4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
American River Center is an award-winning nursing home in Carmichael, CA, offering skilled nursing, rehabilitation, and hemodialysis. Promoting a warm and welcoming environment, the community ensures older adults can feel at ease during their stay. 24-hour care, recreational activities, and therapies are also offered to improve residents’ quality of life. The community also strives to meet residents’ needs and preferences through individualized care plans.
Light exercises, social events, and a variety of recreational activities provide residents with more opportunities to explore and have fun. State-of-the-art rehabilitation gym and cozy gathering areas are also dedicated to residents’ wellness and relaxation. Residents also experience a laid-back retirement, as it is peacefully nestled in the serene residential area of Carmichael. This nursing home is a great choice for senior living in California, as it has exceptional services and well-maintained amenities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 160th out of 354 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 41m per day | ▲ 6% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 38% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 32m per day | ▼ 5% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 41m per day | ▼ 10% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 38% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▲ 14% State avg: 30m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 71 CNA Staff are full-time employees. No contractors work on this role.
71
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,706 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 71 | 0 | 71 | 22,660 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 18 | 0 | 18 | 5,182 | 92 | 100% | 8.1 |
| Registered Nurse | 14 | 0 | 14 | 4,582 | 92 | 100% | 7.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,587 | 67 | 73% | 7.7 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,253 | 81 | 88% | 6.8 |
| Dental Services Staff | 4 | 0 | 4 | 1,218 | 76 | 83% | 7.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,137 | 83 | 90% | 7.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,052 | 76 | 83% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 1,032 | 80 | 87% | 8.5 |
| Qualified Activities Professional | 5 | 0 | 5 | 779 | 89 | 97% | 7.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 582 | 72 | 78% | 4.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 580 | 74 | 80% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 446 | 56 | 61% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 171 | 56 | 61% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 50 | 12 | 13% | 4.2 |
| Medical Director | 0 | 1 | 1 | 39 | 24 | 26% | 1.6 |
| Dietitian | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.6
45% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.3
36% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
2.4%
78% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
10.6%
12% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
21% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
29% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
3.2%
35% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.6%
28% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
0.9%
79% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
1.7%
75% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
2.2%
79% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.05
53% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.73
9% worse than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
79% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
5% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.8%
20% worse than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
43% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
25% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.5%
22% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.8%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for American River Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #138 / 355Payroll — State benchmarkedThis home is ranked 138th out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #103 / 355Payroll % — State benchmarkedThis home is ranked 103rd out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Social and Recreational Activities
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Carmichael's city center to American River Center's address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| American River Center | NH HC RC | Carmichael | 99
Facility
99
CA AVG
103
Rank
#725 / 1657 |
100.0%
Facility
100.0%
CA AVG
84.7%
Rank
#1 / 1537 | +18% | 4.07
Facility
4.07
CA AVG
4.22
Rank
#160 / 354 | +6% | -3% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | - | 25
Facility
25
CA AVG
50.2
Rank
#78 / 361 | 2.8
Facility
2.8
CA AVG
4.6
Rank
#50 / 361 | - | 97 | - |
60
Facility
60
CA AVG
57
Rank
#1050 / 2092 | - | $15.9M
Facility
$15.9M
CA AVG
$17.0M
Rank
#174 / 355 | $8.5M
Facility
$8.5M
CA AVG
$7.0M
Rank
#138 / 355 | 53.4%
Facility
53.4%
CA AVG
45.2%
Rank
#103 / 355 | 555450 | ||||
| Mountain Manor | NH AL NC RC | Carmichael | 33
Facility
33
CA AVG
103
Rank
#1252 / 1657 |
48.5%
Facility
48.5%
CA AVG
84.7%
Rank
#1383 / 1537 | -43% | 5.17
Facility
5.17
CA AVG
4.22
Rank
#31 / 354 | +37% | +22% | $38.9k
Facility
$38.9k
CA AVG
$56.5k
Rank
#297 / 362 | 90
Facility
90
CA AVG
81
Rank
#398 / 1401 | 53
Facility
53
CA AVG
50.2
Rank
#241 / 361 | 6.6
Facility
6.6
CA AVG
4.6
Rank
#319 / 361 | 1 | 16 | - |
75
Facility
75
CA AVG
57
Rank
#563 / 2092 | William Jordan | $13.0M
Facility
$13.0M
CA AVG
$17.0M
Rank
#195 / 355 | $9.0M
Facility
$9.0M
CA AVG
$7.0M
Rank
#155 / 355 | 69%
Facility
69%
CA AVG
45.2%
Rank
#102 / 355 | 555889 |
American River Center is located in Carmichael, California.
Here are the financial assistance programs available to residents in California.
American River Center has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
American River Center's occupancy is 100.3%.
The team at American River Center can be reached at [email protected].
American River Center is registered as a for-profit.
Yes — there are 7 photos of American River Center in the photo gallery on this page.
American River Center is located at 3900 Garfield Ave, Carmichael, CA 95608.
(916) 481-6455 will put you in contact with the team at American River Center.
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