Nursing home · Top rated by CMS
American River Center
3900 Garfield Avenue, Carmichael, CA 95608 · Map
For profit - Limited Liability company · Part of Genesis Healthcare (193 facilities) · 99 certified beds
American River Center is a Medicare-certified nursing home in Carmichael, California. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.97 hours per resident per day, below the California average of 4.51. Its most recent inspection on Jan 10, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How American River Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.97 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.65 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.51 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 42.0% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at American River Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Aug 1, 2024 · Full report (PDF) - Potential for harm
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Jun 14, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 16, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · May 16, 2024 · Full report (PDF) - Potential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Apr 18, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 22, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3900 Garfield Avenue
Carmichael, CA 95608 - CMS certification #
- 555450
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 95.9
- Provider type
- Medicare and Medicaid
- First certified
- 1991-03-13
- Chain
- Genesis Healthcare (193 facilities)
- Setting
- Urban
Part of Genesis Healthcare
Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around American River Center using Google Maps.
Other public records
- Kitchen 4 inspections by Sacramento County Environmental Management Department since 2024; latest PASS (February 2026)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Sacramento County Environmental Management Department: American River Care Center - LHCF
- Feb 18, 2026 (routine): PASS. Report
1 violation
- REHEATING PROCEDURES FOR HOT HOLDING
- Feb 18, 2026 (routine): MINOR VIOLATIONS. No violations listed. Report
- Sep 10, 2025 (routine): PASS. No violations listed. Report
- Jul 22, 2024 (routine): PASS. No violations listed. Report
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Pass (green): No major violations, or they were corrected during the inspection. Conditional Pass (yellow): Major violations found; a follow-up inspection is required. Closed (red): Closed for an imminent health hazard.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy San Juan Medical Center, Carmichael. 2.7 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Eskaton Village Care Center, Carmichael. 0.5 miles away, straight line.
- Nearest home health agency office
- Amari Home Health Care, Inc., Carmichael. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95608 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Manzanita Dialysis Center, Carmichael, 0.7 miles away, straight line (CMS rating 3 of 5 stars)
Dci Madison Dialysis Clinic, Sacramento, 1.8 miles away, straight line (CMS rating 2 of 5 stars)
Davita American River Dialysis, Carmichael, 1.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 49 Medicare hospices tell CMS they serve ZIP code 95608.
Amari Hospice Care Inc., office in Carmichael, 1.1 miles away, straight line
Sanctuary Hospice, office in Sacramento, 1.4 miles away, straight line
Advanced Home Health And Hospice, Inc, office in Sacramento, 1.4 miles away, straight line - Nearest geriatric medicine practice
- All Inclusive Medical Services Inc, Carmichael. 2.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is American River Center a good nursing home?
CMS gives American River Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is American River Center staffed?
American River Center reports 3.97 total nurse hours per resident per day, compared with the California average of 4.51.
Has American River Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does American River Center have?
American River Center is certified for 99 beds.