The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: G
Nursing home report
River Bend Nursing Center
West Sacramento, CA · Medicare-certified · 99 beds
In good standing
For-profitChain member
3 of 5 overall
River Bend Nursing Center has an overall 3-out-of-5-star rating, with 3-star health inspection and staffing scores and a 2-star quality measures score. Reported nurse staffing is 4.94 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9401 hrs/resident/day
Quality measures
Last inspection: March 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9401.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 1.61
- Nurse aides
- 2.45
- Weekend nursing
- 4.67
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 33%
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
8.6%6.5%Improving
Residents with a fall causing major injury
0%1.3%Worsening
Residents with pressure ulcers (bedsores)
7%6.3%Improving
Residents with a urinary tract infection
1.1%7.8%Worsening
Residents who lost too much weight
4.9%7.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.1%2.9%Improving
Residents whose ability to walk got worse
—10.4%—
Long-stay residents on antianxiety or sleep medication
14.3%6.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.4%3.2%No change
Residents with new or worsening incontinence
11.7%14.9%Worsening
Residents with depressive symptoms
0%0%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
—95.9%—
Long-stay residents given the pneumonia vaccine
100%98.7%Worsening
Short-stay residents given the seasonal flu vaccine
—88.4%—
Short-stay residents given the pneumonia vaccine
82.1%93.1%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2021 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited July 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $21,879 in total fines · 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
Dec 14, 2023
- $21,879
Federal fine
Dec 14, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BVHC, LLC · 12 homes · 3.5 stars avg
- Occupancy
- 89.6 residents on an average day (91% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.