California › Tulare County › Porterville
River Walk Care Center
1100 West Morton Avenue, Porterville, CA 93257
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 Walk Care Center is a For-profit, limited liability company nursing home in Porterville, California, certified for 99 beds and caring for about 89 residents a day.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (13, 19, 18 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 50.5 per 100 beds, about the same as the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $165K and 1 payment denial.
Reported nurse staffing is 4.1 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 47.8%.
Compared with county, state and nation
| Measure | This facility | Tulare Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 54 | 44 | 28.7 |
| Citations per 100 beds | 50.5 | 54.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 47.8% | 41.8% | 36.4% | 45.8% |
| Fines listed | $164,778 | $8,018 | $0 | — |
County and state figures are medians across facilities (16 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: 26 Feb 2026, 17 Oct 2024.
Severity mix: G ×3 D ×35 E ×9 F ×3
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 |
|---|---|---|---|---|---|
| 5 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 21 May 2026 |
| 2 Apr 2026 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 16 Apr 2026 |
| 26 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 11 Mar 2026 |
| 26 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Mar 2026 |
| 26 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Mar 2026 |
| 26 Feb 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 | 16 Mar 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Mar 2026 |
| 26 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 12 Mar 2026 |
| 26 Feb 2026 | F0693 | 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. | D | Standard survey | 12 Mar 2026 |
| 9 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 25 Feb 2026 |
| 27 Oct 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 20 Nov 2025 |
| 5 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 16 Sep 2025 |
| 21 Aug 2025 | 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 | 1 Oct 2025 |
| 29 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Jun 2025 |
| 30 Apr 2025 | 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 | 14 May 2025 |
| 30 Apr 2025 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 14 May 2025 |
| 30 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 May 2025 |
| 30 Apr 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 14 May 2025 |
| 13 Mar 2025 | F0688 | 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. | G | Complaint investigation | 2 May 2025 |
| 13 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 May 2025 |
| 12 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Apr 2025 |
| 12 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 5 Apr 2025 |
| 8 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Dec 2024 |
| 17 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Nov 2024 |
| 17 Oct 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | F | Complaint investigation | 8 Nov 2024 |
| 17 Oct 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 | 8 Nov 2024 |
| 17 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Nov 2024 |
| 17 Oct 2024 | F0693 | 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. | D | Complaint investigation | 8 Nov 2024 |
| 17 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 8 Nov 2024 |
| 17 Oct 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 8 Nov 2024 |
| 17 Oct 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 8 Nov 2024 |
| 3 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 Oct 2024 |
| 19 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 10 Nov 2023 |
| 24 Oct 2022 | 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 Nov 2022 |
| 24 Oct 2022 | 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 | 17 Nov 2022 |
| 24 Oct 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | 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 | 17 Nov 2022 |
| 24 Oct 2022 | 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 | 17 Nov 2022 |
| 24 Oct 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0687 | Provide appropriate foot care. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | 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 | 17 Nov 2022 |
| 24 Oct 2022 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Nov 2022 |
| 24 Oct 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Aug 2025 | Fine | $24,252 | |
| 12 Mar 2025 | Payment denial | — | 5 days |
| 12 Mar 2025 | Fine | $64,200 | |
| 3 Oct 2024 | Fine | $76,326 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 47.8%, RNs 44.4%; 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 | 11.6% | 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 | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.9% | 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: Porterville Convalescent, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Magnolia Health Corporation | Operational/managerial control | NOT APPLICABLE | 04/01/2009 |
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 Tulare County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Delta Healthcare & Wellness Center, LP | Visalia | 44 | 5 | 4 | 2 | 29 | 65.9 | — | 14 Aug 2025 |
| Kaweah Health Skilled Nursing Center | Visalia | 70 | 5 | 4 | 3 | 24 | 34.3 | — | 29 Jan 2026 |
| Sierra View Medical Center | Porterville | 35 | 5 | 4 | 3 | 19 | 54.3 | — | 17 Dec 2025 |
| Dinuba Healthcare | Dinuba | 97 | 4 | 4 | 3 | 26 | 26.8 | — | 9 Feb 2026 |
| Lindsay Gardens Nursing & Rehabilitation | Lindsay | 99 | 4 | 3 | 3 | 31 | 31.3 | — | 19 May 2026 |
| Sequoia Transitional Care | Porterville | 99 | 4 | 3 | 3 | 42 | 42.4 | $42K | 3 Jun 2026 |
| Sierra Valley Rehab Center | Porterville | 139 | 4 | 3 | 3 | 62 | 44.6 | $8K | 23 Jul 2025 |
| Grand Oaks Care | Tulare | 99 | 3 | 3 | 2 | 55 | 55.6 | — | 12 Mar 2026 |
All 16 facilities in Tulare County
Questions and answers
How many deficiencies has River Walk Care Center been cited for?
50 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has River Walk Care Center been fined?
Yes. CMS lists fines totalling $165K in the period covered, plus 1 payment denial.
How does staffing at River Walk Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates River Walk Care Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Magnolia Health Corporation. Individual owners and managers are not listed on this site.
When was River Walk Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 26 Feb 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.