Federal inspection record · CMS data as of October 1, 2026
River Valley Care Center
9000 Larkin Road, Live Oak, CA · (530) 695-8020
- Certified beds
- 99
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 20, 1993
1
How this home got 3 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.
-
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
★★★★★+1 star
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
River Valley Care Center carries 103 inspection points. That is fewer than 38% 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
53 health citations on record since 2021. 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care10E
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning10E
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- 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
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary8F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights6E
- E
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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Pharmacy Service6E
- E
Ensure medication error rates are not 5 percent or greater.
- 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
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.
- D
Ensure medication error rates are not 5 percent or greater.
- E
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.
- 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.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration3F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental2E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Keep all essential equipment working safely.
Nursing and Physician Services2F
- F
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-06-20
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-07-11
17 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2021-12-07
21 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
4 h 9 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 19% of registered nurses left in the past year, along with 1 administrator.
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 days1.1 pts better | 1.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.4 | 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 injury0.2 pts better | 1.4% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 2.6% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts worse | 23.5% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts better | 12.0% | 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 worsenedAbout the same | 8.9% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.2 pts better | 5.0% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts better | 7.4% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts better | 0.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.5 pts better | 99.1% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.9 pts better | 6.2% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.7% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 95.7% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 18.6% | 22.6% | 23.4% |
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Who owns and runs it
6 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 |
|---|---|---|---|
| Andrus, Roman | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Apt, Frederick | Corporate Officer · Individual | 0% | 258 facilities |
| Hancock, Mark | Corporate Officer · Individual | 0% | 159 facilities |
| Jergensen, Joshua | Corporate Officer · Individual | 0% | 262 facilities |
| Mitchell, John | Corporate Officer · Individual | 0% | 276 facilities |
| Vemulapalli, Shailaja | Contracted Managing Employee · Individual | 0% | 3 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Install corridor and hallway doors that block smoke.
- C
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- D
Establish staff and initial training requirements.
- D
Implement emergency and standby power systems.
- D
Conduct risk assessment and an All-Hazards approach.
Egress3D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have exits that are accessible at all times.
Construction2D
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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Bridgeview Post Acute
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-
Fountains, The
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