★★★★★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 cycle7
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$21,879
Beds99
Inspection findings
Inspectors recorded 40 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 |
|---|---|---|---|---|
| Jul 30, 2026 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Aug 14, 2026 |
| Jul 30, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Aug 14, 2026 |
| Jul 30, 2026 | 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 pattern | Corrected: Aug 14, 2026 |
| Jul 30, 2026 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Aug 14, 2026 |
| Jul 30, 2026 | 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 isolated | Corrected: Aug 14, 2026 |
| Mar 30, 2026 | 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 · from a complaint | Corrected: Apr 10, 2026 |
| Feb 25, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 26, 2026 |
Earlier inspections (33)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 21, 2025 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 12, 2025 |
| Aug 21, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 12, 2025 |
| Aug 15, 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 widespread | Corrected: Sep 10, 2025 |
| Aug 15, 2025 | 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: Sep 10, 2025 |
| Aug 15, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Sep 10, 2025 |
| Aug 15, 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: Sep 10, 2025 |
| Aug 15, 2025 | 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 | Corrected: Sep 10, 2025 |
| Aug 15, 2025 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm pattern | Corrected: Sep 10, 2025 |
| Aug 15, 2025 | 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 pattern | Corrected: Sep 10, 2025 |
| Dec 24, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 23, 2025 |
| Oct 30, 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: Nov 12, 2024 |
| Oct 4, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 12, 2024 |
| Sep 17, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 23, 2024 |
| Aug 22, 2024 | Nursing and physician services | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (F0947) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | 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 pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | 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 pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Food and nutrition | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810) | No harm, but a risk of harm isolated | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | 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: Sep 18, 2024 |
| Aug 22, 2024 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Sep 18, 2024 |
| Aug 22, 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: Sep 18, 2024 |
| Aug 22, 2024 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: Sep 18, 2024 |
| Aug 22, 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 | Corrected: Sep 18, 2024 |
| Aug 22, 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 | Corrected: Sep 18, 2024 |
| Aug 22, 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: Sep 18, 2024 |
| Aug 22, 2024 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm pattern | Corrected: Sep 18, 2024 |
| Aug 22, 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: Sep 18, 2024 |
| Dec 14, 2023 | Quality of life and care | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (F0678) | Actual harm to a resident isolated · from a complaint | Corrected: Jan 5, 2024 |
| Oct 3, 2023 | 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: Oct 10, 2023 |
Fines and payment denials
Federal fines in the last three years: $21,879 (1). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Dec 14, 2023 | Payment denial | 2 days |
| Dec 14, 2023 | Fine | $21,879 |
Staffing
| Nurse staff hours per resident per day | 4.87 | California median: 4.27 |
| Registered nurse hours per resident per day | 1.06 | California median: 0.52 |
| Nurse staff hours on weekends | 4.65 | California median: 3.85 |
| Nursing staff who left within a year | 43.4% | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 90.7 |
| Ownership | For-profit, limited liability company |
| Legal business name | River Bend Holdings, LLC |
| Chain | Bvhc, LLC (12 homes) |
| In Medicare/Medicaid since | Feb 8, 1968 |
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