Feather River Care Center

1 Gilmore Lane · Oroville, CA · 95966 · 5305341353

50 certified beds For profit - Limited Liability company Chain: Ajc Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 28
Serious harm & abuse 20% 74
Staffing 20% 69
Federal penalties 15% 46
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day3.76≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $59,794

Inspection citations (84 in the current record)

  • Potential for harm · E January 29, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 13, 2026 · Infection Control

  • Potential for harm · D January 28, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 28, 2026 · found via complaint

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

    Corrected February 12, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 13, 2026 · found via complaint

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

    Corrected February 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 13, 2026 · found via complaint

    Have policies on smoking.

    Corrected February 2, 2026 · Environmental

  • Potential for harm · D November 25, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 9, 2025 · found via complaint

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected September 15, 2025 · Administration

  • Potential for harm · E August 5, 2025 · found via complaint

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

    Corrected August 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2025 · found via complaint

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected August 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 26, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 15, 2025 · Resident Rights

  • Potential for harm · E June 26, 2025 · found via complaint

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

    Corrected July 9, 2025 · Quality of Life and Care

  • Potential for harm · E June 26, 2025 · found via complaint

    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.

    Corrected July 9, 2025 · Nursing and Physician Services

  • Potential for harm · D June 6, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 6, 2025 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected June 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2025 · found via complaint

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

    Corrected June 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected June 26, 2025 · Quality of Life and Care

  • Potential for harm · D June 4, 2025 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected June 17, 2025 · Resident Rights

  • Potential for harm · D April 23, 2025 · found via complaint

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

    Corrected May 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2025

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

    Corrected March 31, 2025 · Resident Rights

  • Potential for harm · D March 21, 2025

    Provide appropriate foot care.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

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

    Corrected March 31, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

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

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

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

    Corrected March 21, 2025 · Nutrition and Dietary

  • Potential for harm · F March 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 8, 2025 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 10, 2024Fine$59,794
January 10, 2024Payment Denial23 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055612 · certified since May 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.