrs
OK
Registered nurses for medical care
Total Nursing
5.79hrs
OK
All nurses + aides combined
Staff Turnover
97%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
19.4%
OR
22.1%
Yamhill
28.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
19.5%
OR
12.5%
Yamhill
12.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
15.5%
OR
14.0%
Yamhill
11.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
14.4%
OR
15.3%
Yamhill
12.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
15.3%
OR
22.5%
Yamhill
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OR
95.3%
Yamhill
94.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.4%
Better than Avg
Here
95.4%
US
81.8%
OR
85.5%
Yamhill
66.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OR
1.5%
Yamhill
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
Well above state avg (10.4)
11 complaint-triggered

Rivers Edge has a concerning pattern of recurring deficiencies across all three surveys, with families filing complaints that triggered 9 additional citations. The facility repeatedly struggles with resident rights violations, medication management, and fire safety protocols, with the same issues appearing year after year. While the facility reports corrections for each deficiency, the persistent recurrence of problems in core care areas suggests systemic challenges that families should carefully consider.

Feb 23, 2026Complaint
2
0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Mar 3, 2025Routine
23
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0711Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Mar 3, 2025Complaint
4
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Oct 6, 2023Complaint
5
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Oct 6, 2023Routine
3
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0751Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of flammable curtains.

Sep 27, 2022Routine
20
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rivers Edge Rehabilitation and Care

Organization Type

for profit

Chain Affiliation

Chain Name

Sapphire Health Services

Chain Size

8 facilities nationwide

Chain avg rating: 1.8/5 · Rank 5 of 8

Ownership & Management

Owners

Becker, Andrew

Owner

30%

Hilty, Lisa

Owner

25%

Morris, Bryan

Owner

5%

Ricker, Kevin

Owner

40%

Key personnel

Sapphire Healthcare Srvs.ManagerLivingston, RachelManagerRuden, NathanManagerSapphire Healthcare Srvs.Adp of the SnfLivingston, RachelAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call