Starfile / California

RIVER BEND NURSING CENTER

2215 OAKMONT WAY, WEST SACRAMENTO, CA 95691 · CCN 055887

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$21,879

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

BVHC, LLC

Facilities in chain

12

Chain avg overall

3.30 / 5

Inspection citations (53)2 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-21 · Health · corrected 2025-09-12

   Potential for more than minimal harm

2. DF0760Ensure that residents are free from significant medication errors.2025-08-21 · Health · corrected 2025-09-12

   Potential for more than minimal harm

3. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

4. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

5. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

7. DF0759Ensure medication error rates are not 5 percent or greater.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

8. DF0761Ensure 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.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-15 · Health · corrected 2025-09-10

   Potential for more than minimal harm

10. EF0880Provide and implement an infection prevention and control program.2024-12-24 · Health · corrected 2025-01-23

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-30 · Health · corrected 2024-11-12

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-04 · Health · corrected 2024-10-12

    Potential for more than minimal harm

13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-17 · Health · corrected 2024-09-23

    Potential for more than minimal harm

14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

15. EF0583Keep residents' personal and medical records private and confidential.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

17. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

18. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

19. DF0679Provide activities to meet all resident's needs.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

20. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

21. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

22. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

23. EF0803Ensure 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.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

24. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

25. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

26. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

27. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

29. EF0908Keep all essential equipment working safely.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

30. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

31. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

32. GF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-12-14 · Health · corrected 2024-01-05

    Actual harm

33. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-10-03 · Health · corrected 2023-10-10

    Potential for more than minimal harm

34. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-28 · Health · corrected 2023-07-12

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-28 · Health · corrected 2023-04-28

    Potential for more than minimal harm

36. DF0908Keep all essential equipment working safely.2023-04-28 · Health · corrected 2023-04-28

    Potential for more than minimal harm

37. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-04-17 · Health · corrected 2023-05-24

    Potential for more than minimal harm

38. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-04-17 · Health · corrected 2023-05-24

    Potential for more than minimal harm

39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-17 · Health · corrected 2023-05-24

    Potential for more than minimal harm

40. DF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.2023-04-17 · Health · corrected 2023-05-24

    Potential for more than minimal harm

41. DF0880Provide and implement an infection prevention and control program.2023-04-17 · Health · corrected 2023-05-24

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

43. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-30 · Health · corrected 2021-09-03

    Actual harm

44. DF0688Provide 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.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

45. DF0692Provide enough food/fluids to maintain a resident's health.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

46. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

47. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

49. DF0761Ensure 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.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

50. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

51. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

52. FF0814Dispose of garbage and refuse properly.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

53. EF0880Provide and implement an infection prevention and control program.2021-07-30 · Health · corrected 2021-09-03

    Potential for more than minimal harm

Ownership

Other facilities in WEST SACRAMENTO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.