Skilled Nursing

River City Post Acute

2540 CARMICHAEL WAY, CARMICHAEL, CA 95608

178beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.3h

Hrs/resident · weekday

Expected: 3.7h

3.4h

Hrs/resident · weekend

vs 3.3h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
86%
LPNs
CNAs
52%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

90 standard deficiencies in the last 3 years

View all
0600Severity DApr 29, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0658Severity DApr 22, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0880Severity EMar 6, 2026

Provide and implement an infection prevention and control program.

0812Severity EMar 6, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EMar 6, 2026

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.

0759Severity EMar 6, 2026

Ensure medication error rates are not 5 percent or greater.

0755Severity DMar 6, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0695Severity DMar 6, 2026

Provide safe and appropriate respiratory care for a resident when needed.

0692Severity EMar 6, 2026

Provide enough food/fluids to maintain a resident's health.

0689Severity DMar 6, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0687Severity EMar 6, 2026

Provide appropriate foot care.

0684Severity EMar 6, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0679Severity DMar 6, 2026

Provide activities to meet all resident's needs.

0677Severity DMar 6, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DMar 6, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DMar 6, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity DMar 6, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

0640Severity DMar 6, 2026

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0605Severity EMar 6, 2026

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0561Severity DMar 6, 2026

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0550Severity DMar 6, 2026

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609Severity DFeb 24, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0600Severity DFeb 24, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0880Severity DFeb 11, 2026

Provide and implement an infection prevention and control program.

0658Severity DFeb 9, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0600Severity DFeb 9, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0550Severity DDec 2, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0760Severity DNov 20, 2025

Ensure that residents are free from significant medication errors.

0551Severity DNov 20, 2025

Give the resident's representative the ability to exercise the resident's rights.

0919Severity EAug 7, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

0880Severity DAug 7, 2025

Provide and implement an infection prevention and control program.

0600Severity DAug 1, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0919Severity DJul 29, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

0658Severity DJul 29, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0558Severity DJul 29, 2025

Reasonably accommodate the needs and preferences of each resident.

0658Severity DJul 24, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0600Severity DJul 24, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Severity DJul 1, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0689Severity DJun 25, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Severity EJun 11, 2025

Provide and implement an infection prevention and control program.

0684Severity DJun 11, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0684Severity DJun 6, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0600Severity DJun 3, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0559Severity DMay 6, 2025

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0689Severity DApr 25, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Severity DApr 16, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0880Severity EApr 15, 2025

Provide and implement an infection prevention and control program.

0684Severity DApr 15, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Severity DApr 3, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Severity DApr 2, 2025

Provide and implement an infection prevention and control program.

0658Severity DApr 2, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0550Severity DFeb 20, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0912Severity DNov 21, 2024

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0908Severity DNov 21, 2024

Keep all essential equipment working safely.

0880Severity ENov 21, 2024

Provide and implement an infection prevention and control program.

0812Severity DNov 21, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0730Severity DNov 21, 2024

Observe each nurse aide's job performance and give regular training.

0684Severity DNov 21, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Severity DNov 21, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0600Severity DOct 7, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0814Severity FSep 24, 2024

Dispose of garbage and refuse properly.

0812Severity FSep 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0657Severity DAug 20, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0584Severity DAug 20, 2024

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.

0552Severity DAug 20, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

0600Severity DJul 19, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0685Severity EJul 18, 2024

Assist a resident in gaining access to vision and hearing services.

0812Severity DJul 2, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EJun 14, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Severity DJun 5, 2024

Provide and implement an infection prevention and control program.

0919Severity DMay 9, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0804Severity EMay 9, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0600Severity DApr 29, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Severity DApr 15, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Severity DApr 15, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0558Severity DMar 11, 2024

Reasonably accommodate the needs and preferences of each resident.

0912Severity EDec 14, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0812Severity EDec 14, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EDec 14, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0802Severity EDec 14, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0694Severity DDec 14, 2023

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0584Severity EDec 14, 2023

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.

0558Severity DDec 14, 2023

Reasonably accommodate the needs and preferences of each resident.

0880Severity DNov 7, 2023

Provide and implement an infection prevention and control program.

0600Severity EOct 20, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0600Severity DOct 4, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0921Severity ESep 18, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0755Severity DAug 9, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0641Severity DAug 1, 2023

Ensure each resident receives an accurate assessment.

0689Severity DJul 10, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

WINDSOR EL CAMINO CARE CENTER, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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