★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle14
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$59,794
Beds50
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.
Inspection findings
Inspectors recorded 80 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jan 29, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 13, 2026 |
| Jan 28, 2026 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 12, 2026 |
| Jan 28, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 12, 2026 |
| Jan 13, 2026 | Building and environment | Have policies on smoking. (F0926) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 2, 2026 |
| Jan 13, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 2, 2026 |
Earlier inspections (75)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 25, 2025 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 15, 2025 |
| Sep 9, 2025 | Administration | Employ staff that are licensed, certified, or registered in accordance with state laws. (F0839) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 15, 2025 |
| Aug 5, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 20, 2025 |
| Aug 1, 2025 | Resident assessment and care planning | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (F0646) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 11, 2025 |
| Aug 1, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 11, 2025 |
| Jun 26, 2025 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 9, 2025 |
| Jun 26, 2025 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 9, 2025 |
| Jun 26, 2025 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 15, 2025 |
| Jun 6, 2025 | Quality of life and care | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (F0740) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 26, 2025 |
| Jun 6, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 26, 2025 |
| Jun 6, 2025 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 26, 2025 |
| Jun 6, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 26, 2025 |
| Jun 4, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 17, 2025 |
| Apr 23, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 1, 2025 |
| Mar 21, 2025 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm isolated | Corrected: Mar 21, 2025 |
| Mar 21, 2025 | Building and environment | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (F0911) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2025 |
| Mar 21, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Apr 8, 2025 |
| Mar 21, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm isolated | Corrected: Mar 21, 2025 |
| Mar 21, 2025 | Quality of life and care | Provide medically-related social services to help each resident achieve the highest possible quality of life. (F0745) | No harm, but a risk of harm isolated | Corrected: Mar 21, 2025 |
| Mar 21, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Mar 31, 2025 |
| Mar 21, 2025 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm isolated | Corrected: Apr 10, 2025 |
| Mar 21, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Mar 31, 2025 |
| Dec 2, 2024 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 11, 2024 |
| Dec 2, 2024 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 11, 2024 |
| Dec 2, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 12, 2024 |
| Dec 2, 2024 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 11, 2024 |
| Sep 26, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern · from a complaint | Corrected: Oct 3, 2024 |
| Sep 9, 2024 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 13, 2024 |
| Jun 26, 2024 | Abuse, neglect and exploitation | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). (F0603) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 10, 2024 |
| Jun 26, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 10, 2024 |
| Jun 20, 2024 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 28, 2024 |
| Jun 20, 2024 | Resident assessment and care planning | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (F0635) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 28, 2024 |
| Jun 20, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 28, 2024 |
| Jun 11, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jun 30, 2024 |
| Jun 6, 2024 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 13, 2024 |
| Jun 6, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jun 13, 2024 |
| Jun 6, 2024 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 14, 2024 |
| Apr 4, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 2, 2024 |
| Apr 4, 2024 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 2, 2024 |
| Apr 4, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 2, 2024 |
| Feb 7, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread · from a complaint | Corrected: Feb 20, 2024 |
| Jan 10, 2024 | Infection control | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Mar 3, 2024 |
| Jan 10, 2024 | Administration | Provide timely, quality laboratory services/tests to meet the needs of residents. (F0770) | No harm, but a risk of harm pattern | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Quality of life and care | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (F0700) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Immediate jeopardy isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm pattern | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Mar 2, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Assure that each resident’s assessment is updated at least once every 3 months. (F0638) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm pattern | Corrected: Mar 3, 2024 |
| Jan 10, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Jan 10, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Feb 4, 2024 |
| Dec 27, 2023 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 7, 2024 |
| Dec 15, 2023 | Nursing and physician services | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 29, 2023 |
| Oct 31, 2023 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 30, 2023 |
| Oct 31, 2023 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 30, 2023 |
| Jul 15, 2021 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm widespread | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Food and nutrition | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813) | No harm, but a risk of harm widespread | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Food and nutrition | 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. (F0808) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Food and nutrition | 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. (F0801) | No harm, but a risk of harm pattern | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm pattern | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
| Jul 15, 2021 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: Aug 24, 2021 |
Fines and payment denials
Federal fines in the last three years: $59,794 (1). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Jan 10, 2024 | Fine | $59,794 |
| Jan 10, 2024 | Payment denial | 23 days |
Staffing
| Nurse staff hours per resident per day | 4.10 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.61 | California median: 0.52 |
| Nurse staff hours on weekends | 3.62 | California median: 3.85 |
| Nursing staff who left within a year | 63.3% | California median: 36.0% |
About this home
| Beds | 50 |
| Residents per day, average | 49.0 |
| Ownership | For-profit, limited liability company |
| Legal business name | Feather River Care Center LLC |
| Chain | Ajc Healthcare (16 homes) |
| In Medicare/Medicaid since | May 1, 1980 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
More in Oroville
Oroville Hospital Post-Acute CenterCountry Crest Post-AcuteOroville →More in ZIP 95966