Inspection citations
2’23
22’24
9’25
7’26
40 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 30, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jul 30, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jul 30, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jul 30, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jul 30, 2026 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Mar 30, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Feb 25, 2026 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Aug 21, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 21, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Aug 15, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 15, 2025 | E · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Aug 15, 2025 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 15, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Aug 15, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 15, 2025 | 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 |
| Aug 15, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 24, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 30, 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 |
| Oct 4, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Sep 17, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Aug 22, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 22, 2024 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Aug 22, 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 |
| Aug 22, 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. | Routine |
| Aug 22, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 22, 2024 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Aug 22, 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 |
| Aug 22, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 22, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Aug 22, 2024 | E · 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 |
| Aug 22, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Aug 22, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Aug 22, 2024 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Aug 22, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 22, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 22, 2024 | E · potential | Keep all essential equipment working safely. | Routine |
| Aug 22, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Aug 22, 2024 | E · potential | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Routine |
| Dec 14, 2023 | G · harm | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | Complaint |
| Oct 3, 2023 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
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 Bend Nursing Center
2215 Oakmont Way, West Sacramento, CA 95691 · (916) 371-1890
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055887
- Certified beds
- 99
- Legal owner
- River Bend Holdings, LLC
- Part of
- Bvhc, Llc
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
Is this your business, or is something wrong? Request a correction. It's free, and we never charge to be listed.