American River Center
3900 Garfield Avenue · Carmichael, CA · 95608 · 9164816455
99 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D April 10, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 10, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E April 10, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · E April 10, 2026
Ensure that residents are free from significant medication errors.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · E April 10, 2026
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 April 27, 2026 · Pharmacy Service
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Potential for harm · F April 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2026 · Nutrition and Dietary
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Potential for harm · D January 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · E January 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · E January 10, 2025
Provide and implement an infection prevention and control program.
Corrected January 17, 2025 · Infection Control
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Potential for harm · D August 1, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 2, 2024 · Resident Rights
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Potential for harm · D June 14, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected June 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 19, 2024 · Resident Rights
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Potential for harm · E May 16, 2024 · found via 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 September 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 6, 2024 · Resident Rights
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Potential for harm · E March 22, 2024
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 April 19, 2024 · Nutrition and Dietary
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Potential for harm · F March 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 19, 2024 · Nutrition and Dietary
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Potential for harm · D March 22, 2024
Provide and implement an infection prevention and control program.
Corrected April 19, 2024 · Infection Control
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Potential for harm · E March 22, 2024
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 April 19, 2024 · Infection Control
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Potential for harm · D January 23, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 30, 2024 · Resident Rights
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Potential for harm · D January 23, 2024 · found via complaint
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 January 30, 2024 · Pharmacy Service
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555450 · certified since March 13, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.