River City Post Acute

CMS abuse icon · CCN 055402 · WINDSOR EL CAMINO CARE CENTER, LLC · Sacramento · CA · For profit - Limited Liability company · WINDSOR chain · 178 certified beds


Certified for Medicare and Medicaid since 1967-01-01, River City Post Acute is a 178-bed nursing home in Carmichael, California, averaging 171.6 residents a day.

Has River City Post Acute been cited for violations?

CMS lists 93 health-inspection deficiencies for River City Post Acute, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-06-23.

Survey dateTagDeficiencySeverity
2026-06-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-06-10F0880Provide and implement an infection prevention and control program.D
2026-05-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-04-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-04-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-04-22F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2026-03-06F0605, F0684, F0687, F0692, F0759, F0761, F0812, F0880Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-03-06F0550, F0561, F0640, F0645, F0656, F0658, F0677, F0679, F0689, F0695, F0755Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-02-24F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-02-11F0880Provide and implement an infection prevention and control program.D
2026-02-09F0600, F0658Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-12-02F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2025-11-20F0551, F0760Give the resident's representative the ability to exercise the resident's rights. / Ensure that residents are free from significant medication errors.D
2025-08-07F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2025-08-07F0880Provide and implement an infection prevention and control program.D
2025-08-01F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-07-29F0558, F0658, F0919Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-07-24F0600, F0658Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-07-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-11F0880Provide and implement an infection prevention and control program.E
2025-06-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-06-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-06-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-05-06F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D
2025-04-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-04-16F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-04-15F0880Provide and implement an infection prevention and control program.E
2025-04-15F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-04-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-04-02F0658, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D
2025-02-20F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-11-21F0880Provide and implement an infection prevention and control program.E
2024-11-21F0656, F0684, F0730, F0812, F0908, F0912Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D
2024-10-07F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-09-24F0812, F0814Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.F
2024-08-20F0552, F0584, F0657Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2024-07-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-07-18F0685Assist a resident in gaining access to vision and hearing services.E
2024-07-02F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-06-14F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-06-05F0880Provide and implement an infection prevention and control program.D
2024-05-09F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-05-09F0919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-04-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-04-15F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-11F0558Reasonably accommodate the needs and preferences of each resident.D
2023-12-14F0584, F0802, F0804, F0812, F0912Honor 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E
2023-12-14F0558, F0694Reasonably accommodate the needs and preferences of each resident. / Provide for the safe, appropriate administration of IV fluids for a resident when needed.D
2023-11-07F0880Provide and implement an infection prevention and control program.D
2023-10-20F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2023-10-04F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-09-18F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-08-09F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-08-01F0641Ensure each resident receives an accurate assessment.D

How is River City Post Acute staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.541754.51570
Total nursing staff turnover (%)52.236.7
Average number of residents per day171.687.9

Who owns River City Post Acute, and what chain is it in?

River City Post Acute is registered with CMS as For profit - Limited Liability company, operates under the legal business name WINDSOR EL CAMINO CARE CENTER, LLC and belongs to the WINDSOR chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTANTELOPE REALTY HOLDINGS I, LLC, WINDSOR NORCAL 13 HOLDINGS LLCsince 01/04/2007
5% OR GREATER INDIRECT OWNERSHIP INTERESTANTELOPE HOLDINGS I, LLC, ROBIN, AARON, TRESS, AVROHOMsince 06/30/2023
CORPORATE OFFICERROBIN, AARON, TRESS, AVROHOMsince 08/14/2023
OPERATIONAL/MANAGERIAL CONTROLNEWGEN ADMINISTRATIVE SERVICES, LLC, GARDNER, RAMSEY, SHAW, PAMELA, THOMAS-HARRISON, PHONECHIAsince 06/30/2023
ADP OF THE SNFNEWGEN ADMINISTRATIVE SERVICES, LLC, GARDNER, RAMSEY, SHAW, PAMELA, THOMAS-HARRISON, PHONECHIAsince 05/14/2025

Were you or a family member harmed at River City Post Acute?