Complaint Investigation

River City Post Acute

April 29, 2026 · Carmichael, CA · 2540 Carmichael Way

Citations 1

CMS Rating 1/5

Beds 178

Provider ID 055402

Healthcare Facility

River City Post Acute

Carmichael, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

River City Post Acute in Carmichael, CA — inspection on April 29, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies

punishment, and neglect by anybody.

interview and record review, the facility failed to protect the resident's right to be free from physical

Resident 1 in the face and head.This failure caused Resident 1 to have a small laceration to the corner of his eye and a bruise on the back of his head.Findings:Resident 1 was admitted to the facility in early 2026 with diagnoses which included muscle weakness and difficulty with mobility.During a review of Resident 1's Minimum Data Set (MDS, an assessment tool) dated 4/5/26, the MDS showed a Brief Interview for Mental Status (BIMS, a cognitive screening tool) score of 15/15 which indicated no cognitive impairment.Resident 2 was admitted to the facility in early 2026 with diagnoses which included bone infection of the right foot and anxiety disorder.During a review of Resident 2's MDS, dated [DATE], the MDS showed a BIMS score of 14/15 which indicated no cognitive impairment.During a review of Resident 1's progress note (PN) dated 4/8/26 at 9:49 p.m., the PN indicated, [Resident 1] was noted to have been struck to the face and back of head.Noted smallskin (sic) tear [laceration] on the outer corner of right eye and a small hematoma (bruise) on the back of the head. He c/o [complained of] mild tenderness on the back of his head.During a review of Resident 2's PN dated 4/9/26 at 9:40 p.m., the PN indicated, [Resident 2] got into an argument with [Resident 1]. [Resident 2] attacked [Resident 1] by throwing punches.[Resident 1] was on the seat as he was being hit by [Resident 2] who was standing.

During an interview on 4/29/26 at 1:09 p.m. with Licensed Nurse (LN 1), LN 1 stated he was working at the nurse's station when he heard another staff member yell for help.

When he arrived to help, he observed a fight between Resident 1 and Resident 2. LN 1stated Resident 1 was sitting in a chair attempting to block punches from Resident 2.

LN 1 stated Resident 2 was throwing punches at Resident 1 and there were a few punches that hit [Resident 1].

During an interview on 4/29/26 at 2:24 p.m. with the Director of Nursing (DON), the DON confirmed the incident occurred between Resident 1 and Resident 2 and stated her expectations were for residents to be free from any abuse.During a review of the facility policy and procedure (P&P) titled, Abuse Prohibition Policy and Procedures, dated 2/21, the P&P indicated, .prohibit abuse, mistreatment, neglect, misappropriation of resident property, and exploitation for all residents.Abuse is defined as the willful infliction of injury.Physical Abuse includes hitting, slapping, pinching, kicking, etc.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Carmichael, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from River City Post Acute or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.