Oroville Hospital Post-Acute Center
1000 Executive Parkway · Oroville, CA · 95966 · 5305337335
126 certified beds Non profit - Other Hospital-based
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: $45,500 in fines in the last 24 months.
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.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 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) | 1 · $45,500 |
Inspection citations (46 in the current record)
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Potential for harm · D August 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 22, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 30, 2025 · Resident Rights
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Potential for harm · D December 18, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 30, 2025 · Resident Rights
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Potential for harm · E December 18, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · E December 18, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 18, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 30, 2025 · Quality of Life and Care
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Potential for harm · E December 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
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 January 20, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · E December 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 30, 2025 · Pharmacy Service
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Potential for harm · D December 18, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 23, 2025 · Pharmacy Service
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Potential for harm · E December 18, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 30, 2025 · Pharmacy Service
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Potential for harm · E December 18, 2024
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 January 30, 2025 · Pharmacy Service
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Potential for harm · D December 18, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected January 24, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected January 30, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 24, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 20, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected January 24, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2025 · Nutrition and Dietary
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Potential for harm · E December 18, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected January 30, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 23, 2024 | Fine | $45,500 |
| July 23, 2024 | Payment Denial | 21 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555281 · certified since September 11, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.