Nursing home report
SACRAMENTO, CA · Medicare-certified · 122 beds
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. It has recent fines ($10,842), a recent abuse citation, and its reported staffing is just above the federal benchmark (4.11 vs. 4.1 hours per resident per day).
Health inspections
Staffing
4.1059 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1059.
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 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.
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.
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.
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.
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.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 12 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal fine of $10,842 was recorded.
On record with Medicare: 1 fine · $10,842 in total fines.
Federal fine
Oct 3, 2024
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.
