Quick answers
- Where is River Valley Care Center?
- 9000 Larkin Road, Live Oak, CA 95953, in Sutter County, California.
- What is the phone number of River Valley Care Center?
- (530) 695-8020, as listed by Medicare (CMS).
- What is the Medicare star rating of River Valley Care Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has River Valley Care Center been fined?
- Medicare lists no fines for River Valley Care Center.
- What did inspectors find at River Valley Care Center?
- In its last three inspection cycles (December 7, 2021 to November 6, 2025), Medicare lists 53 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 7, 2021 to November 6, 2025), River Valley Care Center had 53 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.15 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 20, 2025 — 15 health citations
Inspections in this cycle: June 20, 2025 (standard health inspection); November 6, 2025 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level E
“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.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0802 Level D
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
Previous cycle: July 11, 2024 — 17 health citations
Inspections in this cycle: July 11, 2024 (standard health inspection); October 10, 2024 (complaint investigation); January 6, 2025 (complaint investigation); February 13, 2025 (complaint investigation); April 17, 2025 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0841 Level F
“Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: December 7, 2021 — 21 health citations
Inspections in this cycle: December 7, 2021 (standard health inspection); October 11, 2023 (complaint investigation); January 2, 2024 (complaint investigation); March 27, 2024 (complaint investigation).
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 20 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0758 Level E
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0761 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0867 Level E
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0770 Level D
“Provide timely, quality laboratory services/tests to meet the needs of residents.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0908 Level D
“Keep all essential equipment working safely.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (22)
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0161 Level D
“Use approved construction type or materials.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0161 Level D
“Use approved construction type or materials.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
E0037 Level D
“Establish staff and initial training requirements.”
E0041 Level D
“Implement emergency and standby power systems.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0271 Level D
“Have exits that are accessible at all times.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.91 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.65 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.60 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.15 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.83 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.66 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 37.9% | 36.6% | 45.3% |
| RN turnover (per year) | 18.8% | 37.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Flax Holdings, LLC.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 88.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Flax Holdings, LLC |
| First approved by Medicare/Medicaid | 1993-01-20 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 9000 Larkin Road, Live Oak, CA 95953 |
| County | Sutter County |
| State | California |
| Phone | (530) 695‑8020 |
| CMS Certification Number | 555535 |
| Name in Medicare records | RIVER VALLEY CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Gridley Post Acute7.4 mi · Gridley, CA · 4 of 5 stars
- Bridgeview Post Acute7.7 mi · Yuba City, CA · 2 of 5 stars
- The Fountains7.8 mi · Yuba City, CA · 5 of 5 stars
- Yuba City Post Acute8.2 mi · Yuba City, CA · 5 of 5 stars
- Marysville Post-Acute8.6 mi · Marysville, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Orchard Hospital7.4 mi · Gridley, CA · Critical Access Hospital
- Adventist Health and Rideout9.2 mi · Marysville, CA · Acute Care Hospital
- Oroville Hospital18 mi · Oroville, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13