Federal inspection record · CMS data as of October 1, 2026
Gramercy Court
2200 Gramercy Drive, Sacramento, CA · (916) 482-2200
- Cited for abuse (CMS abuse icon)
- Certified beds
- 120
- Residents per day
- 107
- Ownership
- For-Profit
- Chain
- Generations Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 24, 1991
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among California homes
Gramercy Court carries 83 inspection points. That is fewer than 52% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation13E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary8F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Dispose of garbage and refuse properly.
Resident Assessment and Care Planning7E
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights6E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Pharmacy Service6E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Quality of Life and Care6E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Administration1E
- E
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2025-12-05
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)
2024-12-05
19 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-02-01
20 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 3 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 59% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.5 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.8 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 0.9% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 5.3% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better | 11.0% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts better | 5.8% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.9 pts better | 6.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 3.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 14.9% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 98.9% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 12.7% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.4% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5 pts better | 98.1% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts worse | 28.8% | 22.6% | 23.4% |
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Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bmo Bank, N.a. | 5% Or Greater Security Interest · Organization | 0% | 25 facilities |
| Mastrocola, Lois | W-2 Managing Employee · Individual | 0% | 27 facilities |
| Mastrocola, Lois | Corporate Director · Individual | 0% | 27 facilities |
| Mastrocola, Lois | Corporate Officer · Individual | 0% | 27 facilities |
| Olds, Thomas | Corporate Director · Individual | 0% | 27 facilities |
| Olds, Thomas | Corporate Officer · Individual | 0% | 27 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress2D
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness2D
- D
Address subsistence needs for staff and patients.
- D
Provide emergency officials' contact information.
Miscellaneous1D
- D
Provide a written emergency evacuation plan.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
-
Arden Park Post Acute
Sacramento, CA · Pacs Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $33,586
-
Woodside Healthcare Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0
-
Asbury Park Nursing and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0