Autumn Creek Post Acute
587 Rio Lindo Avenue · Chico, CA · 95926 · 5303451306
184 certified beds For profit - Limited Liability company Chain: Corporate Interface Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $148,521 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 7 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$148,521 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $148,521 |
Inspection citations (87 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected May 8, 2026 · Resident Rights
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Potential for harm · D March 9, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 6, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 14, 2026 · Nursing and Physician Services
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Potential for harm · D February 20, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 6, 2026 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected January 26, 2026 · Nursing and Physician Services
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Potential for harm · E January 6, 2026 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected January 26, 2026 · Administration
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Potential for harm · D December 31, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 5, 2026 · Pharmacy Service
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Potential for harm · D December 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected December 20, 2025 · Resident Rights
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Actual harm · G October 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · D October 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 12, 2025 · Resident Rights
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Potential for harm · D October 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 12, 2025 · Quality of Life and Care
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Potential for harm · D August 25, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 25, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 5, 2025 · Pharmacy Service
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Potential for harm · D August 1, 2025 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 26, 2025 · Resident Rights
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Potential for harm · D August 1, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected August 26, 2025 · Nursing and Physician Services
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Actual harm · G July 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D July 15, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 15, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 22, 2025 · Pharmacy Service
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Potential for harm · D June 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2025 · Quality of Life and Care
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Potential for harm · D June 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 19, 2025 · Infection Control
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Potential for harm · E June 3, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 13, 2025 · Environmental
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Potential for harm · E May 1, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 12, 2025 · Infection Control
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Potential for harm · D April 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 27, 2025 | Fine | $64,893 |
| July 15, 2025 | Fine | $83,628 |
| July 15, 2025 | Payment Denial | 27 days |
| December 5, 2023 | Payment Denial | 63 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056074 · certified since August 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.