Nursing home

Gramercy Court

2200 Gramercy Drive, Sacramento, CA 95825

★★★★★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 cycle10
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds120
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. Open this home on Medicare.gov

Inspection findings

Inspectors recorded 49 findings in the last three inspection cycles.

49 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
Aug 24, 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
pattern · from a complaint
Corrected: Sep 8, 2026
Jun 25, 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
Corrected: Jul 7, 2026
May 27, 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
pattern · from a complaint
Corrected: Jun 9, 2026
Earlier inspections (46)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 1, 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
Corrected: Mar 31, 2026
Feb 25, 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
Corrected: Mar 5, 2026
Feb 5, 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
pattern · from a complaint
Corrected: Mar 5, 2026
Jan 8, 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
pattern · from a complaint
Corrected: Jan 30, 2026
Dec 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
widespread
Corrected: Jan 5, 2026
Dec 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
pattern
Corrected: Jan 5, 2026
Dec 5, 2025Resident 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: Jan 5, 2026
Sep 17, 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: Oct 1, 2025
Aug 6, 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 22, 2025
Jul 17, 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 17, 2025
May 28, 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: Jun 6, 2025
Apr 21, 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: May 7, 2025
Dec 5, 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
isolated
Corrected: Dec 23, 2024
Dec 5, 2024Food and nutritionProvide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810)No harm, but a risk of harm
isolated
Corrected: Dec 23, 2024
Dec 5, 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: Dec 23, 2024
Dec 5, 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: Dec 23, 2024
Dec 5, 2024Pharmacy 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: Dec 23, 2024
Dec 5, 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: Dec 23, 2024
Dec 5, 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
Corrected: Dec 23, 2024
Dec 5, 2024Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated
Corrected: Dec 23, 2024
Dec 5, 2024Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Dec 23, 2024
Dec 5, 2024Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Dec 23, 2024
Dec 5, 2024Resident 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: Dec 23, 2024
Nov 21, 2024Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
pattern · from a complaint
Corrected: Dec 10, 2024
Nov 20, 2024Abuse, neglect and exploitationRespond appropriately to all alleged violations. (F0610)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 12, 2024
Oct 17, 2024Resident rightsHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 29, 2024
Sep 5, 2024Quality of life and careProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (F0678)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 18, 2024
Aug 14, 2024Quality 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: Aug 27, 2024
Jul 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
isolated · from a complaint
Corrected: Jul 30, 2024
Apr 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
isolated · from a complaint
Corrected: Apr 15, 2024
Feb 1, 2024Nursing and physician servicesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (F0947)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2024
Feb 1, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2024
Feb 1, 2024AdministrationProvide a neutral and fair arbitration process and agree to arbitrator and venue. (F0848)No harm, but a risk of harm
pattern
Corrected: Feb 23, 2024
Feb 1, 2024Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
pattern
Corrected: Feb 23, 2024
Feb 1, 2024Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2024
Feb 1, 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: Feb 23, 2024
Feb 1, 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
isolated
Corrected: Feb 23, 2024
Feb 1, 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: Feb 23, 2024
Feb 1, 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: Feb 23, 2024
Feb 1, 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: Feb 23, 2024
Feb 1, 2024Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2024
Feb 1, 2024Quality 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: Feb 23, 2024
Feb 1, 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: Feb 23, 2024
Feb 1, 2024Resident 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
isolated
Corrected: Feb 23, 2024
Feb 1, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2024
Nov 9, 2023Resident rightsPrepare residents for a safe transfer or discharge from the nursing home. (F0624)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 20, 2023

Fines and payment denials

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

Staffing

Nurse staff hours per resident per day4.05California median: 4.27
Registered nurse hours per resident per day0.73California median: 0.52
Nurse staff hours on weekends3.65California median: 3.85
Nursing staff who left within a year38.3%California median: 36.0%

About this home

Beds120
Residents per day, average107.2
OwnershipFor-profit, limited liability company
Legal business nameGHC of Sac - SNF LLC
ChainGenerations Healthcare (27 homes)
In Medicare/Medicaid sinceMay 24, 1991

Questions to ask when you call

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

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