Riverbank Post-Acute
A nursing home in Riverbank, California 95367
2649 Topeka Street, Riverbank, California 95367. (209) 869-2568.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 16 health citations at the latest inspection cycle California average: 15.7
- 3.89 nurse hours per resident per day California average: 4.54
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
16 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Mar 15, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Mar 15, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
29 citations in 10 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 30 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 24 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 22, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Apr 13, 2026: complaint inspection3 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
Mar 23, 2026: complaint inspection4 citations
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Keep all essential equipment working safely.
Nov 25, 2025: complaint inspection2 citations
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Provide and implement an infection prevention and control program.
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Sep 10, 2025: complaint inspection3 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate foot care.
Mar 15, 2025: standard inspection6 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
Jul 16, 2024: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 21, 2024: complaint inspection1 citation
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Plan the resident’s discharge to meet the resident’s goals and needs.
Jun 5, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 27, 2024: complaint inspection3 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Provide and implement an infection prevention and control program.
Jan 17, 2024: complaint inspection1 citation
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Nov 29, 2023: complaint inspection1 citation
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Keep all essential equipment working safely.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 99 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $73,295 in all.
- 1 Medicare payment denial in the last three years.
- 24 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 15, 2025 | Medicare payment denial | Not given |
| Mar 15, 2025 | Fine | $29,322 |
| Jan 17, 2024 | Fine | $43,973 |
Who does the caring?
3.89 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.89 | 4.54 |
| Of which registered nurses | 0.26 | 0.68 |
| At weekends | 3.69 | 4.10 |
| Nursing staff turnover | 40.7% | 36.6% |
| Registered nurse turnover | 50% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Links Healthcare Group LLC owns 100% directly since May 25, 2023.
- Links Support Services, LLC and Links Healthcare Group LLC run it.
- 25 owners or officers are people: Toby Tilford (owns 5% or more through other companies, 46.6%); Curtis Rodriguez (owns 5% or more through other companies, 46.6%); A person CMS lists without a name (owns a share through other companies, 4%); A person CMS lists without a name (owns a share through other companies, 2%); A person CMS lists without a name (owns a share through other companies, 0.8%); Mary Beardsley (runs it (operational or managerial control)); Mary Beardsley (additional disclosable party (controls, leases property to, or provides services to the home)); Toby Tilford (corporate officer); Toby Tilford (runs it (operational or managerial control)); Toby Tilford (additional disclosable party (controls, leases property to, or provides services to the home)); Atul Verma (runs it (operational or managerial control)); Atul Verma (additional disclosable party (controls, leases property to, or provides services to the home)); Leilani Mallare (runs it (operational or managerial control)); Leilani Mallare (additional disclosable party (controls, leases property to, or provides services to the home)); Matthew Dahl (runs it (operational or managerial control)); Matthew Dahl (additional disclosable party (controls, leases property to, or provides services to the home)); Antonette D Frojelin (runs it (operational or managerial control)); Antonette D Frojelin (additional disclosable party (controls, leases property to, or provides services to the home)); Victoria Bernholz (runs it (operational or managerial control)); Victoria Bernholz (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Carter (runs it (operational or managerial control)); Melissa Carter (additional disclosable party (controls, leases property to, or provides services to the home)); Curtis Rodriguez (corporate officer); Curtis Rodriguez (runs it (operational or managerial control)); Curtis Rodriguez (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Links Healthcare Group (32 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Forbright Bank | Holds 5% or more security interest | 100% | May 25, 2023 |
| Links Healthcare Group LLC | Owns 5% or more directly | 100% | May 25, 2023 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 27, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 25, 2023 | |
| Links Support Services, LLC | Runs it (operational or managerial control) | May 25, 2023 | |
| Links Support Services, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 27, 2025 | |
| Links Healthcare Group LLC | Runs it (operational or managerial control) | May 25, 2023 | |
| Links Healthcare Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 27, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.2 miles, this one had the 4th most health citations at the latest inspection cycle (16; the middle value was 14.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Riverbank Post-Acute This nursing home | 16 | |
| Crestwood Manor | 4.6 | 3 |
| Golden Modesto Care Center | 4.9 | 11 |
| Oakdale Nursing and Rehabilitation Center | 5.1 | 11 |
| Modesto Post Acute Center | 5.5 | 11 |
| Valley Skilled Nursing Center | 5.5 | 10 |
| Garden City Healthcare Center | 5.8 | 16 |
| River View Post Acute | 6.1 | 29 |
| English Oaks Convalescent & Rehabilitation Hospita | 6.2 | 15 |
| Vintage Faire Nursing & Rehabilitation Center | 6.3 | 26 |
| Almond Vista Healthcare | 6.5 | 19 |
| Ceres Postacute Care | 9.2 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.