CareSentinel

Federal Nursing-Home Survey Record

River Bend Nursing Center

CCN 055887 · 2215 Oakmont Way, West Sacramento, CA, 95691

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does River Bend Nursing Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), River Bend Nursing Center (CCN 055887), in West Sacramento, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 11 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $21,879 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $21,879 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Civil money penalties on file

$21,879

CMS has $21,879 in civil money penalties on file against this facility. CMS also records 2 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-30
CURRENT CYCLE
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2026-02-25
CURRENT CYCLE
F558S/S E

Reasonably accommodate the needs and preferences of each resident.

2025-08-21
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-08-21
CURRENT CYCLE
F760S/S D

Ensure that residents are free from significant medication errors.

2025-08-15
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-08-15
CURRENT CYCLE
F676S/S E

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2025-08-15
CURRENT CYCLE
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-08-15
CURRENT CYCLE
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2025-08-15
CURRENT CYCLE
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2025-08-15
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-15
CURRENT CYCLE
F761S/S D

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.

37 citations from earlier inspection cycles — historical, not current (expand)
2024-12-24
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-10-30
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-10-04
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-09-17
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-08-22
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-08-22
HISTORICAL
F908S/S E

Keep all essential equipment working safely.

2024-08-22
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-08-22
HISTORICAL
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2024-08-22
HISTORICAL
F802S/S E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2024-08-22
HISTORICAL
F803S/S E

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.

2024-08-22
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-22
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2024-08-22
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-08-22
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-08-22
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-22
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-08-22
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-08-22
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2024-08-22
HISTORICAL
F700S/S D

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2024-08-22
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-08-22
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2024-08-22
HISTORICAL
F810S/S D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2023-12-14
HISTORICAL
F678S/S G

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2023-10-03
HISTORICAL
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2023-06-28
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2021-07-30
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2021-07-30
HISTORICAL
F814S/S F

Dispose of garbage and refuse properly.

2021-07-30
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2021-07-30
HISTORICAL
F813S/S E

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

2021-07-30
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2021-07-30
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2021-07-30
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2021-07-30
HISTORICAL
F693S/S D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2021-07-30
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2021-07-30
HISTORICAL
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2021-07-30
HISTORICAL
F761S/S D

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.

2021-07-30
HISTORICAL
F725S/S D

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at River Bend Nursing Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…