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Data / Nursing homes / California / River Valley Care Center

River Valley Care Center, Live Oak, CA: 3 star rating, no fines

River Valley Care Center in Live Oak, CA is run by Flax Holdings, LLC, with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 36 health citations from inspections in that time, the latest survey on November 6, 2025, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in California
Address
9000 Larkin Road, Live Oak, CA 95953
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
99
Residents per day
89 on average
Ownership type
For profit, limited liability company
Legal business name
Flax Holdings, LLC
Chain
Pacs Group, 277 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
36, of which 0 with actual harm or immediate jeopardy
Latest survey
November 6, 2025
CMS Certification Number
555535
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
November 6, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
June 20, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 20, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
April 17, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 17, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 17, 2025F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
February 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 27, 2025data.cms.gov
January 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2025data.cms.gov
January 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2025data.cms.gov
January 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2025data.cms.gov
January 6, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2025data.cms.gov
October 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 5, 2024data.cms.gov
October 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 5, 2024data.cms.gov
July 11, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
July 11, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
July 11, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
July 11, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
July 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
July 11, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
March 27, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2024data.cms.gov
January 2, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2024data.cms.gov
January 2, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2024data.cms.gov
October 11, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (2 managers, 4 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.