All states › California › Carmichael › River City Post Acute
2540 Carmichael Way Carmichael, CA 95608 · Sacramento County
All 8 nursing homes in Carmichael, CA (8 take Medicaid)
CMS certification number 055402 · See this home on Medicare Care Compare
Is River City Post Acute a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for River City Post Acute as of October 2026.
CMS rates it 1 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.72 hours per resident per day at River City Post Acute, below the California median of 4.27 (US median: 3.72). About 0.54 of those hours are from registered nurses. On weekends it falls to 3.37 hours, 9% below its all-week average. 53% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at River City Post Acute: Medicare and Medicaid
River City Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 6, 2026 and found 19 deficiencies, plus 18 from complaint inspections in the same period. In total, inspectors issued 94 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 94 citations at River City Post Acute across 47 inspection dates, 61 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 94 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (22) and freedom from abuse, neglect, and exploitation (14). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, September 24, 2024). 14 citations were under CMS's abuse, neglect and exploitation rules.
August 25, 2026 · 3 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
July 21, 2026 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
June 23, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
June 10, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
May 29, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 30, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 29, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 22, 2026 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
March 6, 2026 · 19 citations
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate foot care.
EProvide enough food/fluids to maintain a resident's health.
EEnsure medication error rates are not 5 percent or greater.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 24, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 11, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
February 9, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
December 2, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
November 20, 2025 · 2 citations · includes complaint inspection
DGive the resident's representative the ability to exercise the resident's rights.
DEnsure that residents are free from significant medication errors.
August 7, 2025 · 2 citations · includes complaint inspection
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DProvide and implement an infection prevention and control program.
August 1, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 29, 2025 · 3 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DEnsure services provided by the nursing facility meet professional standards of quality.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
July 24, 2025 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
July 1, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 25, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 11, 2025 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 6, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 3, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 6, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
April 25, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 16, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 15, 2025 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 3, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 2, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide and implement an infection prevention and control program.
February 20, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
November 21, 2024 · 7 citations
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DObserve each nurse aide's job performance and give regular training.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep all essential equipment working safely.
DProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
October 7, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 24, 2024 · 2 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
August 20, 2024 · 3 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
July 19, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 18, 2024 · 1 citation · includes complaint inspection
EAssist a resident in gaining access to vision and hearing services.
July 2, 2024 · 1 citation · includes complaint inspection
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 14, 2024 · 1 citation · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
June 5, 2024 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
May 9, 2024 · 2 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
April 29, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 15, 2024 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 11, 2024 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
December 14, 2023 · 7 citations
EHonor 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.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
DReasonably accommodate the needs and preferences of each resident.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
November 7, 2023 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
October 20, 2023 · 1 citation · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 4, 2023 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Questions to ask on a tour of River City Post Acute
- CMS cited the home under its abuse and neglect rules on June 23, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 53% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near River City Post Acute
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.9 mi
-
3.2 mi
VA N California Healthcare System MatherEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 49m for patients treated and sent home
-
3.4 mi
Kaiser Foundation Hospital - Sacramento/Roseville SacramentoEmergency room ★★★★☆ Medicare overall 4 of 5
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near River City Post Acute › All nursing homes in Carmichael ›
Compare River City Post Acute with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Eskaton Village Care Center · Carmichael · 5 stars · 2.1 mi
- Manzanita Healthcare Center · Carmichael · 5 stars · 3.6 mi
- Woodside Healthcare Center · Sacramento · 5 stars · 4.8 mi
- Sherwood Healthcare Center · Sacramento · 5 stars · 6.3 mi
Other Windsor nursing homes in California
- Windsor the Ridge Rehabilitation Center · Salinas · 5 stars
- Hayward Post Acute · Hayward · 5 stars
- Rosewood Post Acute · Pleasant Hill · 4 stars
- Coastal Post Acute · Salinas · 4 stars
- Monterey Post Acute · Monterey · 4 stars
- Country Drive Post Acute · Fremont · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 22 Windsor nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.