American River Center

Name: American River Center
Address: 3900 Garfield Avenue, Carmichael, CA, 95608, US
Telephone: 9164816455

3900 Garfield Avenue, Carmichael, CA 95608 · Sacramento County · 99 certified beds · avg 97 residents/day · certified since Mar 13, 1991

Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (24)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 10, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 10, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 10, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 10, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 10, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 10, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 10, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 10, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Aug 1, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Jun 14, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Jun 11, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 16, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
May 16, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Apr 18, 2024	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Mar 22, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 22, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 22, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 23, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jan 23, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Worst severity that year
2024	12	F
2025	5	E
2026	7	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.01	4.31	3.95	bottom 42% in California; top 39% in the U.S.
Registered Nurse hours	0.76	0.61	0.69	top 20% in California; top 31% in the U.S.
Weekend total nurse staffing	3.76	3.90	3.50	top 50% in California; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.51	0.48	top 19% in California; top 20% in the U.S.
Total nursing staff turnover (%)	36.0	36.7	45.8	top 49% in California; top 26% in the U.S.
RN turnover (%)	29.4	38.1	42.9	top 37% in California; top 28% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.90, RN 0.74, weekend 3.66. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bold Quail Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2021
BQ Operations Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2021
Newgen LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2021
Robin, Aaron	Individual	5% or Greater Indirect Ownership Interest	—	02/01/2021
Tress, Avrohom	Individual	5% or Greater Indirect Ownership Interest	—	02/01/2021
Shaw, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2021
Shaw, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Eskaton Village Care Center	0.5 mi	Carmichael, CA	★★★★☆	4/5
Whitney Oaks Care Center	0.7 mi	Carmichael, CA	★★★☆☆	2/5
College Oak Nursing and Rehabilitation Center	1.1 mi	Sacramento, CA	★★★☆☆	3/5
Mission Carmichael Healthcare Center	1.1 mi	Carmichael, CA	★★★☆☆	3/5
Mountain Manor Senior Residence	1.7 mi	Carmichael, CA	★☆☆☆☆	2/5
River City Post Acute	1.8 mi	Carmichael, CA	★☆☆☆☆	1/5	abuse
River Pointe Post-Acute	1.8 mi	Carmichael, CA	★☆☆☆☆	2/5	abuse
Sacramento Post-Acute	1.9 mi	Sacramento, CA	★★★★☆	3/5
Manzanita Healthcare Center	2.0 mi	Carmichael, CA	★★★★★	3/5
Arden Park Post Acute	3.3 mi	Sacramento, CA	★★★☆☆	2/5	abuse
Casa Coloma Health Care Center	3.4 mi	Rancho Cordova, CA	★★☆☆☆	2/5
Gramercy Court	3.9 mi	Sacramento, CA	★★★★☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Carmichael →

Facility data as of CMS processing date 2026-08-01. CCN 555450.

The Care File

Visit checklist — American River Center

3900 Garfield Avenue, Carmichael, CA 95608 · 9164816455

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555450 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)