Federal inspection record · CMS data as of October 1, 2026
American River Center
3900 Garfield Avenue, Carmichael, CA · (916) 481-6455
- Certified beds
- 99
- Residents per day
- 96
- Ownership
- For-Profit
- Chain
- Genesis Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 13, 1991
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
American River Center carries 58 inspection points. That is fewer than 73% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights4D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Keep residents' personal and medical records private and confidential.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
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.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Assist a resident in gaining access to vision and hearing services.
Inspection history
2026-04-10
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2025-01-10
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-03-22
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 53 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
3 h 53 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 24% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.5 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse | 4.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.7 pts better | 0.9% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts worse | 5.7% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better | 4.3% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 6.4% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse | 10.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better | 5.4% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.8% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 5.9% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 98.2% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts worse | 12.8% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 98.4% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts worse | 25.5% | 22.6% | 23.4% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Shaw, Pamela | Operational/Managerial Control · Individual | 0% | 39 facilities |
| Shaw, Pamela | Adp Of The SNF · Individual | 0% | 39 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6D
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems4D
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous2D
- C
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
·
Other homes nearby
-
Eskaton Village Care Center
Carmichael, CA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 6 h 3 min
- Fines
- $0
-
Whitney Oaks Care Center
Carmichael, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
College Oak Nursing and Rehabilitation Center
Sacramento, CA · Cypress Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 17 min
- Fines
- $9,814