River Valley Care Center
9000 Larkin Road, Live Oak, CA, 95953
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Pacs Group
- Certified beds
- 99 · avg 95 residents/day
- Total nursing staff turnover
- 31.3% — lower than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 555535
- Certified beds
- 99 beds · avg 95 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Flax Holdings, Llc
- Chain affiliation
- Pacs Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Pacs Group chain — 279 facilities across 16 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (10 on record)
- Jason h Murray
5% or Greater Indirect Ownership Interest · 42% · since 2024
- Mark d Hancock
5% or Greater Indirect Ownership Interest · 42% · since 2024
- Frederick g Apt
Corporate Officer · since 2024
- John t Mitchell
Corporate Officer · since 2024
- Joshua o Jergensen
Corporate Officer · since 2024
- Pacs Group, Inc.Holding
5% or Greater Indirect Ownership Interest · 100% · since 2023
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 53)
- D0697·Nov 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- E0919·Jun 20, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Jun 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jun 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0805·Jun 20, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0802·Jun 20, 2025
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E0761·Jun 20, 2025
Pharmacy Service Deficiencies
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.
- E0759·Jun 20, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Fire-safety citations
22 Life-Safety-Code citations on file. Most recent: Jun 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about River Valley Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.