HomeCaliforniaSacramento CountyRiver City Post Acute
C
Below Standard

River City Post Acute

2540 CARMICHAEL WAY · CARMICHAEL, CA 95608

9164820465 · For profit - Corporation

178 beds172.2 residents230 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

River City Post Acute receives an overall staffing grade of C (Below Standard). With 3.5945 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5272 HPRD, below the recommended 0.75. It is 0.30 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.42% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5272 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (4)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5945hrs/resident/day 0.30
CMS benchmark: 3.48
RN HPRD
0.5272hrs/resident/day 0.16
Recommended: 0.75
Weekend Drop-off
12.42%
3.7252 weekday → 3.2627 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2785hrs/resident/day
Direct care aides
LPN HPRD
0.7888hrs/resident/day
Licensed practical nurses
Consistency
0.2906std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sacramento County Average-0.80 HPRD
4.40
03.59 HPRD
vs. California State Average-0.93 HPRD
4.52
03.59 HPRD
vs. National Average-0.30 HPRD
3.90
03.59 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
River City Post Acute
CARMICHAEL · This facility
C
3.59450.5272☆☆☆☆
SHERWOOD HEALTHCARE CENTER
SACRAMENTO
6.3 mi
D
4.09720.2937★★★★★
SAYLOR LANE HEALTHCARE CENTER
SACRAMENTO
7.6 mi
D
4.25460.3891★★★☆☆
MID-TOWN OAKS POST-ACUTE
SACRAMENTO
8 mi
B
4.16820.5827★★★★
OAK RIDGE HEALTHCARE CENTER
ROSEVILLE
9.7 mi
B
4.06680.6398★★★★★
FOLSOM CARE CENTER
FOLSOM
9.9 mi
A
4.76710.9217★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

45
Inspections
82
Total Deficiencies
$0
Fines Assessed
Dec 2, 2025Health
1 deficiency cited
Nov 20, 2025Health
2 deficiencies cited
Aug 7, 2025Health
2 deficiencies cited
Aug 1, 2025Health
1 deficiency cited
Jul 29, 2025Health
3 deficiencies cited
Jul 24, 2025Health
2 deficiencies cited
Jul 1, 2025Health
1 deficiency cited
Jun 25, 2025Health
1 deficiency cited
Jun 11, 2025Health
2 deficiencies cited
Jun 6, 2025Health
1 deficiency cited
Jun 3, 2025Health
1 deficiency cited
May 6, 2025Health
1 deficiency cited
Apr 25, 2025Health
1 deficiency cited
Apr 16, 2025Health
1 deficiency cited
Apr 15, 2025Health
2 deficiencies cited
Apr 3, 2025Health
1 deficiency cited
Apr 2, 2025Health
2 deficiencies cited
Feb 20, 2025Health
1 deficiency cited
Nov 21, 2024Health
7 deficiencies cited
Oct 7, 2024Health
1 deficiency cited
Sep 24, 2024Health
2 deficiencies cited
Aug 20, 2024Health
3 deficiencies cited
Jul 19, 2024Health
1 deficiency cited
Jul 18, 2024Health
1 deficiency cited
Jul 2, 2024Health
1 deficiency cited
Jun 14, 2024Health
1 deficiency cited
Jun 5, 2024Health
1 deficiency cited
May 9, 2024Health
2 deficiencies cited
Apr 29, 2024Health
1 deficiency cited
Apr 15, 2024Health
2 deficiencies cited
Mar 11, 2024Health
1 deficiency cited
Dec 14, 2023Health
7 deficiencies cited
Nov 7, 2023Health
1 deficiency cited
Oct 20, 2023Health
1 deficiency cited
Oct 4, 2023Health
1 deficiency cited
Sep 18, 2023Health
1 deficiency cited
Aug 9, 2023Health
1 deficiency cited
Aug 1, 2023Health
1 deficiency cited
Jul 10, 2023Health
1 deficiency cited
Jun 5, 2023Health
2 deficiencies cited
May 24, 2023Health
1 deficiency cited
Apr 10, 2023Health
1 deficiency cited
Feb 21, 2023Health
1 deficiency cited
Feb 10, 2023Health
1 deficiency cited
Feb 11, 2022Health
12 deficiencies cited
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.