About River Valley Care Center

River Valley Care Center is a nursing home in Live Oak, California. Its capacity is 99 beds, the same as the California median for nursing homes. It is run by a for-profit operator and is part of Pacs Group. It is Medicare certified. Its public inspection record shows 53 citations, the most recent on November 6, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.15 hours per resident per day. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

4.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (53)

Records from December 2021 to November 2025.

November 6, 2025
Tag F0697
Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 2, 2025.
June 20, 2025
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0641
Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 20, 2025
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
April 17, 2025
Tag F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 17, 2025
Tag F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 17, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
April 17, 2025
Tag F0658
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2025.
February 13, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 27, 2025.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

4.15 nurse hours per resident per day in Q2 2026, up from 4.07 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Pacs Group, a chain of 277 nursing homes.

Average CMS star ratings across the chain: 3.0 overall, 2.5 for health inspections, 2.5 for staffing, 4.5 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in California.

Nursing Homes

California median$12,167/mo

California cost breakdown

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