River Walk Care Center
1100 West Morton Avenue · Porterville, CA · 93257 · 5597821509
99 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $164,778 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$164,778 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 4 · $173,129 |
Inspection citations (51 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · E February 26, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 12, 2026 · Infection Control
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Potential for harm · D February 9, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · F October 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 20, 2025 · Nutrition and Dietary
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Actual harm · G September 5, 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 September 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 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 October 1, 2025 · Resident Rights
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Potential for harm · D May 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 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 May 14, 2025 · Resident Rights
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Potential for harm · D April 30, 2025 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · D April 30, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected May 14, 2025 · Nutrition and Dietary
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Actual harm · G March 13, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 5, 2025 · Nursing and Physician Services
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Potential for harm · D November 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 30, 2024 · Quality of Life and Care
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Actual harm · G October 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · F October 17, 2024 · 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 November 8, 2024 · Resident Rights
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Potential for harm · D October 17, 2024 · found via complaint
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 November 8, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 21, 2025 | Fine | $24,252 |
| March 12, 2025 | Fine | $64,200 |
| March 12, 2025 | Payment Denial | 5 days |
| October 3, 2024 | Fine | $76,326 |
| June 28, 2023 | Fine | $8,351 |
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 555658 · certified since January 19, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.