Total staff
149
Employees
130
Contractors
19
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
American River Center
Nursing Home · Carmichael, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
American River Center
Nursing Home · Carmichael, CA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
American River Center accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 158th out of 346 homes in California. 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.
This home is ranked 158th out of 346 homes in California. 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.
4h 4m per day
Rank #158 / 346Nurse hours — State benchmarkedThis home is ranked 158th out of 346 homes in California. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 346 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs California avg
-3%
Standout metric
Physical Therapist is +40% above state avg
| 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.
| 39m per day | ■ Avg 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.
| 48m per day | ▼ 34% 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 31m per day | ▼ 5% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 45m per day | ▼ 8% 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 | ▲ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 35m per day | ▲ 17% State avg: 30m per day · National avg: 29m per day |
Types of Care at American River Center
Nursing Home
Capacity and availability
This home is often near full
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Occupancy rate
100.3%
Rank #1 / 351Occupancy rate — State benchmarkedThis home is ranked 1st out of 351 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 351. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
125 days
Occupancy rate
100.3%
Rank #1 / 351Occupancy rate — State benchmarkedThis home is ranked 1st out of 351 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 351. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
125 days
Walk Score: 60 / 100 Rank #210 / 359Walk Score — State benchmarkedThis home is ranked 210th out of 359 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.54:1
1535982% better than California average
Avg staff/day
63
Average shift
7.5 hours
0% compared with California average
Total staff hours (quarter)
43,358
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
71
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8.5%
3,706 contractor hours this quarter
Physical Therapy Aide: 7
Physical Therapy Assistant: 3
Qualified Social Worker: 3
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
71 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
73%
7 Physical Therapy Aide
% of Days
88%
4 Dental Services Staff
% of Days
83%
4 Other Dietary Services Staff
% of Days
90%
5 Clinical Nurse Specialist
% of Days
83%
2 Respiratory Therapy Technician
% of Days
87%
5 Qualified Activities Professional
% of Days
97%
3 Physical Therapy Assistant
% of Days
78%
2 Speech Language Pathologist
% of Days
80%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
66%
2 Occupational Therapy Aide
% of Days
61%
3 Qualified Social Worker
% of Days
61%
1 Occupational Therapy Assistant
% of Days
13%
1 Medical Director
% of Days
26%
1 Dietitian
% of Days
1%
Penalties and fines
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.3
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
2.4%
Percent of long-stay residents whose need for help with daily activities has increased
2.4%
78% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.6%
Percent of long-stay residents whose ability to move independently worsened
10.6%
12% better than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
29% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
35% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
28% worse than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
79% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
75% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
2.2%
Percent of long-stay residents who received an antipsychotic medication
2.2%
79% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.05
Number of hospitalizations per 1,000 long-stay resident days.
1.05
53% better than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.73
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.73
9% worse than California averageCalifornia average: 1.59
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
79% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
5% better than California averageCalifornia average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.8%
20% worse than California averageCalifornia average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
43% worse than California averageCalifornia average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
25% better than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
65.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.5%
22% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
51.8%
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.
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
40% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
17% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97
Medicare
17
17.5% of residents
Medicaid
55
56.7% of residents
Private pay or other
25
25.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
Financial Trends
Historical financial and operational data for American River Center based on CMS SNF Cost Reports.
Occupancy Rate
100.3%
↑ 2.8pp vs 2022
Net Income
-$203.3K
↓ ~$418.7K vs 2022
Total Payroll
$9.5M
↑ ~$1.4M vs 2022
Profit Margin
-1.2%
↓ 2.5pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$16.7M
Operating loss
-$203.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$16.7M Rank #172 / 347Revenue — State benchmarkedThis home is ranked 172nd out of 347 homes in California. Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$203.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 347Payroll — State benchmarkedThis home is ranked 137th out of 347 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #137 / 347Payroll — State benchmarkedThis home is ranked 137th out of 347 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.9M
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Social and Recreational Activities
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near American River Center
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.
Calculate Travel Distance to American River Center
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Financial Assistance for
Nursing Home in California
American River Center is located in Carmichael, California.
Here are the financial assistance programs available to residents in California.
Compare Nursing Home around Carmichael
The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| American River Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Carmichael | 99 | 100.3% | +18% | 4.07 | +10% | -3% | $0 | 25 | 2.8 | - | 96 | 60 | - | $16.7M | $9.5M | 56.8% | 555450 | ||||
| Mountain Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Carmichael | 33 | 48.5% | -43% | 5.17 | +43% | +22% | $71.6k | 53 | 6.6 | 1 | 44 | 75 | William Jordan | $15.8M | $9.0M | 56.9% | 555889 |
Frequently Asked Questions about American River Center
Is American River Center in a walkable area?
American River Center has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the occupancy rate at American River Center?
American River Center's occupancy is 100.3%.
What is the best email address for American River Center?
The team at American River Center can be reached at [email protected].
What is the address of American River Center?
American River Center is located at 3900 Garfield Ave, Carmichael, CA 95608.
What is the phone number of American River Center?
(916) 481-6455 will put you in contact with the team at American River Center.
Is American River Center Medicare or Medicaid certified?
Yes — American River Center is a CMS-certified provider of Medicare and Medicaid.
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