Riverbank Post-Acute

Nursing Home · Riverbank, CA

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number055084

Contact & location

2649 Topeka Street
Riverbank, CA 95367
Stanislaus County
Phone
(209) 869-2568
ZIP code
95367 – all care providers

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Facility details

Certified beds
99
Residents per day
95.5 (96% occupied)
Ownership
For profit - Limited Liability company
Legal name
Queen River Holdings LLC
Chain
Links Healthcare Group (32 facilities, avg 2.9★)
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.3
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.80 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.25 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.16 (state 1.20 · U.S. 0.86)
Nurse aides
2.39 (state 2.65 · U.S. 2.32)
Weekend total
3.55 (state 4.09 · U.S. 3.42)
Nursing staff turnover
54.0 (state 36.7 · U.S. 45.8)%
RN turnover
70.6 (state 38.1 · U.S. 42.9)%

Inspections

Last standard inspection
March 15, 2025
Health deficiencies (last cycle)
18.0 (state 15.7 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
45 health · 35 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-23
2026-04-13 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-23
2026-04-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-23
2026-03-23 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-03-27
2026-03-23 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-27
2026-03-23 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-27
2026-03-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-27
2025-11-25 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-11-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-08
2025-09-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-26
2025-09-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-26
2025-09-10 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-26
2025-03-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-04-01
2025-03-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2025-03-15 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2025-03-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2025-03-15 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2025-03-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2024-07-16 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-07-16 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-07-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-06-21 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-09
2024-06-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-05
2024-06-05 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-05
2024-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-03-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-03-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-01-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-02-14
2023-11-29 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-27
2023-09-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
F0920 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-20
2023-09-22 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2023-10-20
2019-09-11 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2019-11-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $73,295 in fines.

DateTypeAmount
2025-03-15Payment Denial7 days payment denial
2025-03-15Fine$29,322
2024-01-17Fine$43,973

Ownership & management

NameRoleSince
Forbright Bank (organization)5%+ Security Interest · NOT APPLICABLE
Beardsley, Mary (individual)Administrator · NOT APPLICABLE
Bernholz, Victoria (individual)Administrator · NOT APPLICABLE
Carter, Melissa (individual)Administrator · NOT APPLICABLE
Dahl, Matthew (individual)Administrator · NOT APPLICABLE
Frojelin, Antonette (individual)Administrator · NOT APPLICABLE
Links Healthcare Group LLC (organization)Administrator · NOT APPLICABLE
Links Support Services, LLC (organization)Administrator · NOT APPLICABLE
Mallare, Leilani (individual)Administrator · NOT APPLICABLE
Rodriguez, Curtis (individual)Administrator · NOT APPLICABLE
Tilford, Toby (individual)Administrator · NOT APPLICABLE
Verma, Atul (individual)Administrator · NOT APPLICABLE
Rodriguez, Curtis (individual)Corporate Officer · NOT APPLICABLE
Tilford, Toby (individual)Corporate Officer · NOT APPLICABLE
Beardsley, Mary (individual)Operational/managerial Control · NOT APPLICABLE
Bernholz, Victoria (individual)Operational/managerial Control · NOT APPLICABLE
Carter, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Dahl, Matthew (individual)Operational/managerial Control · NOT APPLICABLE
Frojelin, Antonette (individual)Operational/managerial Control · NOT APPLICABLE
Links Healthcare Group LLC (organization)Operational/managerial Control · NOT APPLICABLE
Links Support Services, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Mallare, Leilani (individual)Operational/managerial Control · NOT APPLICABLE
Rodriguez, Curtis (individual)Operational/managerial Control · NOT APPLICABLE
Tilford, Toby (individual)Operational/managerial Control · NOT APPLICABLE
Verma, Atul (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Riverbank Post-Acute?

Riverbank Post-Acute has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Riverbank Post-Acute have?

It has 99 certified beds and cares for about 96 residents per day.

Has Riverbank Post-Acute been fined?

Yes. CMS lists 3 penalties totaling $73,295 in the last three years.

Who owns Riverbank Post-Acute?

It is part of Links Healthcare Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Riverbank Post-Acute?

(209) 869-2568. The facility is located at 2649 Topeka Street, Riverbank, CA 95367.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.