American River Center
3900 GARFIELD AVENUE, Carmichael, CA 95608
Carmichael, California · CMS verdict
American River Center holds a 5 of 5 CMS overall star rating - above the California state average of 3.1, reflecting above-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
American River Center in Carmichael, California holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 69 of 100 (grade D). The 99-bed facility operates where a semi-private nursing-home room in California runs a median of $12,167 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (upper star tercile)
This facility's 5/5 CMS overall rating sits in the upper U.S. star tercile (>4/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 69 is built
Each segment is a dimension's weighted points toward the score, summing to 69.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
American River Center's upper-tercile CMS stars
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts American River Center's overall quality rating at 5 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (3/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Carmichael, California, this facility operates 99 certified beds with an average daily census of roughly 96 residents - an occupancy rate of about 97%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 97% occupancy, this facility is running near full capacity, worth confirming current bed availability directly before visiting.
Same-ownership peers
Within California, American River Center is one of 606 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.9 stars, ahead of roughly 82% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (25 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How American River Center's upper-tercile stars compare to California
CMS five-star sub-ratings (0–5) for this facility against the California facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = California state average. Higher is better on all four CMS measures.
Where American River Center ranks in California
Among the 1,154 CMS-rated nursing homes in California, American River Center’s 5-star overall rating is higher than 76% of them. The bars show how all California homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
279 California homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 99 |
| Residents | 96 |
| Ownership | For profit - Limited Liability company |
| County | Sacramento |
| Penalties | 0 |
| Deficiencies | 25 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for American River Center? ▾
5 out of 5 stars is American River Center's current CMS overall rating, built from a health inspection rating of 4/5, a staffing rating of 3/5, and a quality measures rating of 5/5.
How much does a nursing home cost per month in California? ▾
The median cost for a semi-private nursing home room in California is $12,167 per month ($146,000 annually). A private room averages $15,178 per month. Costs are from the CareScout 2025 survey.
What services does American River Center offer? ▾
American River Center is a skilled nursing facility with 99 beds with approximately 96 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 25 deficiencies and 0 penalties in CMS inspections.
Does American River Center have any deficiencies or penalties? ▾
American River Center has multiple deficiencies (25 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in California? ▾
In California, alternatives include assisted living ($7,000/mo), home health aides ($7,627/mo), and adult day care ($2,037/mo).
Keep reading
Also see the California elder-care overview and highest-rated states. Provider ID: 555450.
Read our methodology - how this data is sourced, computed, and verified.