About American River CenterAmerican River Center is located at 3900 Garfield Avenue, Carmichael, CA, reachable at (916) 481-6455. This For profit – Limited Liability company facility operates 99.0 certified beds and serves an average of 95 residents per day. It is part of the Genesis Healthcare network (193 facilities nationwide). Medicare and Medicaid services have been provided since 1991-03-13. Notably, American River Center has maintained a perfect 5-star overall rating for all five years from 2022 to 2026, placing it among the top-performing facilities in CA.
#3725 of 14703 nationally – #460 of 1162 in California
Who Is This Facility Best For?
American River Center is a strong choice for families in the Carmichael, CA area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightAmerican River Center currently provides 3 hours 58 minutes of total nurse staffing per resident per day, including 39 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 42.0% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 58 minutes
Nurse Aide Hours2 hours 31 minutes
Licensed Practical Nurse (LPN) Hours48 minutes
Registered Nurse (RN) Hours39 minutes
Physical Therapist Hours7 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 42 minutes
Weekend Registered Nurse (RN) Hours35 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryAmerican River Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, American River Center ranks 3725th out of 14,703 facilities (composite score: 80.0/100), placing it in the above average nationwide. Within CA, it ranks 460th out of 1,162 nursing homes. In Carmichael, it ranks 4th out of 8 facilities. Among facilities sharing its ZIP code, it ranks 4th of 8. For 2026 staffing: total nurse hours rank #5,034 nationally and RN hours rank #5,760 nationally (#329 in CA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
CA State Rank
Note
2022
3.87
#5,124 / 14,703
#741 / 1,162
Above average
2023
3.91
#4,663 / 14,703
#716 / 1,162
Above average
2024
3.89
#4,942 / 14,703
#786 / 1,162
Above average
2025
3.96
#4,880 / 14,703
#806 / 1,162
Above average
2026
3.97
#5,034 / 14,703
#882 / 1,162
Above average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
CA State Rank
Note
2022
0.70
#5,080 / 14,703
#259 / 1,162
Above average
2023
0.63
#5,666 / 14,703
#262 / 1,162
Above average
2024
0.42
#9,908 / 14,703
#571 / 1,162
Below average
2025
0.48
#9,017 / 14,703
#508 / 1,162
Below average
2026
0.65
#5,760 / 14,703
#329 / 1,162
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
American River Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-03-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (916) 481-6455 or your local Medicaid office to verify current eligibility.
American River Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 80.0/100, placing it #3725 of 14703 facilities nationally and #460 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at American River Center receives a reported average of 3 hours 58 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 39 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 2 hours 31 minutes. On weekends, total nurse staffing is 3 hours 42 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 42.0%. Families are encouraged to ask about current staffing schedules during their facility visit.
American River Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 39.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, American River Center ranks 3725th out of 14,703 facilities (composite score: 80.0/100), placing it in the above average nationwide. Within CA, it ranks 460th out of 1,162 nursing homes. In Carmichael, it ranks 4th out of 8 facilities. Among facilities sharing its ZIP code, it ranks 4th of 8. For 2026 staffing: total nurse hours rank #5,034 nationally and RN hours rank #5,760 nationally (#329 in CA). Our composite quality score of 80.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Carmichael, visit: https://nursinghomesnearme.org/california/carmichael/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.