River Bend Nursing Center

Nursing Home · West Sacramento, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number055887

Contact & location

2215 Oakmont Way
West Sacramento, CA 95691
Yolo County
Phone
(916) 371-1890
ZIP code
95691 – all care providers

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Facility details

Certified beds
99
Residents per day
89.9 (91% occupied)
Ownership
For profit - Limited Liability company
Legal name
River Bend Holdings, LLC
Chain
Bvhc, LLC (12 facilities, avg 3.3★)
Medicare certified since
February 8, 1968
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

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

Total nurse staffing
4.90 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
1.02 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.51 (state 1.20 · U.S. 0.86)
Nurse aides
2.37 (state 2.65 · U.S. 2.32)
Weekend total
4.66 (state 4.09 · U.S. 3.42)
Nursing staff turnover
43.4 (state 36.7 · U.S. 45.8)%
RN turnover
36.8 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 15, 2025
Health deficiencies (last cycle)
11.0 (state 15.7 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
47 health · 26 fire safety · includes actual harm
DateCitationSeverityStatus
2026-03-30 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 2026-04-10
2026-02-25 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-26
2025-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-12
2025-08-21 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-12
2025-08-15 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
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-10
2025-08-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-10
2025-08-15 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-10
2025-08-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-10
2025-08-15 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-10
2025-08-15 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 2025-09-10
2025-08-15 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 2025-09-10
2024-12-24 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 2025-01-23
2024-10-30 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-12
2024-10-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-12
2024-09-17 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-22 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 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 2024-09-18
2024-08-22 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 2024-09-18
2024-08-22 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 2024-09-18
2024-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 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 2024-09-18
2024-08-22 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 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 2024-09-18
2024-08-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2024-08-22 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-18
2023-12-14 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-01-05
2023-10-03 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-10
2021-07-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2021-09-03
2021-07-30 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 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 2021-09-03
2021-07-30 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 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 2021-09-03
2021-07-30 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-09-03
2021-07-30 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 2021-09-03

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

2 penalties in the last three years, including $21,879 in fines.

DateTypeAmount
2023-12-14Payment Denial2 days payment denial
2023-12-14Fine$21,879

Ownership & management

NameRoleSince
Brazier, Suzanne (individual)Administrator · NOT APPLICABLE
Calabazaron, Redentor (individual)Administrator · NOT APPLICABLE
Chinthakindi, Ravi (individual)Administrator · NOT APPLICABLE
Mays, Darlene (individual)Administrator · NOT APPLICABLE
Thapa, Nischal (individual)Administrator · NOT APPLICABLE
Van Wagenen, Sean (individual)Administrator · NOT APPLICABLE
Brazier, Suzanne (individual)Operational/managerial Control · NOT APPLICABLE
Calabazaron, Redentor (individual)Operational/managerial Control · NOT APPLICABLE
Chinthakindi, Ravi (individual)Operational/managerial Control · NOT APPLICABLE
Mays, Darlene (individual)Operational/managerial Control · NOT APPLICABLE
Thapa, Nischal (individual)Operational/managerial Control · NOT APPLICABLE
Van Wagenen, Sean (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of River Bend Nursing Center?

River Bend Nursing Center has a 3-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 River Bend Nursing Center have?

It has 99 certified beds and cares for about 90 residents per day.

Has River Bend Nursing Center been fined?

Yes. CMS lists 2 penalties totaling $21,879 in the last three years.

Who owns River Bend Nursing Center?

It is part of Bvhc, LLC 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 River Bend Nursing Center?

(916) 371-1890. The facility is located at 2215 Oakmont Way, West Sacramento, CA 95691.

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