Inspection citations
17’21
1’23
11’24
24’25
53 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Nov 6, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jun 20, 2025 | E · potential | 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. | Routine |
| Jun 20, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jun 20, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jun 20, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 20, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Jun 20, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 20, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 20, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 20, 2025 | E · potential | 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. | Routine |
| Jun 20, 2025 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jun 20, 2025 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jun 20, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 20, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 20, 2025 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Apr 17, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 17, 2025 | F · potential | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Complaint |
| Apr 17, 2025 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Complaint |
| Apr 17, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 13, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 6, 2025 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jan 6, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 6, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 6, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Oct 10, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Oct 10, 2024 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Complaint |
| Jul 11, 2024 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jul 11, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jul 11, 2024 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Jul 11, 2024 | D · potential | 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. | Routine |
| Jul 11, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 11, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 27, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 2, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jan 2, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Oct 11, 2023 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Complaint |
| Dec 7, 2021 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Dec 7, 2021 | D · potential | 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. | Routine |
| Dec 7, 2021 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Dec 7, 2021 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Dec 7, 2021 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 7, 2021 | G · harm | Provide enough food/fluids to maintain a resident's health. | Routine |
| Dec 7, 2021 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Dec 7, 2021 | E · potential | 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. | Routine |
| Dec 7, 2021 | E · potential | 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. | Routine |
| Dec 7, 2021 | D · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Routine |
| Dec 7, 2021 | D · potential | 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. | Routine |
| Dec 7, 2021 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 7, 2021 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Dec 7, 2021 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 7, 2021 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Dec 7, 2021 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 7, 2021 | D · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
River Valley Care Center
9000 Larkin Road, Live Oak, CA 95953 · (530) 695-8020
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555535
- Certified beds
- 99
- Legal owner
- Flax Holdings, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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