The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GREENHAVEN HEALTHCARE CENTER
SACRAMENTO, CA · Medicare-certified · 148 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
GREENHAVEN HEALTHCARE CENTER has an overall rating of 3 out of 5 stars. It scores better on staffing and quality measures, with nurse staffing at 4.48 hours per resident per day above the federal benchmark of 4.1, but its health inspection rating is lower at 2 stars and it has a recent abuse citation; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4781 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4781.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.73
- Weekend nursing
- 4.12
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 46%
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
8.3%7.1%Improving
Residents with a fall causing major injury
1%2.1%Worsening
Residents with pressure ulcers (bedsores)
12.2%8.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%6.4%Worsening
Residents whose ability to walk got worse
15.4%2.3%Improving
Long-stay residents on antianxiety or sleep medication
2.2%2.4%No change
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12%8.5%Improving
Residents with depressive symptoms
0%8.6%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%100%No change
Short-stay residents given the seasonal flu vaccine
—99.8%—
Short-stay residents given the pneumonia vaccine
99.8%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 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 provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — 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 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CYPRESS HEALTHCARE GROUP · 13 homes · 3.5 stars avg
- Occupancy
- 140.3 residents on an average day (95% of 148 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.