River Bend Nursing Center
River Bend Nursing Center in West Sacramento, CA — inspection on August 15, 2025.
Found 7 citations. 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
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Federal health inspectors cited RIVER BEND NURSING CENTER in WEST SACRAMENTO, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-15.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 7 deficiencies cited during this inspection of RIVER BEND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
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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.