11 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sacramento, CA
3-star overall rating with 3-star inspections with $24,087 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
7801 Rush River Drive, Sacramento, CA
(916) 393-9020
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
89
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-04-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.85
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.35
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.26
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.20
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.86
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
5.42
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
61%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,067
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9995
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.40
Baseline 18.48% · Performance 18.47% · Measure score 6.40 · Achievement 6.40 · Improvement 0
Healthcare-associated infections
0.83
Baseline 5.63% · Performance 7.58% · Measure score 0.83 · Achievement 0.83 · Improvement 0
Total nurse turnover
6.23
Baseline 43.90% · Performance 38.20% · Measure score 6.23 · Achievement 6.23 · Improvement 2.49
Adjusted total nurse staffing
5.01
Baseline 5.10 hours · Performance 4.50 hours · Measure score 5.01 · Achievement 5.01 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.67% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 205 · Observed rate 6.83% · Lower 95% interval 7% |
| Discharge to community | 53.77% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 210 · Observed rate 50.48% · Lower 95% interval 48.45% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 147 · Denominator 147 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 147 |
| Discharge self-care score | 61.82% |
53.69%
8.1 pts better
|
Numerator 68 · Denominator 110 |
| Discharge mobility score | 52.73% |
50.94%
1.8 pts better
|
Numerator 58 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 4.08% |
2.29%
1.8 pts worse
|
Numerator 6 · Denominator 147 · Adjusted rate 3.85% |
| Healthcare-associated infections requiring hospitalization | 7.58% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 6.71% · Lower 95% interval 4.71% |
| Staff COVID-19 vaccination coverage | 8.88% |
8.2%
0.7 pts better
|
Numerator 15 · Denominator 169 |
| Staff flu vaccination coverage | 76.42% |
42%
34.4 pts better
|
Numerator 162 · Denominator 212 |
| Discharge function score | 61.82% |
56.45%
5.4 pts better
|
Numerator 68 · Denominator 110 |
| Transfer of health information to provider | 82.08% |
95.95%
13.9 pts worse
|
Numerator 87 · Denominator 106 |
| Transfer of health information to patient | 92.86% |
96.28%
3.4 pts worse
|
Numerator 26 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 47.22% |
25.2%
22 pts better
|
Numerator 34 · Denominator 72 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.6
0.1 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.1 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
98.2%
0.1 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
1.6%
4.4 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.4% · Q3 5.6% · Q4 1.8% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.1% |
6.8%
5.7 pts better
|
11.4%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
4.1%
1.8 pts worse
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 2.0% · Q3 4.1% · Q4 5.8% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.4% |
13.7%
10.3 pts better
|
19.6%
16.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.0% · Q3 2.0% · Q4 5.8% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
14.2%
0.8 pts worse
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 15.4% · Q3 13.5% · Q4 16.7% · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.2% |
11.0%
11.2 pts worse
|
16.3%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.9% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
10.7%
2.6 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.9% · Q3 4.4% · Q4 10.2% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
1.2%
0.6 pts worse
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.0% |
10.9%
3.1 pts worse
|
19.8%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 15.9% · Q3 10.8% · Q4 14.7% · 4Q avg 14.0% |
| Percentage of long-stay residents with pressure ulcers | 6.7% |
4.7%
2 pts worse
|
5.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 3.8% · Q3 5.3% · Q4 4.9% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
94.0%
4.9 pts better
|
81.7%
17.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
11.2%
5.2 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.1% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.4% · Q3 0.8% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.2% |
93.2%
5 pts better
|
79.7%
18.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.3% |
23.2%
5.1 pts worse
|
23.9%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 23.5% · Expected 19.8% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-15
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-09-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-09-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-07
Fire Safety
Use approved construction type or materials.
Corrected 2024-09-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-07
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-09-07
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-09-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-19
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-19
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-24
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-09-24
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-24
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-09-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-24
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-09-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-09-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-15
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-27
Health
Keep all essential equipment working safely.
Corrected 2024-08-27
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-08-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-27
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-08-27
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-08-27
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-08-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-27
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-08-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-23
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-23
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-08-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-23
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-08-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-23
Penalties and ownership
Fine · fine $4,140
Fine
Fine · fine $3,764
Fine
Fine · fine $9,032
Fine
Fine · fine $2,258
Fine
Fine · fine $1,748
Fine
Fine · fine $3,145
Fine
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
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