Public Record
River Bend Nursing Center
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 99
- Avg. residents per day
- 89.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 81
- Inspections on file
- 18
- Last inspection
- 2026-03-30
*CMS
*CMS
*CMS
Citations
81 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0346Generalno actual harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0342Generalpotential for harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0293Generalpotential for harm
Have properly located and lighted "Exit" signs.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0354Generalno actual harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 0353Generalno actual harm
Inspect, test, and maintain automatic sprinkler systems.
- 0015Generalno actual harm
Address subsistence needs for staff and patients.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0711Generalpotential for harm
Provide a written emergency evacuation plan.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0039Generalno actual harm
Conduct testing and exercise requirements.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0023Generalpotential for harm
Establish policies and procedures for medical documentation.
- 0015Generalno actual harm
Address subsistence needs for staff and patients.
- 0920Generalpotential for harm
Ensure proper usage of power strips and extension cords.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0700Generalpotential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0802Generalpotential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- 0803Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0810Generalpotential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0712Generalno actual harm
Have simulated fire drills held at unexpected times.
- 0324Generalno actual harm
Provide properly protected cooking facilities.
- 0678Seriousactual harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0553Generalpotential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- 0620Generalpotential for harm
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0041Generalno actual harm
Implement emergency and standby power systems.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0688Generalpotential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0919Generalpotential for harm
Meet requirements for the use of electrical equipment.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- Inspection1 deficiency
F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure the needs of…
Read full statement of deficiencies - Inspection2 deficiencies
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to ensure physician orders and consistent monitoring were followed in accordance…
Read full statement of deficiencies - View inspection reportInspection17 deficiencies
- Inspection17 deficiencies
F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed…
Read full statement of deficiencies - Inspection1 deficiency
F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to protect residents from acquiring scabies (contagious skin infestation caused by mites), when…
Read full statement of deficiencies - Inspection1 deficiency
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Based on interview and record review, the facility failed to…
Read full statement of deficiencies - Inspection1 deficiency
F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to provide care according to professional standards of practice for…
Read full statement of deficiencies - Inspection1 deficiency
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Based on observation, interview, and record review, the facility failed to…
Read full statement of deficiencies - Inspection29 deficiencies
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies
Showing the 10 most recent inspections. 8 earlier inspections are also on record.
FAQ
Questions and answers
- What is River Bend Nursing Center?
- River Bend Nursing Center is a Medicare- and Medicaid-certified nursing home in West Sacramento, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 055887.
- What is the CMS rating for River Bend Nursing Center?
- River Bend Nursing Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does River Bend Nursing Center have?
- River Bend Nursing Center is certified for 99 beds. It serves an average of 89.6 residents per day.
- How many citations does River Bend Nursing Center have?
- River Bend Nursing Center has 81 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was River Bend Nursing Center last inspected?
- River Bend Nursing Center was last inspected on March 30, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/055887-river-bend-nursing-center