Nursing home report

Orchard Post Acute Care

Registered name: Vacaville Ranch Post Acute

Vacaville, CA · Medicare-certified · 87 beds

In good standing

For-profit

Data as of July 1, 2026

4 of 5 overall

4 out of 5 stars overall. Orchard Post Acute Care in Vacaville has 4-star health inspections, 3-star staffing and quality measures, reported nurse staffing above the federal benchmark (4.51 vs 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations involving food handling, garbage disposal, and resident rights.

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Health inspections

Staffing

4.5119 hrs/resident/day

Quality measures

Last inspection: August 8, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5119.

Staffing detail

Registered nurses: 0.78
Licensed practical nurses: 0.94
Nurse aides: 2.80
Weekend nursing: 3.96

Hours per resident per day.

Total staff turnover: 57%

Registered nurse turnover: 74%

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).

Last yrNowTrend

Long-stay residents on antipsychotic medication

5%15.2%Worsening

Residents with a fall causing major injury

3.2%0%Improving

Residents with pressure ulcers (bedsores)

4.1%6%Worsening

Residents with a urinary tract infection

6.5%0%Improving

Residents who lost too much weight

3.7%5.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.3%0%Improving

Residents whose ability to walk got worse

—0%—

Long-stay residents on antianxiety or sleep medication

7.4%2.9%Improving

Short-stay residents newly given an antipsychotic

0%0.8%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

14.9%6.1%Improving

Residents with depressive symptoms

0%8.8%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Last yrNowTrend

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

—99.4%—

Short-stay residents given the pneumonia vaccine

100%83.4%Worsening

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.