Sacramento, CA

Sherwood Healthcare Center

5-star overall rating with 4-star inspections with $4,893 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

4700 Elvas Ave, Sacramento, CA

(916) 454-5752

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cypress Healthcare Group

Operator or chain grouping

Approved since

1971-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.29

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.66

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.09

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.74

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

4.11

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,700

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.35% · Performance 22.45% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.06

Baseline 6.76% · Performance 7.22% · Measure score 2.06 · Achievement 2.06 · Improvement 0

Total nurse turnover

5.2

Baseline 60.71% · Performance 42.42% · Measure score 5.2 · Achievement 5.2 · Improvement 4.6

Adjusted total nurse staffing

3.11

Baseline 3.69 hours · Performance 3.96 hours · Measure score 3.11 · Achievement 3.11 · Improvement 0.82

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.54%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 151 · Observed rate 10.6% · Lower 95% interval 7.91%
Discharge to community	54.29%	50.57% 3.7 pts better	No Different than the National Rate · Eligible stays 137 · Observed rate 48.18% · Lower 95% interval 47.34%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 160 · Denominator 160
Falls with major injury	0.63%	0.77% 0.1 pts better	Numerator 1 · Denominator 160
Discharge self-care score	57.58%	53.69% 3.9 pts better	Numerator 57 · Denominator 99
Discharge mobility score	56.57%	50.94% 5.6 pts better	Numerator 56 · Denominator 99
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 160 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.22%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 97 · Observed rate 7.22% · Lower 95% interval 4.7%
Staff COVID-19 vaccination coverage	3.31%	8.2% 4.9 pts worse	Numerator 4 · Denominator 121
Staff flu vaccination coverage	79.43%	42% 37.4 pts better	Numerator 112 · Denominator 141
Discharge function score	60.61%	56.45% 4.2 pts better	Numerator 60 · Denominator 99
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 132 · Denominator 132
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	32.18%	25.2% 7 pts better	Numerator 28 · Denominator 87

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	2.3 0.2 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.1 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.2	1.6 1.6 pts worse	1.8 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	98.5% 0.4 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.6%	98.2% 5.6 pts worse	95.5% 2.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	1.6% 1.6 pts better	3.3% 3.3 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 who have depressive symptoms	3.4%	6.8% 3.4 pts better	11.4% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 7.1% · 4Q avg 3.4%
Percentage of long-stay residents who lose too much weight	1.3%	4.1% 2.8 pts better	5.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.3%	13.7% 6.4 pts better	19.6% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q4 7.4% · 4Q avg 7.3%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	14.2% 14.2 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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	5.1%	11.0% 5.9 pts better	16.3% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	10.7% 7 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 3.7% · 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% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	1.2% 0.1 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.0%	10.9% 2.9 pts better	19.8% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q4 10.9% · 4Q avg 8.0%
Percentage of long-stay residents with pressure ulcers	1.7%	4.7% 3 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.9%	94.0% 3.9 pts better	81.7% 16.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 97.1% · Q3 97.2% · Q4 99.5% · 4Q avg 97.9%
Percentage of short-stay residents who had an outpatient emergency department visit	18.0%	11.2% 6.8 pts worse	12.0% 6 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.0% · Observed 19.0% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.0%	93.2% 4.8 pts better	79.7% 18.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.3%	23.2% 10.1 pts worse	23.9% 9.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 35.0% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-09 · Fire 2025-05-09

9 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-05-10 · Fire 2024-05-10

0 health deficiencies

No concentrated health issue counts in this cycle.

21 fire-safety deficiencies

Top issue: Smoke (8 deficiencies)

Cycle 3 Health 2021-06-17 · Fire 2021-06-17

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-20

C · Minimal harm 2025-05-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-20

C · Minimal harm 2025-05-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-20

F · Potential for more than minimal harm 2024-05-10

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-05-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-10

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-05

E · Potential for more than minimal harm 2024-05-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-05-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-05

D · Potential for more than minimal harm 2021-06-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-07-01

D · Potential for more than minimal harm 2021-06-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-07-01

D · Potential for more than minimal harm 2021-06-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-07-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-05-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-05-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-05-09

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-05-09

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-05-09

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-05-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-05-09

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-15

E · Potential for more than minimal harm 2021-06-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-07-06

D · Potential for more than minimal harm 2021-06-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-06-17

D · Potential for more than minimal harm 2021-06-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-07-06

D · Potential for more than minimal harm 2021-06-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-07-06

Penalties and ownership

What sits behind the stars

$1,748 2023-06-26

Fine

Fine · fine $1,748

Fine

$3,145 2023-06-05

Fine

Fine · fine $3,145

Fine

Ownership

Cypress Healthcare Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 2019-10-01

Jackson, Matthew

5% Or Greater Indirect Ownership Interest · Individual

33% 13 facilities 2019-10-01

Jackson, Robert

5% Or Greater Indirect Ownership Interest · Individual

33% 14 facilities 2019-10-01

Sanofsky, Jack

5% Or Greater Indirect Ownership Interest · Individual

33% 16 facilities 2019-10-01

Abrego, Marianna