Home›Browse›California›Live Oak›River Valley Care Center

Nursing homeFAID #13667

River Valley Care Center

9000 LARKIN ROAD, LIVE OAK, CA, 95953

(530) 695-8020

99 licensed beds

CMS rates River Valley Care Center 3 out of 5 overall. Federal inspectors issued 75 citations across 14 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

9000 Larkin Road

Live Oak, CA 95953

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Public record summary

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Bed capacity

CMS facility ID

555535

Care type

Nursing home

County

Sutter

Facility name

River Valley Care Center

Street address

9000 LARKIN ROAD

City / state / ZIP

Live Oak, CA 95953

Phone

(530) 695-8020

About this facility — River Valley Care Center

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

It is one of 1 senior care facility in Live Oak 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 Pacs Group, a group of 277 facilities on this site.

Federal inspectors have cited River Valley Care Center 75 times across 14 inspections in the last three years, including 8 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

Pacs Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Andrus, Roman

Managing employee — since 2022

Apt, Frederick

Officer — since 2024

Hancock, Mark

Officer — since 2024

Jergensen, Joshua

Officer — since 2024

Mitchell, John

Officer — since 2024

Vemulapalli, Shailaja

Managing employee — since 2022

Regulatory standing

Federal court records

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

Licensed / certified since

1993-01-20

CMS overall rating

3 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-06-20

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$562 per day (≈ $17,080/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

25% Medicaid · 16% Medicare · 59% private/other

Occupancy

93% (fiscal year 2023)

Vs. state median

9% above 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 8 food-safety citations on its three-year record — flagged below among the inspections.

2025-11-06Health inspectionComplaint-triggered1 citation

F-0697

D · No harm foundFrom a complaint

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

Corrected 2025-12-02

2025-06-20Health inspection14 citations

F-0584

E · No harm found

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.

Corrected 2025-07-10

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-07-10

F-0655

D · No harm found

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

Corrected 2025-07-10

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 2025-07-10

F-0677

D · No harm found

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

Corrected 2025-07-10

F-0684

D · No harm found

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

Corrected 2025-07-10

F-0689

D · No harm found

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

Corrected 2025-07-10

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-10

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 2025-07-10

F-0802

D · No harm foundFood safety

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

Corrected 2025-07-10

F-0805

E · No harm foundFood safety

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

Corrected 2025-07-10

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 2025-07-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

F-0919

E · No harm found

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

Corrected 2025-07-10

12 earlier / fire-safety inspections (60 citations)

2025-04-17Health inspectionComplaint-triggered4 citations

F-0658

E · No harm foundFrom a complaint

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

Corrected 2025-05-01

F-0841

F · No harm foundFrom a complaint

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

Corrected 2025-05-01

F-0865

F · No harm foundFrom a complaint

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

Corrected 2025-05-01

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

2025-02-13Health inspectionComplaint-triggered1 citation

F-0689

E · No harm foundFrom a complaint

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

Corrected 2025-02-27

2025-01-06Health inspectionComplaint-triggered4 citations

F-0557

D · No harm foundFrom a complaint

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

Corrected 2025-01-27

F-0656

D · No harm foundFrom a complaint

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

Corrected 2025-01-27

F-0684

D · No harm foundFrom a complaint

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

Corrected 2025-01-27

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-01-27

2024-10-10Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2024-11-05

F-0745

D · No harm foundFrom a complaint

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

Corrected 2024-11-05

2024-07-11Health inspection6 citations

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-02

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 2024-08-02

F-0745

D · No harm found

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

Corrected 2024-08-02

F-0758

D · No harm found

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.

Corrected 2024-08-02

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-02

2024-03-27Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

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

Corrected 2024-03-28

2024-01-02Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2024-01-16

F-0658

D · No harm foundFrom a complaint

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

Corrected 2024-01-16

2023-10-11Health inspectionComplaint-triggered1 citation

F-0804

D · No harm foundFood safetyFrom a complaint

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-10-30

2021-12-07Health inspection17 citations

F-0550

D · No harm found

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

Corrected 2022-03-17

F-0584

D · No harm found

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.

Corrected 2022-03-17

F-0609

D · No harm found

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

Corrected 2022-03-17

F-0684

D · No harm found

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

Corrected 2022-03-17

F-0689

D · No harm found

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

Corrected 2022-03-17

F-0692

G · Actual harm

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-03-17

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-03-17

F-0758

E · No harm found

Corrected 2022-03-17

F-0761

E · No harm found

Corrected 2022-04-08

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2022-03-17

F-0803

D · 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 2022-03-17

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-03-17

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2022-03-17

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 2022-03-17

F-0867

E · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-03-17

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-03-17

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2022-03-17

2025-06-20Fire-safety inspection5 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-06-27

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-28

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-07-01

K-0918

F · No harm found

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

Corrected 2025-06-27

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-07-01

2024-07-11Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-08-09

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2024-08-09

K-0222

D · No harm found

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.

Corrected 2024-08-09

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-08-09

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-09

K-0355

E · No harm found

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

Corrected 2024-08-09

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-08-09

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-09

K-0918

F · No harm found

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

Corrected 2024-08-09

2021-12-07Fire-safety inspection8 citations

E-0006

D · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2021-12-23

E-0037

D · No harm found

Establish staff and initial training requirements.

Corrected 2021-12-23

E-0041

D · No harm found

Implement emergency and standby power systems.

Corrected 2021-12-23

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-12-23

K-0271

D · No harm found

Have exits that are accessible at all times.

Corrected 2021-12-23

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-23

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2021-12-23

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-23

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 555535.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 64% 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

4.2

Higher than 40% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

38%

Higher than 56% 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 13 and worse on 2. 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	5.0%	10.2%	13.5%	Better than state
Lose too much weight	3.1%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.2%	0.7%	0.7%	Worse than state
With a urinary tract infection	0.7%	1.2%	1.5%	Better than state
Have depressive symptoms	2.6%	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	1.4%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	8.9%	8.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	23.5%	13.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	0.9%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	7.4%	9.8%	18.3%	Better than state
Received an antipsychotic medication	12.0%	12.3%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.15	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.42	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.1%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.7%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	95.7%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	18.6%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	6.2%	11.1%	11.8%	Better 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-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.

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

Orchard Hospital, about 7.4 miles.
Adventist Health and Rideout, about 9.2 miles. CMS rating 2 of 5.
Oroville Hospital, about 18 miles. CMS rating 1 of 5.

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

Nearby facilities with inspection records

Gridley Post Acute, Gridley, about 7.4 miles. CMS rating 4 of 5.
Bridgeview Post Acute, Yuba City, about 7.7 miles. CMS rating 2 of 5.
The Courtyard, Yuba City, about 7.8 miles. 14 state visits on record.
The Fountains, Yuba City, about 7.8 miles. CMS rating 5 of 5.
Willow Glen Care Center, Yuba City, about 7.9 miles. 8 state visits on record.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 75 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