9 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Sacramento, CA
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
2240 Northrop Ave, Sacramento, CA
(916) 927-9300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
54
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cypress Healthcare Group
Operator or chain grouping
Approved since
2002-11-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.65
Registered nurse staffing
LPN hours / resident day
1.16
Licensed practical nurse staffing
Aide hours / resident day
2.64
Nurse aide staffing
Weekend hours
4.10
Weekend nurse staffing
RN turnover
13%
Annual RN turnover
Total nurse turnover
17%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
6.8%
2.5 pts better
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 5.5% |
4.1%
1.4 pts worse
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.0% |
13.7%
6.7 pts better
|
19.6%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 1.4% |
14.2%
12.8 pts better
|
16.7%
15.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.9% |
11.0%
3.9 pts worse
|
16.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.8% |
10.7%
0.9 pts better
|
14.9%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.0%
0.3 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.1% |
10.9%
1.8 pts better
|
19.8%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
4.7%
1.3 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
11.2%
2.7 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 |
| 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 |
| 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 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
23.2%
0.9 pts worse
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-05
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-11-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-25
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-11-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-28
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-12-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-05
Fire Safety
Use approved construction type or materials.
Corrected 2023-12-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-12-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-12-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-04
Fire Safety
Use approved construction type or materials.
Corrected 2022-01-04
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 2022-01-04
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-01-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-04
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-01-04
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-16
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 2024-12-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-16
Health
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.
Corrected 2024-12-16
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-12-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-17
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-01-22
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-01-22
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 2022-01-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-01-22
Health
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.
Corrected 2022-01-22
Health
Dispose of garbage and refuse properly.
Corrected 2022-01-22
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
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