Nursing home

Bridgewood Post Acute

5901 Lemon Hill Avenue, Sacramento, CA 95824

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle12
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$0
Beds49
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.

Inspection findings

Inspectors recorded 54 findings in the last three inspection cycles.

1 Actual harm to a resident53 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 10, 2026Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jul 31, 2026
Jan 28, 2026Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
past non-compliance, corrected before the inspection
Dec 30, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 23, 2026
Earlier inspections (51)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 24, 2025Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 15, 2025
Jun 5, 2025Building and environmentMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Jun 20, 2025
Jun 5, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Jun 20, 2025
Jun 5, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jun 20, 2025
Jun 5, 2025Abuse, neglect and exploitationPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605)No harm, but a risk of harm
isolated
Corrected: Jun 20, 2025
Apr 30, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern · from a complaint
Corrected: May 20, 2025
Apr 30, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 20, 2025
Jan 23, 2025Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)Actual harm to a resident
isolated · from a complaint
Corrected: Jan 28, 2025
Oct 8, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 9, 2024
Sep 3, 2024Abuse, neglect and exploitationDevelop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 4, 2024
Jul 11, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Food and nutritionEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (F0808)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated
Corrected: Jul 11, 2024
Jul 11, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jul 11, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern
Corrected: Jul 11, 2024
Jun 12, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 12, 2024
Apr 11, 2024Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 27, 2024
Jun 29, 2023Building and environmentMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921)No harm, but a risk of harm
isolated
Corrected: Jul 20, 2023
Jun 29, 2023Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023AdministrationHave a Compliance and Ethics Program. (F0895)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Infection controlEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Jul 20, 2023
Jun 29, 2023Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Jul 20, 2023
Jun 29, 2023Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Jul 20, 2023
Jun 29, 2023Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Quality of life and careEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jul 20, 2023
Jun 29, 2023Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023
Jun 29, 2023Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
pattern
Corrected: Jul 20, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.48California median: 4.27
Registered nurse hours per resident per day0.50California median: 0.52
Nurse staff hours on weekends4.00California median: 3.85
Nursing staff who left within a year29.1%California median: 36.0%

About this home

Beds49
Residents per day, average46.9
OwnershipFor-profit, individual owner
Legal business nameBridgewood Post Acute LLC
ChainSpyglass Healthcare (14 homes)
In Medicare/Medicaid sinceNov 1, 1969

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

More in Sacramento

Cedarwood Post AcuteSherwood Healthcare CenterSaylor Lane Healthcare CenterMid-Town Oaks Post-AcuteArden Park Post AcuteSacramento Post-AcuteCollege Oak Nursing and Rehabilitation CenterDouble Tree Post Acute Care CenterSacramento →More in ZIP 95824

CallFindings