Nursing home
River City Post Acute
2540 Carmichael Way, Carmichael, CA 95608 · Map
For profit - Corporation · Part of Windsor (19 facilities) · 178 certified beds
River City Post Acute is a Medicare-certified nursing home in Carmichael, California. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.59 hours per resident per day, below the California average of 4.51. Its most recent inspection on Nov 21, 2024 cited 32 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River City Post Acute 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) | 3.59 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.53 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.27 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 53.8% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 32.0 | 15.4 | 9.5 | above 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 River City Post Acute
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 · Mar 6, 2026 · 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 6, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Mar 6, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Mar 6, 2026 · 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
- 2540 Carmichael Way
Carmichael, CA 95608 - CMS certification #
- 055402
- Ownership
- For profit - Corporation
- Certified beds
- 178
- Avg residents/day
- 172.2
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Chain
- Windsor (19 facilities)
- Setting
- Urban
Part of Windsor
Windsor operates 19 nursing facilities across the United States. View all Windsor facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River City Post Acute using Google Maps.
Other public records
- Kitchen 7 inspections by Sacramento County Environmental Management Department since 2024; latest PASS (March 2026)
- Workplace safety 2 OSHA workplace safety inspections since 2025, no violations cited
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: Windsor El Camino Care CTR LLC
- Mar 11, 2026 (routine): PASS. Report
1 violation
- HOT AND COLD HOLDING TEMPERATURES
- Oct 1, 2025 (routine): PASS. No violations listed. Report
- Nov 15, 2024 (routine): IN COMPLIANCE. No violations listed. Report
- Nov 15, 2024 (routine): PASS. No violations listed. Report
- Apr 19, 2024 (routine): PASS. No violations listed. Report
- Jan 12, 2024 (cupa combined): NOT APPLICABLE. No violations listed. Report
- Jan 12, 2024 (cupa combined): NOT APPLICABLE. 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.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 23, 2025: complaint inspection, partial (safety). Case closed Mar 9, 2026. No violations cited. OSHA record. OSHA recorded the employer as Windsor El Camino Care Center. Matched by street address; the name OSHA recorded differs from the community's.
- Dec 23, 2025: accident investigation inspection, partial (safety). Case closed May 26, 2026. No violations cited. OSHA record. OSHA recorded the employer as Windsor El Camino Care Center. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital - Sacramento, Sacramento. 3.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- River Pointe Post-acute, Carmichael. 0.0 miles away, straight line.
- Nearest home health agency office
- Amari Home Health Care, Inc., Carmichael. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 2.0 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, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
Dci Rancho Dialysis Clinic, Sacramento, 2.8 miles away, straight line (CMS rating 2 of 5 stars)
Davita American River Dialysis, Carmichael, 3.5 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, 0.9 miles away, straight line
Rx Staffing Hospice Care, office in Sacramento, 1.5 miles away, straight line
Big Hearts Hospice Care, office in Sacramento, 2.5 miles away, straight line - Nearest geriatric medicine practice
- All Inclusive Medical Services Inc, Carmichael. 4.0 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, wildfire very low, tornado very low, heat wave relatively moderate, 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 | See above |
| 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: FEMA rates wildfire risk here very low |
| 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 |
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Frequently asked questions
Is River City Post Acute a good nursing home?
CMS gives River City Post Acute an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River City Post Acute staffed?
River City Post Acute reports 3.59 total nurse hours per resident per day, compared with the California average of 4.51.
Has River City Post Acute had inspection problems?
Its most recent CMS inspection cited 32 deficiencies.
How many beds does River City Post Acute have?
River City Post Acute is certified for 178 beds.