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
Data as of July 1, 2026
5 of 5 overall
OAK RIVER REHAB in Anderson, CA has a 5-star overall rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. Reported nurse staffing is 3.94 hours per resident per day, slightly below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9368 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 3.9368.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 1.33
- Nurse aides
- 2.08
- Weekend nursing
- 3.67
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 15%
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
9%9.7%Worsening
Residents with a fall causing major injury
3.3%0%Improving
Residents with pressure ulcers (bedsores)
0%0.8%Worsening
Residents with a urinary tract infection
2.2%3.5%Worsening
Residents who lost too much weight
3.7%4.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.6%12%Worsening
Residents whose ability to walk got worse
7.1%25.5%Worsening
Long-stay residents on antianxiety or sleep medication
30.1%25%Improving
Short-stay residents newly given an antipsychotic
2.7%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.3%22.2%No change
Residents with depressive symptoms
1.1%1.2%No change
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
93.4%95.2%Improving
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 · 281 homes · 2.8 stars avg
- Occupancy
- 132 residents on an average day (92% 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.