Nursing homes › California › Mid-Town Oaks Post-Acute
2600 L Street, Sacramento, CA 95816 · 9163219440 · 100 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.07 (California median: 4.24). RN hours: 0.48. Weekend total: 3.76. Nursing staff turnover: 54%.
All-time on record: 58 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-14 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-05-16 |
| 2026-05-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-05-16 |
| 2026-04-16 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | complaint | corrected 2026-04-19 |
| 2026-02-27 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-03-18 |
| 2026-02-19 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2026-03-11 |
| 2026-02-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-03-11 |
| 2026-02-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | Past Non-Compliance |
| 2025-12-04 | Honor 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. | E | Health | corrected 2025-12-22 |
| 2025-12-04 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2025-12-22 |
| 2025-12-04 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-12-22 |
| 2025-12-04 | 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. | E | Health | corrected 2025-12-22 |
| 2025-12-04 | Dispose of garbage and refuse properly. | E | Health | corrected 2025-12-22 |
| 2025-12-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-12-22 |
| 2025-12-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-12-22 |
| 2025-12-04 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-12-22 |
| 2025-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-12-22 |
| 2025-12-04 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-12-22 |
| 2025-12-04 | Post nurse staffing information every day. | C | Health | corrected 2025-12-22 |
| 2024-11-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | 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. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | Ensure 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. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-26 |
| 2024-11-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-11-26 |
| 2024-11-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-11-26 |
| 2024-11-07 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-11-26 |
| 2024-10-25 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2024-10-30 |
| 2024-10-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-10-30 |
| 2024-10-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-22 |
| 2024-09-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-10-03 |
| 2024-01-12 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | complaint | corrected 2024-02-02 |
| 2024-01-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-01-11 |
| 2023-12-13 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-22 |
| 2023-09-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2023-10-12 |
| 2023-09-14 | 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. | F | Health | corrected 2023-10-12 |
| 2023-09-14 | Honor 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. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2023-10-12 |
| 2023-09-14 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-10-12 |
| Date | Type | Amount |
|---|---|---|
| 2023-09-14 | Fine | $15,593 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/05/2021 |
| BAY BRIDGE CAPITAL PARTNERS, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 11/05/2021 |
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| ESPINOSA, RAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055493. Corrections: data@carerecords.org.