Riverbank Post-Acute
2649 Topeka Street · Riverbank, CA · 95367 · 2098692568
99 certified beds For profit - Limited Liability company Chain: Links Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $29,322 in fines in the last 24 months.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
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: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.43 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $73,295 |
Inspection citations (66 in the current record)
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Potential for harm · D April 13, 2026 · 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 April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · E April 13, 2026 · 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 23, 2026 · Nursing and Physician Services
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Potential for harm · E March 23, 2026 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · E March 23, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 27, 2026 · Administration
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Potential for harm · E March 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 23, 2026 · found via complaint
Keep all essential equipment working safely.
Corrected March 27, 2026 · Environmental
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Potential for harm · E November 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 8, 2025 · Infection Control
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Potential for harm · F November 25, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected December 8, 2025 · Infection Control
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Potential for harm · E September 10, 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 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2025 · found via complaint
Provide appropriate foot care.
Corrected September 26, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2025 · Quality of Life and Care
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Potential for harm · D March 15, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 1, 2025 · Resident Rights
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Potential for harm · D March 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · D March 15, 2025
Ensure that residents are free from significant medication errors.
Corrected April 1, 2025 · Pharmacy Service
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Potential for harm · D July 16, 2024 · 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 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 16, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 5, 2024 · Environmental
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Potential for harm · D March 27, 2024 · 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 10, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 15, 2025 | Fine | $29,322 |
| March 15, 2025 | Payment Denial | 7 days |
| January 17, 2024 | Fine | $43,973 |
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 055084 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.