River Valley Health And Rehabilitation Center LLC has a 3 out of 5 star overall rating, with stronger staffing and quality scores (4 stars each) but a lower health inspection rating (3 stars). It has a recent federal penalty, $21,645 in fines over the last 24 months, and reported nurse staffing of 3.55 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: March 24, 2026Penalties, last 24 months: $21,645recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5456.
Staffing detail
Registered nurses
0.97
Licensed practical nurses
0.63
Nurse aides
1.95
Weekend nursing
3.16
Hours per resident per day.
Total staff turnover: 81%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18%Improving
Residents with a fall causing major injury
7.4%Steady
Residents with pressure ulcers (bedsores)
3.3%Worsening
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
1.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.5%Worsening
Residents whose ability to walk got worse
4.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
8.2%Steady
Short-stay residents newly given an antipsychotic
3%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.9%Worsening
Residents with depressive symptoms
2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
48%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 944 — 42 CFR §483.95 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $21,645 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $21,645 in total fines.
Federal fine
Jan 27, 2025
$21,645
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
Occupancy
30.7 residents on an average day (71% of 43 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 45 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.