Nursing home

Sacramento Post-Acute

5255 Hemlock Street, Sacramento, CA 95841

★★★★★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 cycles0
Fines, 3 years$0
Beds99

Inspection findings

Inspectors recorded 30 findings in the last three inspection cycles.

30 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
Feb 20, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
widespread
Corrected: Mar 20, 2026
Feb 20, 2026Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, but a risk of harm
pattern
Corrected: Mar 20, 2026
Feb 20, 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: Mar 20, 2026
Feb 20, 2026Food and nutritionEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805)No harm, but a risk of harm
isolated
Corrected: Mar 20, 2026
Feb 20, 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
pattern
Corrected: Mar 20, 2026
Feb 20, 2026Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Mar 20, 2026
Feb 20, 2026Quality of life and careProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690)No harm, but a risk of harm
isolated
Corrected: Mar 20, 2026
Feb 20, 2026Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Mar 20, 2026
Feb 20, 2026Quality 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
isolated
Corrected: Mar 20, 2026
Feb 20, 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: Mar 20, 2026
Feb 20, 2026Resident 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: Mar 20, 2026
Jan 30, 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 · from a complaint
Corrected: Feb 13, 2026
Oct 18, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
pattern
Corrected: Nov 4, 2024
Oct 18, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Nov 4, 2024
Oct 18, 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: Nov 4, 2024
Oct 18, 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: Nov 4, 2024
Earlier inspections (14)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 9, 2024Abuse, neglect and exploitationRespond appropriately to all alleged violations. (F0610)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 23, 2024
Jul 9, 2024Abuse, 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 23, 2024
Jun 12, 2024Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 25, 2024
Jun 12, 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: Jun 25, 2024
Jun 12, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 25, 2024
Apr 18, 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 · from a complaint
Corrected: Apr 24, 2024
Jan 16, 2024Resident rightsPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (F0626)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 2, 2024
May 19, 2023Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 15, 2023
May 19, 2023Food 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
pattern
Corrected: Jun 15, 2023
May 19, 2023Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: Jun 15, 2023
May 19, 2023Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Jun 15, 2023
May 19, 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: Jun 15, 2023
May 19, 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: Jun 15, 2023
May 19, 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
isolated
Corrected: Jun 15, 2023

Fines and payment denials

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

Staffing

Nurse staff hours per resident per day4.60California median: 4.27
Registered nurse hours per resident per day0.49California median: 0.52
Nurse staff hours on weekends4.17California median: 3.85
Nursing staff who left within a year41.7%California median: 36.0%

About this home

Beds99
Residents per day, average89.2
OwnershipFor-profit, corporation
Legal business nameOleander Holdings, LLC
ChainPacs Group (277 homes)
In Medicare/Medicaid sinceDec 1, 1974

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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