RIVER WALK CARE CENTER (PORTERVILLE, CA) has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 4.10 hours per resident per day, matching the federal benchmark of 4.1, and the facility had $164,778 in fines in the last 24 months with a recent federal penalty.
Last inspection: February 26, 2026Penalties, last 24 months: $164,778recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1042.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
0.96
Nurse aides
2.72
Weekend nursing
3.64
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.1%Improving
Residents with a fall causing major injury
1.9%Worsening
Residents with pressure ulcers (bedsores)
0.9%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.6%Improving
Residents whose ability to walk got worse
29.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.6%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.5%Improving
Residents with depressive symptoms
4.5%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.4%Worsening
Short-stay residents given the seasonal flu vaccine
98.8%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited March 2025 — isolated incident, actual harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 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 honor residents’ choices about treatment, research participation, and advance care instructions. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $24,252 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $64,200 was recorded.
PENALTY
A federal fine of $76,326 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $173,129 in total fines · 1 payment denial.
Federal fine
Aug 21, 2025
$24,252
Medicare/Medicaid payment denial
Mar 12, 2025
5 days
Federal fine
Mar 12, 2025
$64,200
Federal fine
Oct 3, 2024
$76,326
Federal fine
Jun 28, 2023
$8,351
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
90.2 residents on an average day (91% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.