★★★★★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 cycles0
Fines, 3 years$0
Beds140
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 44 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 |
|---|---|---|---|---|
| May 8, 2026 | 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 isolated | Corrected: May 28, 2026 |
| May 8, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: May 28, 2026 |
| May 8, 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 widespread | Corrected: May 28, 2026 |
| May 8, 2026 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | No harm, but a risk of harm isolated | Corrected: May 28, 2026 |
| May 8, 2026 | 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: May 28, 2026 |
| Apr 2, 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: Apr 14, 2026 |
| Apr 2, 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: Apr 14, 2026 |
| Sep 2, 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: Sep 5, 2025 |
Earlier inspections (36)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Mar 7, 2025 | 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 isolated | Corrected: Mar 26, 2025 |
| Mar 7, 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 pattern | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Administration | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. (F0840) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 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 pattern | Corrected: Mar 26, 2025 |
| Mar 7, 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: Mar 26, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 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 26, 2025 |
| Mar 7, 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 isolated | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Mar 7, 2025 | Resident assessment and care planning | Encode 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 26, 2025 |
| Mar 7, 2025 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2025 |
| Jul 3, 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: Jul 16, 2024 |
| Jul 3, 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 · from a complaint | Corrected: Jul 16, 2024 |
| May 15, 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 · from a complaint | Corrected: May 15, 2024 |
| May 15, 2024 | 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: May 15, 2024 |
| Apr 12, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: May 12, 2024 |
| Apr 12, 2024 | Quality of life and care | Provide or get specialized rehabilitative services as required for a resident. (F0825) | No harm, but a risk of harm pattern | Corrected: May 12, 2024 |
| Apr 12, 2024 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, minimal risk widespread | Corrected: May 12, 2024 |
| Apr 12, 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: May 12, 2024 |
| Apr 12, 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: May 12, 2024 |
| Apr 12, 2024 | 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 pattern | Corrected: May 12, 2024 |
| Apr 12, 2024 | Pharmacy and medications | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (F0758) | No harm, but a risk of harm pattern | Corrected: May 12, 2024 |
| Apr 12, 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 pattern | Corrected: May 12, 2024 |
| Apr 12, 2024 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: May 12, 2024 |
| Apr 12, 2024 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: May 12, 2024 |
| Apr 12, 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 pattern | Corrected: May 12, 2024 |
| Apr 12, 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) | No harm, but a risk of harm isolated | Corrected: May 12, 2024 |
| Apr 12, 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: May 12, 2024 |
| Apr 12, 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: May 12, 2024 |
| Apr 12, 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: May 12, 2024 |
| Apr 12, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: May 12, 2024 |
| Apr 12, 2024 | Resident assessment and care planning | Encode 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: May 12, 2024 |
| Apr 12, 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 | Corrected: May 12, 2024 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 4.25 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.57 | California median: 0.52 |
| Nurse staff hours on weekends | 3.92 | California median: 3.85 |
| Nursing staff who left within a year | 39.5% | California median: 36.0% |
About this home
| Beds | 140 |
| Residents per day, average | 126.0 |
| Ownership | For-profit, limited liability company |
| Legal business name | Russian River Holdings LLC |
| Chain | Links Healthcare Group (32 homes) |
| In Medicare/Medicaid since | Jun 1, 1978 |
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
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