BRIDGEWOOD POST ACUTE
5901 LEMON HILL AVE, SACRAMENTO, CA 95824 · CCN 055956
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 49
- Avg residents/day
- 46.8
- Phone
- 9163832741
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-05 | 14 | 15.6 | 9.5 | -1.6 better |
| 2 | 2024-07-11 | 20 | 17.4 | 9.8 | +2.6 worse |
| 3 | 2023-06-29 | 19 | 17.1 | 9.3 | +1.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 3 |
| Pharmacy service | 4 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.30 | 37.7% |
| RN staffing (reported) | 0.46 | 33.3% |
| Total nurse staffing (adjusted) | 4.22 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- SPYGLASS HEALTHCARE
- Facilities in chain
- 7
- Chain avg overall
- 3.10 / 5
Inspection citations (53)1 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-28 · Health
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-30 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-24 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0761Ensure 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.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0803Ensure 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.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-05 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-30 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-30 · Health · corrected 2025-05-20
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-23 · Health · corrected 2025-01-28
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-08 · Health · corrected 2024-10-09
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-03 · Health · corrected 2024-09-04
Potential for more than minimal harm
- EF0584Honor 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.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0761Ensure 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.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-07-11 · Health · corrected 2024-07-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-12 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-11 · Health · corrected 2024-04-27
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0584Honor 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.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0758Implement 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.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0761Ensure 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.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0895Have a Compliance and Ethics Program.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-06-29 · Health · corrected 2023-07-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SPYGLASS HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2023-06-01 |
| GASTWIRTH, JOSHUA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2023-06-01 |
| AMM TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2023-06-01 |
| MCCORMACK, RYAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-06-01 |
| BRANDI, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-06-01 |
| O'SHEA, BRADY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2023-06-01 |
| MCCORMACK, SHANE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2023-06-01 |
| KRESHCHUK, IGOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-29 |
| MCCORMACK, BRENNAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-06 |
| PARHAM, RENEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-18 |
| PICKETT, KATIYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-30 |
| SINGH, HARMINDER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-19 |
| SMITH, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-01 |
| WILLIAMS, SCHVONDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| BRANDI, ROBERT | Individual | CORPORATE OFFICER | — | 2023-06-01 |
| MCCORMACK, RYAN | Individual | CORPORATE OFFICER | — | 2023-06-01 |
| OAKWOOD HEALTH LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 |
| SPYGLASS HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| BANUELOS-YERA, MIGUEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-11 |
| BOYES, KONSTANTY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-17 |
| GASTWIRTH, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| KIM, SUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-09 |
Other facilities in SACRAMENTO
| Name | Overall | Beds |
|---|---|---|
| CITY CREEK POST ACUTE | ★★★★★ | 99 |
| UNIVERSITY POST-ACUTE REHAB | ★★★★★ | 59 |
| SHERWOOD HEALTHCARE CENTER | ★★★★★ | 62 |
| SACRAMENTO POST-ACUTE | ★★★★★ | 99 |
| BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL | ★★★★★ | 171 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.