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Nursing HomeMedicaid

American River Center

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy teams. Still worth an in-person visit.

3900 Garfield Avenue, Carmichael, CA 9560899 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 147 Google reviews

5
4
3
2
1
American River Center Nursing Home in Carmichael, CA — Street View
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What this means for your family

This facility is an excellent choice for patients focused on intensive physical or occupational rehabilitation, as the therapy team is consistently rated as top-tier. However, families should be proactive in communicating with the administration and social services, as some reviewers have noted difficulties with follow-up and front-desk professionalism.

Google Reviews

Google Reviews

147 reviews on Google
American River Center is highly regarded for its exceptional physical therapy and rehabilitation programs, with many patients reporting significant recovery progress after strokes or surgeries. While the nursing and CNA staff receive frequent praise for their compassion, some families have reported serious concerns regarding communication lapses, staff rudeness at the front desk, and occasional issues with medication timing.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0Meds6.0MemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Compassionate and attentive nursing and CNA staff
  • Clean and well-maintained facility
  • On-site dialysis services
  • Professional and helpful administration

Concerns

  • Inconsistent communication from administrative or social services staff (mentioned by 2 reviewers)
  • Rudeness or unprofessionalism from front desk/reception staff (mentioned by 2 reviewers)
  • Slow response times to call lights or medication delays (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(4)'20(3)'22(7)'24(14)'26(27)

Distribution · 151 analyzed

5
129
4
6
3
3
2
2
1
11

How They Respond to Reviews

27%response rate
Good

The owner provides highly personalized and empathetic responses to detailed reviews, often naming specific staff members and acknowledging the patient's medical journey. However, for shorter or simpler reviews, the responses shift toward generic, templated gratitude.

Questions for Your Tour

  • 1We were so impressed to see your 5-star CMS rating; how does your team maintain such high standards of clinical care?
  • 2We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents to maintain mobility?
  • 3Since you offer on-site dialysis, how do you coordinate medical care and emergency responses for residents with complex health needs?
  • 4What is the best way for our family to stay in regular contact with the social services team to ensure we are all updated on our loved one's progress?
  • 5How do you ensure that call lights and medication requests are addressed promptly, especially during busy shift changes?
  • 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The facilities are top-notch at every level; very clean, safe, and comfortable. I found all the staff to be caring, kind and attentive.

Rehab patient · 2026★★★★★

The physical therapy is the best I have ever had. Brittney is exceptional and she truly hears what I need.

Rehab patient · 2026★★★★★

I was a patient here for over 40 days after a hip operation. I've been to multiple SNFs and this has been the most wonderful experience by far.

Rehab patient · 2025★★★★★
Source: 147 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
91%
Registered nurses for medical care
Total Nursing
3.97hrs
97%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
19.4%
CA
10.7%
Sacramento
9.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
19.5%
CA
13.7%
Sacramento
8.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
15.4%
CA
11.6%
Sacramento
8.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
12.1%
CA
7.0%
Sacramento
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.6%
Better than Avg
Here
4.6%
US
14.4%
CA
10.4%
Sacramento
6.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Sacramento
99.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
79.7%
CA
93.2%
Sacramento
97.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Mixed vs Avgs
Here
97.4%
US
81.8%
CA
94.2%
Sacramento
98.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
CA
1.5%
Sacramento
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (15.4)
8 complaint-triggered

American River Center has a concerning pattern of recurring deficiencies across care planning, nutrition services, and infection control, with families filing eight complaints about issues including abuse reporting failures and resident rights violations. While all deficiencies show correction dates, problems persist across multiple surveys, including repeated food safety violations and ongoing electrical system issues that recurred three years apart, suggesting potential systemic challenges with maintaining compliance standards.

Jan 10, 2025Routine
9
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Aug 1, 2024Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jun 14, 2024Complaint
1
0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Jun 11, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

May 16, 2024Complaint
2
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Apr 18, 2024Complaint
1
0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Ownership & Operations

Who Operates This Facility

Owner / Operator

American River Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 1 of 188 (Best)

Ownership & Management

Owners

Genesis Healthcare LLC

Owner (parent company) · Organization

50%

Tress, Avrohom

Owner (parent company)

25%

Fc-Gen Operations Investment LLC

Owner (parent company) · Organization

Ghc Holdings LLC

Owner (parent company) · Organization

Key personnel

Robin, AaronOfficer / DirectorTress, AvrohomOfficer / DirectorKelada, AndrewManagerLupse, GeorgetaManagerStroughter, BrandonManager
Source: Medicare provider data

Contact

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References & Resources

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