River City Post Acute in Carmichael, CA has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing and quality ratings. Reported nursing staffing is 3.54 hours per resident day versus the 4.1 federal benchmark, and it has a recent abuse citation but no fines in the last 24 months.
Last inspection: May 29, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5418.
Staffing detail
Registered nurses
0.43
Licensed practical nurses
0.85
Nurse aides
2.26
Weekend nursing
3.31
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 70%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.8%10%Improving
Residents with a fall causing major injury
3.4%1.5%Improving
Residents with pressure ulcers (bedsores)
4.8%3.2%Improving
Residents with a urinary tract infection
2.1%0%Improving
Residents who lost too much weight
5.9%9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0.8%4.6%Worsening
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
9.6%5.7%Improving
Short-stay residents newly given an antipsychotic
1.1%1%No change
Residents with a long-term catheter
0.5%0%No change
Residents with new or worsening incontinence
11.2%12%Worsening
Residents with depressive symptoms
0.8%0.8%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—82.5%—
Long-stay residents given the pneumonia vaccine
92.4%98.5%Improving
Short-stay residents given the seasonal flu vaccine
—67.9%—
Short-stay residents given the pneumonia vaccine
87%85.3%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — 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 September 2024 — widespread issue, potential for harm.
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F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to provide appropriate foot care for residents. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — 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 1 health deficiency.
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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 1 health deficiency.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 19 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of WINDSOR · 23 homes · 2.4 stars avg
Occupancy
171.6 residents on an average day (96% of 178 beds)
Resident voice
Resident council
Medicare history
Certified for 59 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.