Nursing home

River City Post Acute

2540 Carmichael Way, Carmichael, CA 95608

★★★★★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 cycle37
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds178
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 94 findings in the last three inspection cycles.

94 No harm, but a risk of harm

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 dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 25, 2026Resident assessment and care planningSafeguard 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
pattern · from a complaint
no plan of correction on file
Aug 25, 2026Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated · from a complaint
no plan of correction on file
Aug 25, 2026Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
no plan of correction on file
Jul 21, 2026Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 14, 2026
Jun 23, 2026Abuse, neglect and exploitationProtect 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 25, 2026
Earlier inspections (89)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jun 10, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 24, 2026
May 29, 2026Quality of life and careEnsure 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 · from a complaint
Corrected: Jun 10, 2026
Apr 30, 2026Quality of life and careEnsure 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 · from a complaint
Corrected: May 1, 2026
Apr 29, 2026Abuse, neglect and exploitationProtect 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: May 15, 2026
Apr 22, 2026Resident assessment and care planningEnsure 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 23, 2026
Mar 6, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Food and nutritionProcure 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: Mar 25, 2026
Mar 6, 2026Pharmacy and medicationsEnsure 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
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Pharmacy and medicationsProvide 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: Mar 25, 2026
Mar 6, 2026Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Quality of life and careEnsure 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 25, 2026
Mar 6, 2026Quality of life and careProvide appropriate foot care. (F0687)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Quality of life and careProvide activities to meet all resident's needs. (F0679)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Quality of life and careProvide 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: Mar 25, 2026
Mar 6, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Resident assessment and care planningDevelop 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: Mar 25, 2026
Mar 6, 2026Resident assessment and care planningPASARR screening for Mental disorders or Intellectual Disabilities (F0645)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Resident assessment and care planningEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Abuse, neglect and exploitationPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605)No harm, but a risk of harm
pattern
Corrected: Mar 25, 2026
Mar 6, 2026Resident rightsHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (F0561)No harm, but a risk of harm
isolated
Corrected: Mar 25, 2026
Mar 6, 2026Resident rightsHonor 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 25, 2026
Feb 24, 2026Abuse, neglect and exploitationTimely 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: Mar 12, 2026
Feb 24, 2026Abuse, neglect and exploitationProtect 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: Mar 12, 2026
Feb 11, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 19, 2026
Feb 9, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 11, 2026
Feb 9, 2026Abuse, neglect and exploitationProtect 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 11, 2026
Dec 2, 2025Resident rightsHonor 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: Dec 18, 2025
Nov 20, 2025Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 24, 2025
Nov 20, 2025Resident rightsGive the resident's representative the ability to exercise the resident's rights. (F0551)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 9, 2025
Aug 7, 2025Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
pattern · from a complaint
Corrected: Aug 29, 2025
Aug 7, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 29, 2025
Aug 1, 2025Abuse, neglect and exploitationProtect 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 15, 2025
Jul 29, 2025Building and environmentMake 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: Aug 14, 2025
Jul 29, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 14, 2025
Jul 29, 2025Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 14, 2025
Jul 24, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 29, 2025
Jul 24, 2025Abuse, neglect and exploitationProtect 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: Jul 29, 2025
Jul 1, 2025Quality of life and careEnsure 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 · from a complaint
Corrected: Jul 2, 2025
Jun 25, 2025Quality of life and careEnsure 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 · from a complaint
Corrected: Jun 26, 2025
Jun 11, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jun 20, 2025
Jun 11, 2025Quality of life and careProvide 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: Jun 20, 2025
Jun 6, 2025Quality of life and careProvide 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: Jun 13, 2025
Jun 3, 2025Abuse, neglect and exploitationProtect 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 4, 2025
May 6, 2025Resident rightsHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (F0559)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 8, 2025
Apr 25, 2025Quality of life and careEnsure 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 · from a complaint
Corrected: Apr 28, 2025
Apr 16, 2025Resident assessment and care planningEnsure 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 25, 2025
Apr 15, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern · from a complaint
Corrected: Apr 23, 2025
Apr 15, 2025Quality of life and careProvide 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: Apr 23, 2025
Apr 3, 2025Quality of life and careEnsure 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 · from a complaint
Corrected: Apr 21, 2025
Apr 2, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 14, 2025
Apr 2, 2025Resident assessment and care planningEnsure 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 14, 2025
Feb 20, 2025Resident rightsHonor 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: Mar 5, 2025
Nov 21, 2024Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, but a risk of harm
isolated
Corrected: Dec 10, 2024
Nov 21, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
isolated
Corrected: Dec 10, 2024
Nov 21, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Dec 10, 2024
Nov 21, 2024Food and nutritionProcure 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: Dec 10, 2024
Nov 21, 2024Nursing and physician servicesObserve each nurse aide's job performance and give regular training. (F0730)No harm, but a risk of harm
isolated
Corrected: Dec 10, 2024
Nov 21, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Dec 10, 2024
Nov 21, 2024Resident assessment and care planningDevelop 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: Dec 10, 2024
Oct 7, 2024Abuse, neglect and exploitationProtect 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: Oct 15, 2024
Sep 24, 2024Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, but a risk of harm
widespread · from a complaint
Corrected: Oct 7, 2024
Sep 24, 2024Food and nutritionProcure 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 · from a complaint
Corrected: Oct 7, 2024
Aug 20, 2024Resident assessment and care planningDevelop 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: Sep 11, 2024
Aug 20, 2024Resident rightsHonor 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 · from a complaint
Corrected: Sep 11, 2024
Aug 20, 2024Resident rightsEnsure 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: Sep 11, 2024
Jul 19, 2024Abuse, neglect and exploitationProtect 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: Jul 22, 2024
Jul 18, 2024Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jul 18, 2024
Jul 2, 2024Food and nutritionProcure 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 · from a complaint
Corrected: Jul 8, 2024
Jun 14, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jun 27, 2024
Jun 5, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 20, 2024
May 9, 2024Building and environmentMake 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: May 10, 2024
May 9, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 10, 2024
Apr 29, 2024Abuse, neglect and exploitationProtect 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: May 10, 2024
Apr 15, 2024Quality of life and careEnsure 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 · from a complaint
Corrected: Apr 15, 2024
Apr 15, 2024Resident assessment and care planningDevelop 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: Apr 15, 2024
Mar 11, 2024Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 27, 2024
Dec 14, 2023Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, but a risk of harm
pattern
Corrected: Jan 9, 2024
Dec 14, 2023Food and nutritionProcure 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: Jan 9, 2024
Dec 14, 2023Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Jan 9, 2024
Dec 14, 2023Food and nutritionProvide 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: Jan 9, 2024
Dec 14, 2023Quality of life and careProvide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694)No harm, but a risk of harm
isolated
Corrected: Jan 9, 2024
Dec 14, 2023Resident rightsHonor 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
Corrected: Jan 9, 2024
Dec 14, 2023Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Jan 9, 2024
Nov 7, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 28, 2023
Oct 20, 2023Abuse, neglect and exploitationProtect 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
pattern · from a complaint
Corrected: Nov 7, 2023
Oct 4, 2023Abuse, neglect and exploitationProtect 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: Oct 18, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day3.72California median: 4.27
Registered nurse hours per resident per day0.54California median: 0.52
Nurse staff hours on weekends3.37California median: 3.85
Nursing staff who left within a year53.0%California median: 36.0%

About this home

Beds178
Residents per day, average163.9
OwnershipFor-profit, limited liability company
Legal business nameWindsor El Camino Care Center, LLC
ChainWindsor (22 homes)
In Medicare/Medicaid sinceJan 1, 1967

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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