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Nursing HomeMedicaid

River Bend Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

2215 Oakmont Way, West Sacramento, CA 9569199 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 97 Google reviews

5
4
3
2
1
River Bend Nursing Center Nursing Home in West Sacramento, 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 rehabilitation, as the therapy team receives consistent praise. However, families should closely monitor hygiene standards and be proactive in communicating with management, as some reviewers have noted issues with resident cleanliness and difficulty reaching staff.

Google Reviews

Google Reviews

97 reviews on Google
River Bend Nursing Center is highly regarded by many for its exceptional physical therapy team and the compassion of its nursing staff during rehabilitation. However, families should be aware of significant reports regarding inconsistent hygiene care, potential neglect, and a facility building that many reviewers feel is overdue for a major remodel.

Quality Themes

Tap a score for details
Food2.0Staff7.0Clean6.0Activities7.0Meds8.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab team
  • Compassionate and attentive nursing staff
  • Clean and well-maintained common areas
  • Professional and helpful respiratory therapists

Concerns

  • Inconsistent hygiene and cleanliness of residents (mentioned by 3 reviewers)
  • Facility building is outdated and needs remodeling (mentioned by 3 reviewers)
  • Poor food quality and nutrition (mentioned by 3 reviewers)
  • Communication issues with management and doctors (mentioned by 3 reviewers)
  • Loss or theft of resident personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(1)'22(4)'24(23)'26(6)

Distribution · 84 analyzed

5
56
4
5
3
3
2
5
1
15

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab team; could you tell us more about how they work with residents to regain independence?
  • 2What steps are being taken to ensure the dining experience is nutritious and enjoyable for everyone, especially regarding meal variety?
  • 3How does the nursing staff communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 4Could you describe your process for managing resident personal belongings to ensure everything stays safe and accounted for?
  • 5What are some of the favorite daily activities or social events that help residents stay engaged with one another in the common areas?
  • 6In the event of a medical emergency during the night, what is the protocol for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The PT Department to include Deb, Darwin, and Nonyelum are very patient with me and always make me keep trying!

Returning patient · 2025★★★★★

River Bend has been the complete opposite. Upon my arrival, 2 nurses helped the EMTs get me to my room and into bed while trying not to hurt my hip.

Post-surgery rehab patient · 2025★★★★★

The staff is always warm and friendly! They treat the residents really well. It’s always a pleasure to see the staff monitoring their residents with care.

Long-term resident's family · 2024★★★★★
Source: 97 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
4.94hrs
OK
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
Yolo
7.3%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
19.4%
CA
10.7%
Yolo
10.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
CA
11.6%
Yolo
14.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.2%
Mixed vs Avgs
Here
10.2%
US
19.5%
CA
13.7%
Yolo
6.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Mixed vs Avgs
Here
99.4%
US
93.4%
CA
98.6%
Yolo
100.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
15.3%
CA
10.5%
Yolo
10.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.8%
Mixed vs Avgs
Here
86.8%
US
81.8%
CA
94.2%
Yolo
97.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.4%
Mixed vs Avgs
Here
88.4%
US
79.7%
CA
93.2%
Yolo
81.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Yolo
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Near state avg (15.4)
18 complaint-triggered
$21,879 in fines

River Bend Nursing Center has concerning patterns of recurring deficiencies with 16 complaints filed by families triggering inspections. The facility repeatedly struggles with medication management, infection control, and food safety across multiple surveys from 2021 to 2025, suggesting ongoing operational challenges. While all cited deficiencies show correction dates, the persistent recurrence of similar issues in core care areas raises questions about sustained quality improvements.

Mar 30, 2026Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Feb 25, 2026Complaint
1
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Aug 21, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Aug 15, 2025Routine
17
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0676Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0346Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Dec 24, 2024Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 30, 2024Complaint
1
0657Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Dec 14, 2023

$21,879

Payment Denial

Dec 14, 2023

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Bend Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Bvhc, LLC

Chain Size

12 facilities nationwide

Chain avg rating: 3.3/5 · Rank 9 of 12

Ownership & Management

Key personnel

Boehrer, BryanOfficer / DirectorMartin, RichardOfficer / DirectorBoehrer, BryanManagerMartin, RichardManager
Source: Medicare provider data

Contact

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References & Resources

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