The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Nursing home report
OAK RIVER REHAB
ANDERSON, CA · Medicare-certified · 143 beds
In good standing
For-profitChain member
5 of 5 overall
OAK RIVER REHAB (ANDERSON, CA) has an overall 5-star rating, with 5 stars for health inspections and quality measures but 3 stars for staffing. Reported nurse staffing is 4.05 hours per resident day, just below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0496 hrs/resident/day
Quality measures
Last inspection: January 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0496.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.36
- Nurse aides
- 2.22
- Weekend nursing
- 3.61
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%4.7%Improving
Residents with a fall causing major injury
3.1%1.1%Improving
Residents with pressure ulcers (bedsores)
1.9%0.8%Improving
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
2.6%4.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.2%15.9%Worsening
Residents whose ability to walk got worse
0%17.7%Worsening
Long-stay residents on antianxiety or sleep medication
31.2%26.5%Improving
Short-stay residents newly given an antipsychotic
2.2%0%Improving
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
20.1%16.6%Improving
Residents with depressive symptoms
2.1%3.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.5%—
Short-stay residents given the pneumonia vaccine
96.3%89.9%Worsening
What the inspectors found
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited May 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited May 2019 — limited pattern, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to ensure residents’ therapeutic diets were properly prescribed and managed by qualified staff. Cited May 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 808 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 134 residents on an average day (94% of 143 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.