Elder Care Record

California › Yolo County › West Sacramento

River Bend Nursing Center

2215 Oakmont Way, West Sacramento, CA 95691

CCN 055887 · For-profit, limited liability company · 99 certified beds · chain Bvhc, Llc

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

River Bend Nursing Center is a For-profit, limited liability company nursing home in West Sacramento, California, certified for 99 beds and caring for about 90 residents a day.

CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 3 and quality measures 2.

Inspectors recorded 47 health deficiencies across the three most recent survey cycles (11, 22, 14 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 47.5 per 100 beds, about the same as the state median of 51.1.

CMS lists 2 penalties in the period covered: fines totalling $22K and 1 payment denial.

Reported nurse staffing is 4.9 hours per resident per day (1.0 RN), close to the California median of 4.2; nursing staff turnover is 43.4%.

47health deficiencies, 3 survey cycles2 at actual harm or worse
$22Kfines listed by CMS2 penalties in period
4.9nurse hours per resident per daystate median 4.2
91%occupancy (residents ÷ beds)90 residents a day

Compared with county, state and nation

MeasureThis facilityYolo Co. medianCalifornia medianUS average
Overall star rating3433.0
Health citations, 3 cycles47474428.7
Citations per 100 beds47.548.651.126.8
Total nurse hours per resident day4.94.44.23.9
RN hours per resident day1.01.00.50.7
Nursing staff turnover43.4%43.4%36.4%45.8%
Fines listed$21,879$0$0—

County and state figures are medians across facilities (6 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 222
Cycle 314

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Aug 2025, 22 Aug 2024.

Severity mix: G ×2 D ×26 E ×17 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation10 Apr 2026
25 Feb 2026F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation26 Feb 2026
21 Aug 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Sep 2025
21 Aug 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation12 Sep 2025
15 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Sep 2025
15 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey10 Sep 2025
15 Aug 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard survey10 Sep 2025
15 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey10 Sep 2025
15 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Sep 2025
15 Aug 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey10 Sep 2025
15 Aug 2025F0761Ensure 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.DStandard survey10 Sep 2025
24 Dec 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation23 Jan 2025
30 Oct 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation12 Nov 2024
4 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Oct 2024
17 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Sep 2024
22 Aug 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey18 Sep 2024
22 Aug 2024F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey18 Sep 2024
22 Aug 2024F0803Ensure 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.EStandard survey18 Sep 2024
22 Aug 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey18 Sep 2024
22 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Sep 2024
22 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey18 Sep 2024
22 Aug 2024F0908Keep all essential equipment working safely.EStandard survey18 Sep 2024
22 Aug 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey18 Sep 2024
22 Aug 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey18 Sep 2024
22 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Sep 2024
22 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Sep 2024
22 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey18 Sep 2024
22 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey18 Sep 2024
22 Aug 2024F0679Provide activities to meet all resident's needs.DStandard survey18 Sep 2024
22 Aug 2024F0700Try 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.DStandard survey18 Sep 2024
22 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Sep 2024
22 Aug 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey18 Sep 2024
22 Aug 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey18 Sep 2024
14 Dec 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.GComplaint investigation5 Jan 2024
3 Oct 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation10 Oct 2023
30 Jul 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey3 Sep 2021
30 Jul 2021F0814Dispose of garbage and refuse properly.FStandard survey3 Sep 2021
30 Jul 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Sep 2021
30 Jul 2021F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard survey3 Sep 2021
30 Jul 2021F0880Provide and implement an infection prevention and control program.EStandard survey3 Sep 2021
30 Jul 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Sep 2021
30 Jul 2021F0688Provide 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.DStandard survey3 Sep 2021
30 Jul 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey3 Sep 2021
30 Jul 2021F0693Ensure 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.DStandard survey3 Sep 2021
30 Jul 2021F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard survey3 Sep 2021
30 Jul 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 Sep 2021
30 Jul 2021F0761Ensure 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.DStandard survey3 Sep 2021

Penalties

DateTypeAmountDetail
14 Dec 2023Payment denial—2 days
14 Dec 2023Fine$21,879

Staffing

Total nursing4.9 h
Nurse aides2.37 h
LPN1.51 h
RN1.02 h
Weekend total4.66 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 43.4%, RNs 36.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.3%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.9%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.0%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.8%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.1%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: River Bend Holdings, Llc. Chain: Bvhc, Llc (12 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Yolo County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cottonwood Healthcare CenterWoodland985354040.8—30 Jun 2026
University Retirement Community At DavisDavis375451848.6—19 Sep 2025
The Grove Post-AcuteWoodland1404444532.1—8 May 2026
Courtyard Health Care Centerabuse iconDavis1123246658.9—2 Jul 2026
Woodland Post-AcuteWoodland912245459.3$14K20 Mar 2026

All 6 facilities in Yolo County

Questions and answers

How many deficiencies has River Bend Nursing Center been cited for?

47 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has River Bend Nursing Center been fined?

Yes. CMS lists fines totalling $22K in the period covered, plus 1 payment denial.

How does staffing at River Bend Nursing Center compare?

Reported total nurse staffing is 4.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates River Bend Nursing Center?

It is part of the Bvhc, Llc chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was River Bend Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 30 Mar 2026; the most recent standard health survey was 15 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.