nursing home in Live Oak, CA

River Valley Care Center

9000 Larkin Road, Live Oak, CA 95953 · (530) 695-8020

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

River Valley Care Center at a glance

River Valley Care Center is a 99-bed for-profit nursing home in Live Oak, California (Sutter County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.

Residents receive about 4 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (June 20, 2025) found 15 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 32.3% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
99
Certified for
Medicare and Medicaid
Chain / affiliated entity
Pacs Group
Medicare-certified since
January 20, 1993
Resident/family council
Resident
County
Sutter County
CMS Certification Number
555535

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.2 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)5 / 53.6 / 53.3 / 5Better

Staffing

This facility4.04 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.04 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.79 hrs0.67 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.54 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.77 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)32.3%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)33.3%38.1%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility15California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)15169Worse
Citations from complaint investigations (latest cycle) (lower is better)143Better
Weighted health inspection score ⓘ (lower is better)103105.880.6Worse

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds9999107
Average residents per day968886
Occupancy96.7%88.4%80.9%

Long-stay residents

This facility1.7%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.7%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.1%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)12.6%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.2%0.8%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)5.9%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)10.6%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)3.5%4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)2.4%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)22%13.7%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)10%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0.7%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.7%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)100%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)99.1%94.4%82%Better

Inspection citations

State inspectors cited this home for 53 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
November 6, 2025
Complaint
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected December 2, 2025
June 20, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected June 27, 2025
June 20, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected July 1, 2025
June 20, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected June 27, 2025
June 20, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected July 1, 2025
June 20, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected June 28, 2025
June 20, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected July 10, 2025
June 20, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 10, 2025
June 20, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 10, 2025
June 20, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected July 10, 2025
April 17, 2025
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected May 1, 2025
April 17, 2025
Complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services Deficiencies · Tag F0841
F
Potential harm, widespread
Corrected May 1, 2025
April 17, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected May 1, 2025
April 17, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 1, 2025
February 13, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected February 27, 2025
January 6, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 27, 2025
January 6, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 27, 2025
January 6, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 27, 2025
January 6, 2025
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected January 27, 2025
October 10, 2024
Complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected November 5, 2024
October 10, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected November 5, 2024
July 11, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected August 9, 2024
July 11, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 9, 2024
July 11, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 9, 2024
July 11, 2024
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
F
Potential harm, widespread
Corrected August 9, 2024
July 11, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 9, 2024
July 11, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected August 9, 2024
July 11, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected August 9, 2024
July 11, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected August 9, 2024
July 11, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected August 9, 2024
July 11, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected August 2, 2024
July 11, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 2, 2024
July 11, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected August 2, 2024
July 11, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 2, 2024
July 11, 2024
Standard
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected August 2, 2024
July 11, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected August 2, 2024
March 27, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected March 28, 2024
January 2, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 16, 2024
January 2, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected January 16, 2024
October 11, 2023
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected October 30, 2023
December 7, 2021
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
D
Potential harm, isolated
Corrected December 23, 2021
December 7, 2021
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 17, 2022
December 7, 2021
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected March 17, 2022
December 7, 2021
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected March 17, 2022
December 7, 2021
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected April 8, 2022
December 7, 2021
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected March 17, 2022
December 7, 2021
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected March 17, 2022
December 7, 2021
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected March 17, 2022
December 7, 2021
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected March 17, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
VEMULAPALLI, SHAILAJA
Individual
contracted managing employeeNOT APPLICABLE08/11/2022
APT, FREDERICK
Individual
corporate officerNOT APPLICABLE01/01/2024
HANCOCK, MARK
Individual
corporate officerNOT APPLICABLE01/01/2024
JERGENSEN, JOSHUA
Individual
corporate officerNOT APPLICABLE01/01/2024
MITCHELL, JOHN
Individual
corporate officerNOT APPLICABLE01/01/2024
ANDRUS, ROMAN
Individual
w-2 managing employeeNOT APPLICABLE09/01/2022

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Frequently asked questions

What is River Valley Care Center's rating?

River Valley Care Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did River Valley Care Center receive?

Its most recent standard health inspection found 15 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does River Valley Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns River Valley Care Center?

It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is River Valley Care Center and how do I contact it?

River Valley Care Center is at 9000 Larkin Road, Live Oak, CA 95953. Phone: (530) 695-8020.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.