River City Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 141 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (32 vs median 13.0)
- High staff turnover (54%)
- High RN turnover (79%)
Bottom 25% in CA · Below recommended RN staffing · Worst in WINDSOR chain · No penalties on record · Abuse citation
What this means for your family
This facility's rehabilitation and therapy teams are exceptional and often lead to significant physical improvements for residents. However, families should be extremely vigilant about communication, as multiple reviewers have reported significant difficulty reaching the facility by phone and delays in response to call lights. If you choose this facility, we recommend frequent in-person visits to monitor cleanliness and care standards.
Google Reviews
Google Reviews
141 reviews on Google“River City Post Acute is highly regarded for its exceptional physical and occupational therapy teams, which many families credit with significant recovery progress. While the facility is noted for having an older building, the primary praise centers on the compassion and professionalism of the rehab and nursing staff. However, potential residents should be aware of serious recurring concerns regarding communication failures, difficulty reaching the facility by phone, and inconsistent cleanliness in some patient rooms.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and therapy teams
- Compassionate and attentive nursing staff
- Effective communication from social workers and management
- Welcoming and supportive environment for recovery
Concerns
- Difficulty reaching the facility by phone or getting call lights answered (mentioned by 7 reviewers)
- Issues with facility cleanliness and unpleasant odors (mentioned by 3 reviewers)
- Inconsistent responsiveness of CNA and nursing staff during certain shifts (mentioned by 3 reviewers)
- Aging building infrastructure and room maintenance (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 258 analyzed
How They Respond to Reviews
The owner relies heavily on templated, repetitive responses that use standardized phrasing to acknowledge feedback. While they attempt to provide contact information for specific issues, the core of the responses is highly formulaic.
Questions for Your Tour
- 1We've heard wonderful things about your rehabilitation and therapy teams; could you tell us more about how they work with residents to support their recovery?
- 2How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
- 3What specific steps are being taken to maintain the cleanliness of the rooms and manage the overall upkeep of the building?
- 4How do the social workers and management team stay in touch with families to ensure we are always updated on our loved one's care?
- 5What is the protocol for handling a medical emergency after hours, and how quickly can a physician be reached?
- 6What kind of daily activities or social events are available to help residents stay engaged and connected with others?
Personalized based on this facility's data
Key Review Excerpts
“The rehab department really works here. They take the time to understand your needs and will work their magic.”
“The facility is an older location but my mom was there this last year recovering from hip surgery and the staff were all very friendly and accommodating.”
“I was in here for over a year and was admitted into there Hospice Wing. 12 months later I walked out using a cane only after having a life ending stroke. Everyone is top of their game.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
4
measures
5
measures
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River City Post Acute shows concerning patterns with over half of its 116 deficiencies triggered by family complaints, indicating ongoing quality issues. The facility repeatedly struggles with infection control, nutrition and food safety, and protecting residents from abuse and neglect. While all violations show correction plans, the high volume of complaint-driven investigations and recurring problems in critical care areas suggest systemic challenges that families should carefully investigate before considering placement.
Mar 6, 2026Routine33
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Feb 24, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 11, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 9, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Dec 2, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nov 20, 2025Complaint2
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Ownership & Operations
Who Operates This Facility
River City Post Acute
for profit
Chain Affiliation
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 16 of 19 (Worst)
Ownership & Management
Owners
Antelope Realty Holdings I, LLC
Owner · Organization
Windsor Norcal 13 Holdings LLC
Owner · Organization
Antelope Holdings I, LLC
Owner (parent company) · Organization
Tress, Avrohom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
141 reviews from families & visitors
Official Website
Visit riverpointepostacute.com
Medicare data downloads
Original nursing home datasets
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