River City Post Acute
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608 · CCN 055402
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 178
- Avg residents/day
- 172.2
- Phone
- 9164820465
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-21 | 32 | 15.6 | 9.5 | +16.4 worse |
| 2 | 2023-12-14 | 25 | 17.4 | 9.8 | +7.6 worse |
| 3 | 2022-02-11 | 23 | 17.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 4 |
| Infection control | 5 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.59 | 53.8% |
| RN staffing (reported) | 0.53 | 78.9% |
| Total nurse staffing (adjusted) | 3.61 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- WINDSOR
- Facilities in chain
- 19
- Chain avg overall
- 2.30 / 5
Inspection citations (80)
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-02 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2025-11-20 · Health · corrected 2025-12-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-11-20 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-08-07 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-01 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-29 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-29 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-07-29 · Health · corrected 2025-08-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-24 · Health · corrected 2025-07-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-24 · Health · corrected 2025-07-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-01 · Health · corrected 2025-07-02
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-11 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-11 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-06 · Health · corrected 2025-06-13
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-03 · Health · corrected 2025-06-04
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-05-06 · Health · corrected 2025-05-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-25 · Health · corrected 2025-04-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-16 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-15 · Health · corrected 2025-04-23
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-15 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-04-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-02 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-02 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-20 · Health · corrected 2025-03-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-11-21 · Health · corrected 2024-12-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-07 · Health · corrected 2024-10-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-24 · Health · corrected 2024-10-07
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-09-24 · Health · corrected 2024-10-07
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-08-20 · Health · corrected 2024-09-11
Potential for more than minimal harm
- DF0584Honor 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.2024-08-20 · Health · corrected 2024-09-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-20 · Health · corrected 2024-09-11
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-19 · Health · corrected 2024-07-22
Potential for more than minimal harm
- EF0685Assist a resident in gaining access to vision and hearing services.2024-07-18 · Health · corrected 2024-07-18
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-02 · Health · corrected 2024-07-08
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-06-14 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-05 · Health · corrected 2024-06-20
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-29 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-15 · Health · corrected 2024-04-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-11 · Health · corrected 2024-03-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- EF0584Honor 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.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-12-14 · Health · corrected 2024-01-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-07 · Health · corrected 2023-11-28
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-20 · Health · corrected 2023-11-07
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-04 · Health · corrected 2023-10-18
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-18 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-09 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-08-01 · Health · corrected 2023-08-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-10 · Health · corrected 2023-07-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-05 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-05 · Health · corrected 2023-06-15
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-24 · Health · corrected 2023-06-07
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-04-10 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0585Honor 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.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-02-11 · Health · corrected 2022-03-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TRESS, AVROHOM | Individual | CORPORATE OFFICER | — | 2023-08-14 |
| ANTELOPE REALTY HOLDINGS I, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-07-26 |
| WINDSOR NORCAL 13 HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2007-01-04 |
| 9560 PICO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| ANTELOPE HOLDINGS I, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PICO AR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| ROBIN, AARON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| TRESS, AVROHOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-30 |
| GARDNER, RAMSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-01 |
| SHAW, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-30 |
| THOMAS-HARRISON, PHONECHIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-20 |
| ROBIN, AARON | Individual | CORPORATE OFFICER | — | 2023-08-14 |
Other facilities in CARMICHAEL
| Name | Overall | Beds |
|---|---|---|
| AMERICAN RIVER CENTER | ★★★★★ | 99 |
| ESKATON VILLAGE CARE CENTER | ★★★★★ | 35 |
| MISSION CARMICHAEL HEALTHCARE CENTER | ★★★★☆ | 135 |
| MOUNTAIN MANOR SENIOR RESIDENCE | ★★★☆☆ | 47 |
| MANZANITA HEALTHCARE CENTER | ★★☆☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.