Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

RIVER VIEW POST ACUTE

MODESTO, CA · 99 certified beds · Last Life Safety survey December 19, 2025

CMS Certification Number 055011 · first certified June 1969

Ownership

Operated by KALESTA HEALTHCARE GROUP · For profit - Limited Liability company

  • Ownership changed April 18, 2022 (change of ownership)from SKY PARK HEALTH CARE INC.
32
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
13
Inspection & testing records
Of the citations on file

Position within CA

32 citations — more than 88% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was December 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

9 of the 32 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

12 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 32 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility32CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility32
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
132023-0792024-08102025-12
Citations at each Life Safety survey
Survey dateCitations
July 13, 202313
August 16, 20249
December 19, 202510

Most-cited tags

Most-cited tags at this facility
K-09183K-03633K-03533K-01612E-00302K-09192K-09202K-03552
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-12-19
K-0363Install corridor and hallway doors that block smoke.32025-12-19
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-12-19
K-0161Use approved construction type or materials.22025-12-19
E-0030List the names and contact information of those in the facility.22025-12-19
K-0919Meet requirements for the use of electrical equipment.22025-12-19
K-0920Ensure proper usage of power strips and extension cords.22025-12-19
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22025-12-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Emergency Preparedness Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Construction Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Emergency Preparedness Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies9
Construction Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 19, 2025 — 10 citations

Citations issued on December 19, 2025
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (January 23, 2026)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (January 23, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 30, 2026)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 30, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 23, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (January 23, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 11, 2026)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (January 23, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 23, 2026)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (January 23, 2026)

August 16, 2024 — 9 citations

Citations issued on August 16, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (September 9, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (September 9, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (September 9, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (September 9, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (September 9, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 9, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 9, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 9, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 9, 2024)

July 13, 2023 — 13 citations

Citations issued on July 13, 2023
TagWhat the surveyor checksStatus
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (September 5, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (September 5, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 5, 2023)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 5, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (September 5, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 5, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 5, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 5, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 5, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 5, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (September 5, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 5, 2023)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (September 5, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.