Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
12’21
4’23
37’24
22’25
5’26
80 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jan 29, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jan 28, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 28, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 13, 2026 | E · 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 13, 2026 | D · potential | Have policies on smoking. | Complaint |
| Nov 25, 2025 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Sep 9, 2025 | E · potential | Employ staff that are licensed, certified, or registered in accordance with state laws. | Complaint |
| Aug 5, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Aug 1, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 1, 2025 | D · potential | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Complaint |
| Jun 26, 2025 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jun 26, 2025 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jun 26, 2025 | E · potential | 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. | Complaint |
| Jun 6, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 6, 2025 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Complaint |
| Jun 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 |
| Jun 6, 2025 | D · potential | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Complaint |
| Jun 4, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Apr 23, 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 |
| Mar 21, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 21, 2025 | D · potential | Provide appropriate foot care. | Routine |
| Mar 21, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Mar 21, 2025 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Routine |
| Mar 21, 2025 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 21, 2025 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 21, 2025 | D · potential | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Routine |
| Mar 21, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Dec 2, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Dec 2, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Dec 2, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Dec 2, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Sep 26, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Sep 9, 2024 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jun 26, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jun 26, 2024 | D · potential | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Complaint |
| Jun 20, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jun 20, 2024 | D · potential | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Complaint |
| Jun 20, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Jun 11, 2024 | 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. | Complaint |
| Jun 6, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Jun 6, 2024 | 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. | Complaint |
| Jun 6, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Apr 4, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Apr 4, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Apr 4, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Feb 7, 2024 | F · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jan 10, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 10, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Jan 10, 2024 | E · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Jan 10, 2024 | D · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Jan 10, 2024 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jan 10, 2024 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Jan 10, 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 |
| Jan 10, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jan 10, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jan 10, 2024 | J · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 10, 2024 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jan 10, 2024 | D · potential | Try 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. | Routine |
| Jan 10, 2024 | E · potential | 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. | Routine |
| Jan 10, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 10, 2024 | E · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Routine |
| Jan 10, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 10, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Jan 10, 2024 | D · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Routine |
| Dec 27, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Dec 15, 2023 | E · potential | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Complaint |
| Oct 31, 2023 | E · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Oct 31, 2023 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 15, 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 |
| Jul 15, 2021 | 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 15, 2021 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jul 15, 2021 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 15, 2021 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jul 15, 2021 | D · 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 |
| Jul 15, 2021 | E · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Jul 15, 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 |
| Jul 15, 2021 | D · potential | 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. | Routine |
| Jul 15, 2021 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 15, 2021 | F · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jul 15, 2021 | F · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 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
Feather River Care Center
1 Gilmore Lane, Oroville, CA 95966 · (530) 534-1353
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055612
- Certified beds
- 50
- Legal owner
- Feather River Care Center LLC
- Part of
- Ajc Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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