5 health deficiencies
Top issue: Environmental (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Sacramento, CA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
5255 Hemlock Street, Sacramento, CA
(916) 331-4590
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1974-12-01
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
0.51
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.90
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.79
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.41
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.42
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
3.12
CMS adjusted total nurse staffing hours
Case-mix index
2.10
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
11,902
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.17
Baseline 20.61% · Performance 19.50% · Measure score 4.17 · Achievement 4.17 · Improvement 2.61
Healthcare-associated infections
0
Baseline 7.19% · Performance 8.51% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.75
Baseline 53.44% · Performance 56.52% · Measure score 1.75 · Achievement 1.75 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.55 hours · Performance 3.19 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.49% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 215 · Observed rate 14.42% · Lower 95% interval 8.69% |
| Discharge to community | 59.77% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 229 · Observed rate 48.47% · Lower 95% interval 52.82% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 237 · Denominator 237 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 237 |
| Discharge self-care score | 73.85% |
53.69%
20.2 pts better
|
Numerator 96 · Denominator 130 |
| Discharge mobility score | 52.31% |
50.94%
1.4 pts better
|
Numerator 68 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 1.27% |
2.29%
1 pts better
|
Numerator 3 · Denominator 237 · Adjusted rate 1.11% |
| Healthcare-associated infections requiring hospitalization | 8.51% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 11.56% · Lower 95% interval 5.76% |
| Staff COVID-19 vaccination coverage | 13.66% |
8.2%
5.5 pts better
|
Numerator 25 · Denominator 183 |
| Staff flu vaccination coverage | 96.71% |
42%
54.7 pts better
|
Numerator 206 · Denominator 213 |
| Discharge function score | 70% |
56.45%
13.5 pts better
|
Numerator 91 · Denominator 130 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 154 · Denominator 154 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 48 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 32.81% |
25.2%
7.6 pts better
|
Numerator 42 · Denominator 128 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 4.1 · Expected 3.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.7 · Expected 2.1 · 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 | 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 | 0.9% |
1.6%
0.7 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 33.8% |
6.8%
27 pts worse
|
11.4%
22.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.2% · Q2 40.0% · Q3 28.2% · Q4 23.7% · 4Q avg 33.8% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
4.1%
0.8 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 3.8% · Q4 3.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
13.7%
1.9 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.2% · Q3 10.9% · Q4 10.3% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.4% |
14.2%
9.8 pts better
|
16.7%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.4% · Q3 2.7% · Q4 5.3% · 4Q avg 4.4% · 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 | 7.5% |
11.0%
3.5 pts better
|
16.3%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.3% |
10.7%
7.4 pts better
|
14.9%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.2% · Q3 3.3% · Q4 3.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.4% |
1.0%
2.4 pts worse
|
1.0%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.1% · Q3 2.2% · Q4 2.0% · 4Q avg 3.4% · 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 | 6.0% |
10.9%
4.9 pts better
|
19.8%
13.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 9.9% · Q3 6.5% · Q4 3.4% · 4Q avg 6.0% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
4.7%
3.5 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 14.7% · Q3 6.3% · Q4 5.4% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
11.2%
1.3 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.8% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.3% |
93.2%
6.1 pts better
|
79.7%
19.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
23.2%
2.4 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 24.1% · Expected 27.6% · Used in QM five-star |
Survey summary
Top issue: Environmental (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-10-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-02
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-02
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-06-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-02
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-06-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-02
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-06-02
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-06-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-02
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-06-02
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-04-09
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-04-09
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-04-09
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-04-09
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-04-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-04-09
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-04-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-04-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-04-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-04-09
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-04
Health
Keep all essential equipment working safely.
Corrected 2024-11-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-23
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-24
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-02-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-24
Health
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected 2023-07-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-15
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-06-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-15
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 2023-06-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-15
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 2019-02-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-02-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-02-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-02-27
Health
Provide activities to meet all resident's needs.
Corrected 2019-02-27
Health
Dispose of garbage and refuse properly.
Corrected 2019-02-27
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · 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
Contracted Managing Employee · Individual
Nearby options
Carmichael, CA
2-star overall rating with 2-star inspections with $7,443 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Sacramento, CA
4-star overall rating with 4-star inspections with $14,020 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Carmichael, CA
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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