See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid

River Valley Care Center

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

9000 Larkin Road, Live Oak, CA 9595399 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 50 Google reviews

5
4
3
2
1
River Valley Care Center Nursing Home in Live Oak, CA — Street View
Street View

Watch River Valley Care Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

This facility has a history of excellent, compassionate care and a very clean environment. However, you should exercise extreme caution and ask specifically about how they manage staffing levels on weekends and their protocols for preventing infections, as recent reviews have raised serious concerns about neglect and hygiene.

Google Reviews

Google Reviews

50 reviews on Google
Families often praise the facility for its compassionate, professional nursing staff and the cleanliness of the building. However, recent reviews have raised serious alarms regarding medical neglect, hygiene issues, and inconsistent care quality during weekend shifts.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean8.0ActivitiesN/AMeds3.0MemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Clean and well-maintained environment
  • Friendly and welcoming front office and administration
  • Effective post-operative rehabilitation care

Concerns

  • Inconsistent care and slow response times on weekends (mentioned by 2 reviewers)
  • Serious allegations of medical neglect and hygiene hazards
  • Understaffing leading to heavy workloads (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(1)'22(5)'24(2)'26(5)

Distribution · 46 analyzed

5
35
4
4
3
1
2
0
1
6

How They Respond to Reviews

10%response rate
Good

The owner provides personalized responses that address the specific context of the review, such as clarifying location errors or offering direct contact information for grievances. They use a professional tone to acknowledge both praise and criticism.

Questions for Your Tour

  • 1We've heard wonderful things about how professional and welcoming your front office and nursing staff are; how does that team approach communicating with families?
  • 2Since we are looking for consistent care, how does the level of attention and response time change during the weekends or overnight shifts?
  • 3Can you walk us through your specific protocols for medication management to ensure everything is handled accurately and on schedule?
  • 4What steps are being taken to address the recent state inspection findings and ensure the facility maintains the highest hygiene and safety standards?
  • 5How do you manage staffing levels during busy periods to ensure that the nurses can focus on individual resident needs without feeling overwhelmed?
  • 6What kind of daily activities or social programs do you have in place to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

My mother is resident and every time we come in the facility is clean, and most staff are friendly and greets us. Especially the front office woman. My mother is always clean, hair brush, and clothes changed.

Long-term resident's family · 2024★★★★★

The facility is much nicer than any other that I have seen. Nice people to boot. Brenda is happy, that is what we needed for her.

Resident's family · 2021★★★★★

The weekend service is not good. The aid n the nurse didn't seem to with it. They allowed me to wait n wait for them to respond to my call light, they want me to shut it off even though the service I needed was not done.

Resident · 2021★★★☆☆
Source: 50 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
4.07hrs
99%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
33%
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
5/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Similar to Avg

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
19.4%
CA
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
CA
7.0%

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 Facility5.0%
Better than Avg
Here
5.0%
US
14.4%
CA
10.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.3%
CA
10.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
19.5%
CA
13.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
CA
93.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
81.8%
CA
94.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
CA
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
Near state avg (15.4)
16 complaint-triggered

River Valley Care Center has significant ongoing issues across multiple areas, with families filing 16 complaint-triggered deficiencies. Recurring problems include care planning and assessment failures, medication management errors, food service and nutrition issues, and fire safety violations. While most deficiencies show correction dates, the persistence of similar issues across recent surveys (through June 2025) suggests systemic challenges that may impact resident care quality and safety.

Nov 6, 2025Complaint
1
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Jun 20, 2025Routine
19
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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Apr 17, 2025Complaint
4
0841Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 13, 2025Complaint
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Jan 6, 2025Complaint
4
0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Oct 10, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Valley Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

280 facilities nationwide

Chain avg rating: 2.9/5 · Rank 144 of 260

Ownership & Management

Key personnel

Vemulapalli, ShailajaContracted Managing EmployeeAndrus, RomanW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call