Federal inspection record · CMS data as of October 1, 2026
Vacaville Convalescent and Rehabilitation Center
585 Nut Tree Ct., Vacaville, CA · (707) 449-8000
- Certified beds
- 120
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 20, 1989
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
★★★★★no change
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
★★★★★no change
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.
2
Where it sits among California homes
Vacaville Convalescent and Rehabilitation Center carries 40 inspection points. That is fewer than 85% 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
22 health citations on record since 2022. 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 Exploitation5E
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- 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.
- E
Ensure each resident receives an accurate assessment.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services2E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Nutrition and Dietary1E
- E
Dispose of garbage and refuse properly.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service1E
- 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.
Resident Rights1E
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspection history
2026-03-06
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-12-06
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2022-12-16
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 32 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
5 h 32 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$7,976 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-06 | Fine | $7,976 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| 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 vaccine0.1 pts worse | 97.8% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 3.4% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 4.8% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 2.6% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 7.0% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 13.6% | 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 worsened0.7 pts better | 8.2% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increasedAbout the same | 10.2% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 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 incontinence5.9 pts worse | 15.7% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers7.2 pts worse | 11.5% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 99.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts worse | 12.2% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.3% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.1 pts better | 98.2% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts worse | 23.2% | 22.6% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Cayanan, Aimilee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cayanan, Aimilee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jalex LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Niccoli, Joseph | 5% Or Greater Direct Ownership Interest · Individual | 0% | 2 facilities |
| Niccoli, Joseph | Corporate Director · Individual | 0% | 2 facilities |
| Niccoli, Joseph | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Niccoli, Joseph | Adp Of The SNF · Individual | 0% | 2 facilities |
| Niccoli, Susan | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Niccoli, Susan | Corporate Director · Individual | 0% | 1 facilities |
| Niccoli, Susan | Corporate Officer · Individual | 0% | 1 facilities |
| Niccoli, Susan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vacaville Healthcare Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Vacaville Healthcare Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Van Aken, Terrell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Van Aken, Terrell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8E
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems8F
- E
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Miscellaneous2F
- C
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Construction1D
- D
Use approved construction type or materials.
Emergency Preparedness1D
- D
Conduct testing and exercise requirements.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Vacaville Ranch Post Acute
Vacaville, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 18 min
- Fines
- $118,515
-
Laurel Creek Health Center
Fairfield, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 31 min
- Fines
- $35,493
-
Emmanuel Care Center - Travis
Fairfield, CA
Not rated- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 7 h 4 min
- Fines
- $0