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Nursing home report

RIVER WALK CARE CENTER

PORTERVILLE, CA · Medicare-certified · 99 beds

Needs attention
For-profit
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.1042 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $24,252 was recorded.

  6. PENALTY

    A federal payment denial was recorded.

  7. PENALTY

    A federal fine of $64,200 was recorded.

  8. 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.