California › Sacramento County › Carmichael
River City Post Acute
2540 Carmichael Way, Carmichael, CA 95608
CMS abuse icon
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.
Certified for 178 beds, River City Post Acute serves Carmichael in Sacramento County, California and has taken Medicare and Medicaid residents since 1967.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 93 health deficiencies across the three most recent survey cycles (36, 33, 24 by cycle, most recent first), none at the actual-harm level. That is 52.2 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 52.2%.
CMS flags that the facility carries the CMS abuse icon.
93health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 4.2
96%occupancy (residents ÷ beds)172 residents a day
Compared with county, state and nation
| Measure | This facility | Sacramento Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 93 | 50 | 44 | 28.7 |
| Citations per 100 beds | 52.2 | 44.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 52.2% | 34.8% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (37 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Mar 2026, 21 Nov 2024.
Severity mix: D ×69 E ×22 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 date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Jun 2026 |
| 10 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Jun 2026 |
| 29 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jun 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 May 2026 |
| 29 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 May 2026 |
| 22 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Apr 2026 |
| 6 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0687 | Provide appropriate foot care. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0761 | 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. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Mar 2026 |
| 6 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 25 Mar 2026 |
| 24 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Mar 2026 |
| 24 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Feb 2026 |
| 9 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Feb 2026 |
| 9 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Feb 2026 |
| 2 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Dec 2025 |
| 20 Nov 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 9 Dec 2025 |
| 20 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 24 Nov 2025 |
| 7 Aug 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 29 Aug 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Aug 2025 |
| 1 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Aug 2025 |
| 29 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 14 Aug 2025 |
| 29 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 Aug 2025 |
| 29 Jul 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 14 Aug 2025 |
| 24 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Jul 2025 |
| 24 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Jul 2025 |
| 1 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Jul 2025 |
| 25 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2025 |
| 11 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Jun 2025 |
| 11 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Jun 2025 |
| 6 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Jun 2025 |
| 3 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 4 Jun 2025 |
| 6 May 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 8 May 2025 |
| 25 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Apr 2025 |
| 16 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 25 Apr 2025 |
| 15 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Apr 2025 |
| 15 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Apr 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Apr 2025 |
| 2 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 Apr 2025 |
| 2 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Apr 2025 |
| 20 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Mar 2025 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 10 Dec 2024 |
| 21 Nov 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | 10 Dec 2024 |
| 7 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Oct 2024 |
| 24 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Oct 2024 |
| 24 Sep 2024 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 7 Oct 2024 |
| 20 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 11 Sep 2024 |
| 20 Aug 2024 | F0584 | 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. | D | Complaint investigation | 11 Sep 2024 |
| 20 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 11 Sep 2024 |
| 19 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Jul 2024 |
| 18 Jul 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Complaint investigation | 18 Jul 2024 |
| 2 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 8 Jul 2024 |
| 14 Jun 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 27 Jun 2024 |
| 5 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Jun 2024 |
| 9 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 10 May 2024 |
| 9 May 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 10 May 2024 |
| 29 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 May 2024 |
| 15 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Apr 2024 |
| 15 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Apr 2024 |
| 11 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Mar 2024 |
| 14 Dec 2023 | F0584 | 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. | E | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Jan 2024 |
| 14 Dec 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 9 Jan 2024 |
| 7 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Nov 2023 |
| 20 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 7 Nov 2023 |
| 4 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Oct 2023 |
| 18 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 29 Sep 2023 |
| 9 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Aug 2023 |
| 1 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 12 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 52.2%, RNs 70.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.4% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | 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: Windsor El Camino Care Center, Llc. Chain: Windsor (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Antelope Realty Holdings I, LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 07/26/2024 |
| Windsor Norcal 13 Holdings LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/04/2007 |
| Antelope Holdings I, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 06/30/2023 |
| Newgen Administrative Services, LLC | Operational/managerial control | NOT APPLICABLE | 06/30/2023 |
| Newgen Administrative Services, LLC | Adp of the snf | NOT APPLICABLE | 05/14/2025 |
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 Sacramento County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Acc Care Center | Sacramento | 99 | 5 | 3 | 5 | 45 | 45.5 | $24K | 2 Apr 2026 |
| Advanced Health Care of Sacramento | Sacramento | 40 | 5 | 4 | 5 | 26 | 65.0 | — | 14 May 2026 |
| City Creek Post Acute | Sacramento | 99 | 5 | 4 | 2 | 39 | 39.4 | $22K | 8 May 2025 |
| Manzanita Healthcare Center | Carmichael | 99 | 5 | 3 | 5 | 46 | 46.5 | — | 15 Apr 2026 |
| Sherwood Healthcare Center | Sacramento | 62 | 5 | 4 | 3 | 13 | 21.0 | — | 9 May 2025 |
| University Post-Acute Rehab | Sacramento | 59 | 5 | 4 | 5 | 26 | 44.1 | — | 22 May 2025 |
| Woodside Healthcare Center | Sacramento | 58 | 5 | 4 | 4 | 21 | 36.2 | — | 22 Nov 2024 |
| American River Center | Carmichael | 99 | 4 | 4 | 4 | 24 | 24.2 | — | 10 Apr 2026 |
All 37 facilities in Sacramento County
Questions and answers
How many deficiencies has River City Post Acute been cited for?
93 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has River City Post Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at River City Post Acute compare?
Reported total nurse staffing is 3.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates River City Post Acute?
It is part of the Windsor chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Antelope Realty Holdings I, LLC, Windsor Norcal 13 Holdings LLC and Antelope Holdings I, LLC. Individual owners and managers are not listed on this site.
When was River City Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 6 Mar 2026.
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.