13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Citrus Heights, CA
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
7807 Uplands Way, Citrus Heights, CA
(916) 967-2929
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
162
Certified beds
Average residents
155
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1989-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.87
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.25
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
3.82
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
11,046
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.57% · Performance 24.36% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.50% · Performance 9.33% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.15
Baseline 48.74% · Performance 42.64% · Measure score 5.15 · Achievement 5.15 · Improvement 2.05
Adjusted total nurse staffing
2.13
Baseline 4.1 hours · Performance 3.68 hours · Measure score 2.13 · Achievement 2.13 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.86% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 301 · Observed rate 12.96% · Lower 95% interval 9.6% |
| Discharge to community | 65.48% |
50.57%
14.9 pts better
|
Better than the National Rate · Eligible stays 303 · Observed rate 63.37% · Lower 95% interval 59.78% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 226 · Denominator 226 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 226 |
| Discharge self-care score | 80.14% |
53.69%
26.5 pts better
|
Numerator 113 · Denominator 141 |
| Discharge mobility score | 75.18% |
50.94%
24.2 pts better
|
Numerator 106 · Denominator 141 |
| Pressure ulcers or injuries, new or worsened | 1.33% |
2.29%
1 pts better
|
Numerator 3 · Denominator 226 · Adjusted rate 1.03% |
| Healthcare-associated infections requiring hospitalization | 9.33% |
7.12%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 9.68% · Lower 95% interval 6.4% |
| Staff COVID-19 vaccination coverage | 2.34% |
8.2%
5.9 pts worse
|
Numerator 5 · Denominator 214 |
| Staff flu vaccination coverage | 69.13% |
42%
27.1 pts better
|
Numerator 159 · Denominator 230 |
| Discharge function score | 77.3% |
56.45%
20.8 pts better
|
Numerator 109 · Denominator 141 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 76 · Denominator 76 |
| Transfer of health information to patient | 96.77% |
96.28%
0.5 pts better
|
Numerator 120 · Denominator 124 |
| Resident COVID-19 vaccinations up to date | 43.48% |
25.2%
18.3 pts better
|
Numerator 50 · Denominator 115 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · 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 | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
1.6%
0.8 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.9% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.2% |
6.8%
3.4 pts worse
|
11.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 9.0% · Q3 11.5% · Q4 7.2% · 4Q avg 10.2% |
| Percentage of long-stay residents who lose too much weight | 2.1% |
4.1%
2 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.0% · Q3 0.0% · Q4 1.9% · 4Q avg 2.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
13.7%
7.3 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 6.8% · Q3 5.5% · Q4 6.5% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
14.2%
3.4 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.9% · Q3 13.4% · Q4 7.8% · 4Q avg 10.8% · 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 | 11.1% |
11.0%
0.1 pts worse
|
16.3%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 6.5% · Q3 8.2% · Q4 15.8% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.6% |
10.7%
4.1 pts better
|
14.9%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 4.3% · Q3 3.8% · Q4 8.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
1.0%
0.9 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 14.2% |
10.9%
3.3 pts worse
|
19.8%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 16.1% · Q3 13.0% · Q4 15.0% · 4Q avg 14.2% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.7%
1.6 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.3% · Q3 2.6% · Q4 2.5% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.0%
5.7 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
11.2%
0.2 pts worse
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.6% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.0% · Q3 0.0% · Q4 0.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.4% |
23.2%
0.2 pts worse
|
23.9%
0.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 24.3% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-05-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-19
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-19
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-03-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-08
Inspection history
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-07-10
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-14
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 2025-05-14
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-05-14
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-20
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 2024-03-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-20
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 2024-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-24
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-01-24
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 2024-01-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-22
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-06-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-03-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-03-30
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-23
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-23
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-04-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-04-23
Health
Respond appropriately to all alleged violations.
Corrected 2022-04-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-23
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-04-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-23
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-04-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-23
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 2022-04-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
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