Nursing home
River Valley Care Center
9000 Larkin Road, Live Oak, CA 95953 · Map
For profit - Limited Liability company · Part of Pacs Group (264 facilities) · 99 certified beds
River Valley Care Center is a Medicare-certified nursing home in Live Oak, California. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.00 hours per resident per day, below the California average of 4.51. Its most recent inspection on Jun 20, 2025 cited 19 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Valley Care 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) | 4.00 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.47 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 39.0% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 19.0 | 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.
- Every deficiency from the November 6, 2025 inspection was corrected by December 2, 2025
What inspectors found at River Valley Care 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 safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Nov 6, 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 · Jun 20, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Jun 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Jun 20, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 20, 2025 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Jun 20, 2025 · 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 · Jun 20, 2025 · 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 · Jun 20, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 20, 2025 · 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
- 9000 Larkin Road
Live Oak, CA 95953 - CMS certification #
- 555535
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 95.5
- Provider type
- Medicare and Medicaid
- First certified
- 1993-01-20
- Chain
- Pacs Group (264 facilities)
- Setting
- Urban
Part of Pacs Group
Pacs Group operates 264 nursing facilities across the United States. View all Pacs Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Valley Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2018, 4 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What River Valley Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Nursing Care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Services
(page, checked Oct 12, 2026) - Offers diabetes care.
Diabetes Care
(page, checked Oct 12, 2026) - Provides transportation.
Transportation to appointments
(page, checked Oct 12, 2026)
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.
- Jun 28, 2018: programmed (planned) inspection, complete (safety). Case closed Feb 19, 2019. 4 violations cited (3 serious, 1 other). Penalties: $21,375 proposed, $9,000 now. OSHA record. OSHA recorded the employer as Flax Holdings, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3342(C). Penalty $1,125 proposed, $900 now. To be fixed by Nov 13, 2018. Contested by the employer.
- Serious: Cited rule 4002(A). Penalty $6,750 proposed, $2,700 now. To be fixed by Oct 18, 2018. Contested by the employer.
- Serious: Cited rule 4050(A). Penalty $6,750 proposed, $2,700 now. To be fixed by Oct 18, 2018. Contested by the employer.
- Serious: Cited rule 4184(B). Penalty $6,750 proposed, $2,700 now. To be fixed by Oct 18, 2018. Contested by the employer.
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
- Orchard Hospital, Gridley. 7.4 miles away, straight line.
- Nearest Medicare nursing home
- Gridley Post Acute, Gridley. 7.4 miles away, straight line.
- Nearest home health agency office
- Sterling Home Health Care, Yuba City. 8.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 8.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95953 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Yuba Sutter Dialysis, Yuba City, 7.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Yuba City Dialysis Center, Yuba City, 7.9 miles away, straight line (CMS rating 3 of 5 stars)
Davita Marysville Dialysis Center, Marysville, 8.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 95953.
Adventist Health Home Care Services, office in Yuba City, 8.4 miles away, straight line
Freedom Home Health And Hospice Care Services, Inc, office in Marysville, 9.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Sutter Care At Home, office in Yuba City, 9.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- All Inclusive Medical Services Inc, Carmichael. 44.8 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)
- Wildfire risk to homes
- In Sutter County, CA, risk to homes is greater than 12% of communities in California and 79% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively moderate, tornado very low, heat wave relatively moderate, earthquake relatively high. 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 |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| 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 | See above |
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Frequently asked questions
Is River Valley Care Center a good nursing home?
CMS gives River Valley Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Valley Care Center staffed?
River Valley Care Center reports 4.00 total nurse hours per resident per day, compared with the California average of 4.51.
Has River Valley Care Center had inspection problems?
Its most recent CMS inspection cited 19 deficiencies.
How many beds does River Valley Care Center have?
River Valley Care Center is certified for 99 beds.