Nursing homes › California › Sacramento Post-Acute
5255 Hemlock Street, Sacramento, CA 95841 · 9163314590 · 99 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: 4.65 (California median: 4.24). RN hours: 0.47. Weekend total: 4.31. Nursing staff turnover: 42%.
All-time on record: 33 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-03-20 |
| 2026-02-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-03-20 |
| 2026-02-20 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-03-20 |
| 2026-02-20 | 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 2026-03-20 |
| 2026-02-20 | Dispose of garbage and refuse properly. | E | Health | corrected 2026-03-20 |
| 2026-02-20 | 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 2026-03-20 |
| 2026-02-20 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-03-20 |
| 2026-02-20 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-03-20 |
| 2026-02-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-20 |
| 2026-02-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2026-03-20 |
| 2026-02-20 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2026-03-20 |
| 2026-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-02-13 |
| 2024-10-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-04 |
| 2024-10-18 | Keep all essential equipment working safely. | E | Health | corrected 2024-11-04 |
| 2024-10-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-11-04 |
| 2024-10-18 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-11-04 |
| 2024-07-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-23 |
| 2024-07-09 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-07-23 |
| 2024-06-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-25 |
| 2024-06-12 | 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 2024-06-25 |
| 2024-06-12 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-06-25 |
| 2024-04-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-04-24 |
| 2024-01-16 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-02-02 |
| 2023-08-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-24 |
| 2023-08-02 | 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 2023-08-24 |
| 2023-07-10 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | D | complaint | corrected 2023-07-19 |
| 2023-05-19 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-06-15 |
| 2023-05-19 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Health | corrected 2023-06-15 |
| 2023-05-19 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-06-15 |
| 2023-05-19 | 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 2023-06-15 |
| 2023-05-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-06-15 |
| 2023-05-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-06-15 |
| 2023-05-19 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-06-15 |
No federal fines or payment denials on record.
| 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 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056073. Corrections: data@carerecords.org.