The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
CITY CREEK POST ACUTE
SACRAMENTO, CA · Medicare-certified · 99 beds
In good standing
For-profitChain member
5 of 5 overall
CITY CREEK POST ACUTE has an overall 5 out of 5 stars. It has a 2 out of 5 staffing rating, with reported nurse staffing of 4.14 hours per resident per day versus the 4.1-hour federal benchmark, 4 out of 5 for health inspections, 5 out of 5 for quality measures, and $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.14 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.14.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.53
- Weekend nursing
- 3.76
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 65%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.3%3.2%Improving
Residents with a fall causing major injury
1.5%0%Improving
Residents with pressure ulcers (bedsores)
6.5%7.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.4%6.5%Worsening
Residents whose ability to walk got worse
—15.2%—
Long-stay residents on antianxiety or sleep medication
6.8%14%Worsening
Short-stay residents newly given an antipsychotic
0.8%1.7%Worsening
Residents with a long-term catheter
4.8%0%Improving
Residents with new or worsening incontinence
10.8%7.4%Improving
Residents with depressive symptoms
8.2%31.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%98.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $34,966 in total fines.
- $13,762
Federal fine
Oct 2, 2023
- $8,190
Federal fine
Aug 28, 2023
- $4,545
Federal fine
Aug 14, 2023
- $8,469
Federal fine
Jun 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of KALESTA HEALTHCARE GROUP · 15 homes · 2.3 stars avg
- Occupancy
- 91.8 residents on an average day (93% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.