RIVER VALLEY CARE CENTER
RIVER VALLEY CARE CENTER is a 99-bed nursing home in LIVE OAK, California. CMS has certified it for Medicare and Medicaid since 1993-01-20. It averages 95.7 residents a day.
What harm was found in the violations cited at RIVER VALLEY CARE CENTER?
CMS lists 53 health-inspection deficiencies for RIVER VALLEY CARE CENTER since 2021-12-07, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-11-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-06 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2025-06-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-06-20 | F0584, F0759, F0761, F0805, F0880, F0919 | 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. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2025-06-20 | F0641, F0655, F0656, F0677, F0684, F0689, F0802 | Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D |
| 2025-04-17 | F0841, F0865 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-04-17 | F0658, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. | E |
| 2025-02-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-01-06 | F0557, F0656, F0684, F0842 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Develop 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-10-10 | F0580, F0745 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2024-07-11 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2024-07-11 | F0656, F0745, F0758, F0759, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2024-03-27 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-01-02 | F0580, F0658 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2023-10-11 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2021-12-07 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2021-12-07 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2021-12-07 | F0725, F0758, F0761, F0804, F0867 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2021-12-07 | F0550, F0584, F0609, F0684, F0689, F0770, F0803, F0806, F0880, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide timely, quality laboratory services/tests to meet the needs of residents. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | D |
How is RIVER VALLEY CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.04390 | 4.51570 |
| Total nursing staff turnover (%) | 32.3 | 36.7 |
| Average number of residents per day | 95.7 | 87.9 |
Who owns RIVER VALLEY CARE CENTER, and what chain is it in?
RIVER VALLEY CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name FLAX HOLDINGS, LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | VEMULAPALLI, SHAILAJA | since 08/11/2022 |
| W-2 MANAGING EMPLOYEE | ANDRUS, ROMAN | since 09/01/2022 |
| CORPORATE OFFICER | APT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
Were you or a family member harmed at RIVER VALLEY CARE CENTER?