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American River Center
3900 Garfield Avenue, Carmichael, CA 95608 (opens Google Maps) · Sacramento County · (916) 481-6455· 99 certified beds · avg 97 residents/day · certified since Mar 13, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Apr 10, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.01
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
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. F-0812
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
View all 24 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0760 |
| Apr 10, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0605 |
| Apr 10, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 10, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jan 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0558 |
| Jun 14, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint · F-0660 |
| Jun 11, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| May 16, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0657 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0626 |
| Mar 22, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 22, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Mar 22, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0887 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Jan 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0761 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
All citationsSerious citations (G–L)
2024
All citations: 12
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 12 | 0 | F |
| 2025 | 5 | 0 | E |
| 2026 | 7 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.01
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.76
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.76
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.90 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for American River Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Genesis Healthcare — 184 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Anaheim Terrace Care Center — Anaheim, CA · overall 3/5
- Bay Crest Care Center — Torrance, CA · overall 1/5abuseSFF
- Creekside Center — Stockton, CA · overall 2/5
- Devonshire Care Center — Hemet, CA · overall 1/5
- Fountain View Subacute and Nursing Center — Los Angeles, CA · overall 2/5
- Kingsburg Center — Kingsburg, CA · overall 3/5
- Montebello Care Center — Montebello, CA · overall 2/5
- Playa Del Rey Center — Playa Del Rey, CA · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 183 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 41 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 →
Other facilities in the same county
CMS records place this facility in Sacramento, CA — 37 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Asbury Park Nursing and Rehabilitation Center — Sacramento, CA · overall 3/5
- Bridgewood Post Acute — Sacramento, CA · overall 3/5abuse
- Bruceville Terrace - D/P SNF of Methodist Hospital — Sacramento, CA · overall 3/5abuse
- Capital Post Acute — Sacramento, CA · overall 2/5abuse
- Cedarwood Post Acute — Sacramento, CA · overall 3/5
- Citrus Heights Post Acute — Citrus Heights, CA · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 555450.
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