90/100
Excellent
River Valley Care Center
9000 Larkin Road, Live Oak, CA 95953
- Certified beds
- 99
- Occupancy
- 97%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on River Valley Care Center
River Valley Care Center runs a 99-bed for-profit operation in Live Oak, and the staffing picture is genuinely better than most: 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dipping about 7% below its own weekday levels. Turnover sits at 32.3%, well under the 45.8% national figure, which matters for whether aides know residents' routines. The trouble is the inspection record, 53 deficiencies, including one at harm level and one abuse-related, with the most recent inspection in June 2025. Quality measures score well, but that's largely self-reported data. The gap between how this home charts and how it performs under surveyor scrutiny is the real story.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.88 total nurse hours per resident per day (national median 3.77)
- →0.79 RN hours per resident per day
- →Weekend staffing drops 7% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →32% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 20, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of PACS GROUP, which operates 275 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about River Valley Care Center
What is the ElderGrade for River Valley Care Center? +
River Valley Care Center holds an ElderGrade of A (90 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at River Valley Care Center? +
Residents receive an average of 4.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has River Valley Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does River Valley Care Center accept Medicaid? +
Yes, River Valley Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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