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Nursing home report

DOUBLE TREE POST ACUTE CARE CENTER

SACRAMENTO, CA · Medicare-certified · 122 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall

Double Tree Post Acute Care Center in Sacramento has a 2-star overall rating, with 2-star health inspection and quality ratings but 4-star staffing at 4.11 hours per resident per day, slightly above the 4.1 federal benchmark. It had $10,842 in fines in the last 24 months and a recent abuse citation, with recent inspection issues including treatment and care orders, food safety, and pest control.

Facility ratings

Health inspections

Staffing

4.1067 hrs/resident/day

Quality measures

Last inspection: January 23, 2026Penalties, last 24 months: $10,842recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1067.

Staffing detail

Registered nurses
0.77
Licensed practical nurses
0.61
Nurse aides
2.73
Weekend nursing
3.72

Hours per resident per day.

Total staff turnover: 30%
Registered nurse turnover: 36%

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%3.3%Improving

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

3%2.2%Improving

Residents with a urinary tract infection

2.1%2%No change

Residents who lost too much weight

4.8%2.3%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5%1.3%Improving

Residents whose ability to walk got worse

0%11.2%Worsening

Long-stay residents on antianxiety or sleep medication

5.7%4.6%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

1%0.8%No change

Residents with new or worsening incontinence

4.8%7.8%Worsening

Residents with depressive symptoms

0%0%No change

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%100%No change

Short-stay residents given the seasonal flu vaccine

99.2%

Short-stay residents given the pneumonia vaccine

100%98.9%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

The nursing home failed to ensure residents were free from significant medication errors. Cited October 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $10,842 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $10,842 in total fines.

  • Federal fine

    Oct 3, 2024

    $10,842

Operator & ownership

Recent ownership change · Aug 1, 2017

Now operated by 7400 24th Street LLC, previously Sacramento Operating Company, LP.

Ownership
For profit - Limited Liability company
Chain
Part of BVHC, LLC · 12 homes · 3.3 stars avg
Occupancy
107.8 residents on an average day (88% of 122 beds)
Resident voice
Resident council
Medicare history
Certified for 49 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.