Home›Browse›California›Carmichael›American River Center

Nursing homeFAID #13628

American River Center

3900 GARFIELD AVENUE, CARMICHAEL, CA, 95608

(916) 481-6455

99 licensed beds

CMS rates American River Center 4 out of 5 overall. Federal inspectors issued 36 citations across 12 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

3900 Garfield Avenue

Carmichael, CA 95608

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555450

Care type

Nursing home

County

Sacramento

Facility name

American River Center

Street address

3900 GARFIELD AVENUE

City / state / ZIP

Carmichael, CA 95608

Phone

(916) 481-6455

About this facility — American River Center

American River Center is a Medicare/Medicaid-certified skilled nursing facility in Carmichael, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 94 senior care facilities in Carmichael and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Genesis Healthcare, a group of 183 facilities on this site.

Federal inspectors have cited American River Center 36 times across 12 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Genesis Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Shaw, Pamela

Operational control · Additional disclosable party — since 2021

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1991-03-13

CMS overall rating

4 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-04-10

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$454 per day (≈ $13,800/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

64% Medicaid · 16% Medicare · 19% private/other

Occupancy

100% (fiscal year 2023)

Vs. state median

12% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-10Health inspection7 citations

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-04-27

F-0658

E · No harm found

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

Corrected 2026-04-27

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-27

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-27

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-04-27

F-0761

E · No harm found

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.

Corrected 2026-04-27

F-0812

F · No harm foundFood safety

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

Corrected 2026-04-27

2025-01-10Health inspection5 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-17

F-0658

D · No harm found

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

Corrected 2025-01-17

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-01-17

F-0812

E · No harm foundFood safety

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

Corrected 2025-01-17

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-01-17

10 earlier / fire-safety inspections (24 citations)

2024-08-01Health inspectionComplaint-triggered1 citation

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-02

2024-06-14Health inspectionComplaint-triggered1 citation

F-0660

D · No harm foundFrom a complaint

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-06-17

2024-06-11Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-17

2024-05-16Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-19

F-0657

E · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-19

2024-04-18Health inspectionComplaint-triggered1 citation

F-0626

D · No harm foundFrom a complaint

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-05-06

2024-03-22Health inspection4 citations

F-0803

E · No harm foundFood safety

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.

Corrected 2024-04-19

F-0812

F · No harm foundFood safety

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

Corrected 2024-04-19

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-19

F-0887

E · No harm found

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-04-19

2024-01-23Health inspectionComplaint-triggered2 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-30

F-0761

D · No harm foundFrom a complaint

Corrected 2024-01-30

2026-04-10Fire-safety inspection4 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-04-15

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-15

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-04-15

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-04-15

2025-01-10Fire-safety inspection4 citations

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-01-22

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-01-22

K-0918

D · No harm found

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

Corrected 2025-01-22

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-22

2024-03-22Fire-safety inspection4 citations

K-0342

D · No harm found

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

Corrected 2024-04-04

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-04

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-04-04

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-04-04

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555450.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 11% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.9

Higher than 12% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

29%

Higher than 28% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 10 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	5.4%	10.2%	13.5%	Better than state
Lose too much weight	5.7%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.3%	0.7%	0.7%	Worse than state
With a urinary tract infection	0.8%	1.2%	1.5%	Better than state
Have depressive symptoms	0.9%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	4.7%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	10.4%	8.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	4.3%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	2.7%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	5.9%	9.8%	18.3%	Better than state
Received an antipsychotic medication	6.4%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.53	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.09	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.2%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	1.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.4%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	25.5%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	12.8%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0761 2 inspections. 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.
K-0923 2 inspections. Have proper medical gas storage and administration areas.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Heritage Oaks Hospital, about 1.5 miles.
Mercy San Juan Medical Center, about 2.7 miles. CMS rating 3 of 5.
Kaiser Foundation Hospital - Sacramento, about 3.6 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Harjit and Navgeet Rcfe, Carmichael, about 0.3 miles. 3 state visits on record.
Aegis Assisted Living of Carmichael, Carmichael, about 0.4 miles. 13 state visits on record.
Haley, Carmichael, about 0.4 miles. 7 state visits on record.
Blue Oasis Senior Home, Carmichael, about 0.5 miles. 1 state visits on record.
Oltean's Home Care, Carmichael, about 0.5 miles. 7 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered