Nursing home report
SACRAMENTO, CA · Medicare-certified · 120 beds
2 out of 5 stars overall. Health inspection is also 2 stars, while staffing and quality are 4 stars; reported staffing is 4.45 hours per resident per day, above the federal benchmark of 4.1. The facility had $14,020 in fines in the last 24 months and a recent federal penalty, with cited issues including discharge/transfer planning, access to vision and hearing services, and pharmaceutical services.
Health inspections
Staffing
4.4536 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4536.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited November 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 627 — 42 CFR §483.15(c) — S/S: J
The nursing home failed to make sure a resident could get needed vision and hearing services. Cited February 2024 — isolated incident, actual harm.
F-Tag 685 — 42 CFR §483.25 — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2025 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
A federal fine of $14,020 was recorded.
Health inspection found 2 health deficiencies.
Health inspection found 10 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $14,020 in total fines.
Federal fine
Nov 20, 2025
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.
