River Valley Care Center
9000 Larkin Road · Live Oak, CA · 95953 · 5306958020
99 certified beds For profit - Limited Liability company Chain: Pacs Group
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (53 in the current record)
-
Potential for harm · D November 6, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 2, 2025 · Quality of Life and Care
-
Potential for harm · E June 20, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 10, 2025 · Resident Rights
-
Potential for harm · D June 20, 2025
Ensure each resident receives an accurate assessment.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 20, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · D June 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · D June 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
-
Potential for harm · E June 20, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 10, 2025 · Pharmacy Service
-
Potential for harm · E June 20, 2025
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 10, 2025 · Pharmacy Service
-
Potential for harm · D June 20, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected July 10, 2025 · Nutrition and Dietary
-
Potential for harm · E June 20, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 10, 2025 · Nutrition and Dietary
-
Potential for harm · F June 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 10, 2025 · Nutrition and Dietary
-
Potential for harm · E June 20, 2025
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
-
Potential for harm · E June 20, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 10, 2025 · Environmental
-
Potential for harm · E April 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F April 17, 2025 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected May 1, 2025 · Nursing and Physician Services
-
Potential for harm · F April 17, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 1, 2025 · Administration
-
Potential for harm · E April 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 1, 2025 · Infection Control
-
Potential for harm · E February 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2025 · Quality of Life and Care
-
Potential for harm · D January 6, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 27, 2025 · Resident Rights
-
Potential for harm · D January 6, 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 January 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2025 · Quality of Life and Care
-
Potential for harm · D January 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D October 10, 2024 · 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 5, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555535 · certified since January 20, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.