Nursing home report
PORTERVILLE, CA · Medicare-certified · 99 beds
River Walk Care Center (Porterville, CA) has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings but 4-star quality measures. It has had $164,778 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.14 hours per resident per day, just above the 4.1 federal benchmark.
Health inspections
Staffing
4.1388 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1388.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 578 — 42 CFR §483.10 — S/S: F
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 7 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $24,252 was recorded.
A federal payment denial was recorded.
A federal fine of $64,200 was recorded.
A federal fine of $76,326 was recorded.
On record with Medicare: 3 fines · $164,778 in total fines · 1 payment denial.
Federal fine
Aug 21, 2025
Medicare/Medicaid payment denial
Mar 12, 2025
Federal fine
Mar 12, 2025
Federal fine
Oct 3, 2024
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.
