California › Sutter County › Live Oak
River Valley Care Center
9000 Larkin Road, Live Oak, CA 95953
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 Valley Care Center is a For-profit, limited liability company nursing home in Live Oak, California, certified for 99 beds and caring for about 96 residents a day.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (15, 17, 21 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 53.5 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 4.0 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 32.3%.
Compared with county, state and nation
| Measure | This facility | Sutter Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 53 | 44 | 28.7 |
| Citations per 100 beds | 53.5 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.5 | 0.7 |
| Nursing staff turnover | 32.3% | 32.3% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 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: 20 Jun 2025, 11 Jul 2024.
Severity mix: G ×1 D ×33 E ×15 F ×4
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Nov 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 2 Dec 2025 |
| 20 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | 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 | 10 Jul 2025 |
| 20 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | 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 | 10 Jul 2025 |
| 20 Jun 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | 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 Jul 2025 |
| 20 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jul 2025 |
| 20 Jun 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 10 Jul 2025 |
| 17 Apr 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Complaint investigation | 1 May 2025 |
| 17 Apr 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 1 May 2025 |
| 17 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 1 May 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 May 2025 |
| 13 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 27 Feb 2025 |
| 6 Jan 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 27 Jan 2025 |
| 6 Jan 2025 | 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 | 27 Jan 2025 |
| 6 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Jan 2025 |
| 6 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Jan 2025 |
| 10 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Nov 2024 |
| 10 Oct 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 5 Nov 2024 |
| 11 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 2 Aug 2024 |
| 11 Jul 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 | 2 Aug 2024 |
| 11 Jul 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 2 Aug 2024 |
| 11 Jul 2024 | F0758 | 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. | D | Standard survey | 2 Aug 2024 |
| 11 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 2 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Aug 2024 |
| 27 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Mar 2024 |
| 2 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Jan 2024 |
| 2 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jan 2024 |
| 11 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 30 Oct 2023 |
| 7 Dec 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0758 | 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. | E | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | 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 | 8 Apr 2022 |
| 7 Dec 2021 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | 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 | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0803 | 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. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Mar 2022 |
| 7 Dec 2021 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 17 Mar 2022 |
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 32.3%, RNs 33.3%; 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 | 5.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.6% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.1% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | 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: Flax Holdings, Llc. Chain: Pacs Group (274 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 Sutter County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fountains, The | Yuba City | 145 | 5 | 4 | 4 | 28 | 19.3 | — | 3 Dec 2025 |
| Yuba City Post Acute | Yuba City | 59 | 5 | 4 | 4 | 43 | 72.9 | — | 1 Apr 2026 |
| Bridgeview Post Acuteabuse icon | Yuba City | 130 | 2 | 1 | 5 | 69 | 53.1 | $68K | 9 Jun 2026 |
All 4 facilities in Sutter County
Questions and answers
How many deficiencies has River Valley Care Center been cited for?
53 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has River Valley Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at River Valley Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates River Valley Care Center?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was River Valley Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Nov 2025; the most recent standard health survey was 20 Jun 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.