Nursing home

Double Tree Post Acute Care Center

7400 24th Street, Sacramento, CA 95822

★★★★★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 cycle13
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$10,842
Beds122
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 45 findings in the last three inspection cycles.

1 Immediate jeopardy44 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
Jan 23, 2026Food 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
widespread
Corrected: Feb 16, 2026
Jan 23, 2026Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Feb 16, 2026
Jan 23, 2026Food and nutritionEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Pharmacy 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
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Quality of life and careEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Quality 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
Corrected: Feb 16, 2026
Jan 23, 2026Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Resident 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: Feb 16, 2026
Jan 23, 2026Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated
Corrected: Feb 16, 2026
Jan 23, 2026Abuse, 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: Feb 16, 2026
Dec 22, 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: Jan 16, 2026
Jul 9, 2025Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 25, 2025
Jul 9, 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: Jul 25, 2025
Earlier inspections (30)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Oct 24, 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: Nov 25, 2024
Oct 3, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
pattern
Corrected: Oct 18, 2024
Oct 3, 2024Food 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
isolated
Corrected: Oct 18, 2024
Oct 3, 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: Oct 18, 2024
Oct 3, 2024Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
pattern
Corrected: Oct 18, 2024
Oct 3, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Oct 18, 2024
Oct 3, 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: Oct 18, 2024
Oct 3, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)Immediate jeopardy
isolated
Corrected: Oct 18, 2024
Apr 17, 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
pattern · from a complaint
Corrected: May 15, 2024
Dec 28, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 28, 2023
Aug 17, 2023Building and environmentMake sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925)No harm, but a risk of harm
widespread
Corrected: Sep 8, 2023
Aug 17, 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
pattern
Corrected: Sep 8, 2023
Aug 17, 2023Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 2023Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 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: Sep 8, 2023
Aug 17, 2023Food and nutritionEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. (F0809)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 2023Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 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: Sep 8, 2023
Aug 17, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Sep 8, 2023
Aug 17, 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: Sep 8, 2023
Aug 17, 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
isolated
Corrected: Sep 8, 2023
Aug 17, 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: Sep 8, 2023
Aug 17, 2023Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Sep 8, 2023
Aug 17, 2023Resident 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: Sep 8, 2023
Aug 17, 2023Resident 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: Sep 8, 2023
Aug 17, 2023Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Sep 8, 2023
Aug 17, 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: Sep 8, 2023
Aug 17, 2023Resident rightsHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578)No harm, but a risk of harm
isolated
Corrected: Sep 8, 2023
Aug 17, 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
isolated
Corrected: Sep 8, 2023

Fines and payment denials

Federal fines in the last three years: $10,842 (1). Payment denials: 0.

DateTypeAmount
Oct 3, 2024Fine$10,842

Staffing

Nurse staff hours per resident per day4.02California median: 4.27
Registered nurse hours per resident per day0.76California median: 0.52
Nurse staff hours on weekends3.65California median: 3.85
Nursing staff who left within a year29.7%California median: 36.0%

About this home

Beds122
Residents per day, average113.1
OwnershipFor-profit, limited liability company
Legal business name7400 24TH Street LLC
ChainBvhc, LLC (12 homes)
In Medicare/Medicaid sinceAug 1, 1977

Questions to ask when you call

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

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