River Valley Care Center: Staffing, Turnover, and Inspection Record
River Valley Care Center is a 99-bed for-profit nursing home in Live Oak, California, part of Pacs Group. In the CMS August 2026 release it reported 2.54 nurse aide hours per resident per day, 4% below the California average of 2.65, and 32.3% nursing staff turnover (California average 36.7%).
River Valley Care Center
9000 Larkin RoadLive Oak, CA 95953
Sutter County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River Valley Care Center, nurse aides logged 2.54 hours per resident per day, 4% below the California average. With about 96 residents a day, that works out to roughly 243 aide hours a day, or about 30 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.54 | 2.65 | 2.32 |
| Licensed practical nurses | 0.71 | 1.20 | 0.86 |
| Registered nurses | 0.79 | 0.67 | 0.69 |
| All nursing staff | 4.04 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.77 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.3% of nursing staff at River Valley Care Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Valley Care Center holds 3 of 5 overall; the California average is 3.2.
About River Valley Care Center
- Ownership: For profit - Limited Liability company
- Chain: Pacs Group, 274 homes
- Legal name: Flax Holdings, LLC
- Medicare and Medicaid certified since: Jan 20, 1993
- Councils: resident council
- Area: urban
Nursing homes near River Valley Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Gridley Post Acute Gridley | 7.4 | 82 | 2.84 | 4.36 | 39.3% | 4 | None |
| Bridgeview Post Acute Yuba City · abuse citation | 7.7 | 130 | 2.71 | 4.05 | 40.7% | 2 | $68,146 |
| The Fountains Yuba City | 7.8 | 145 | 2.61 | 3.96 | 15.0% | 5 | None |
| Yuba City Post Acute Yuba City | 8.2 | 59 | 2.76 | 4.22 | 28.6% | 5 | None |
| Marysville Post-Acute Marysville | 8.6 | 86 | 2.38 | 3.90 | 35.2% | 5 | None |
| Country Crest Post-Acute Oroville | 17.9 | 59 | 2.95 | 4.70 | 53.7% | 4 | None |
| Oroville Hospital Post-Acute Center Oroville | 18.2 | 126 | 3.37 | 5.44 | — | 1 | $45,500 |
| Feather River Care Center Oroville · abuse citation | 18.2 | 50 | 2.64 | 4.18 | 58.2% | 1 | $59,794 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.