Starfile / California

MID-TOWN OAKS POST-ACUTE

2600 L STREET, SACRAMENTO, CA 95816 · CCN 055493

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$15,593

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (56)1 actual harm

1. EF0578Honor 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.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

2. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

6. CF0732Post nurse staffing information every day.2025-12-04 · Health · corrected 2025-12-22

   Potential for minimal harm

7. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

8. 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.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

9. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-04 · Health · corrected 2025-12-22

   Potential for more than minimal harm

10. EF0814Dispose of garbage and refuse properly.2025-12-04 · Health · corrected 2025-12-22

    Potential for more than minimal harm

11. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-12-04 · Health · corrected 2025-12-22

    Potential for more than minimal harm

12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

15. 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.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

16. 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.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

17. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

18. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

19. EF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

20. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-11-07 · Health · corrected 2024-11-26

    Potential for more than minimal harm

21. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-10-25 · Health · corrected 2024-10-30

    Potential for more than minimal harm

22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-25 · Health · corrected 2024-10-30

    Potential for more than minimal harm

23. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-22 · Health · corrected 2024-10-22

    Potential for more than minimal harm

24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-26 · Health · corrected 2024-10-03

    Potential for more than minimal harm

25. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-12 · Health · corrected 2024-02-02

    Potential for more than minimal harm

26. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-08 · Health · corrected 2024-01-11

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2023-12-22

    Potential for more than minimal harm

28. DF0583Keep residents' personal and medical records private and confidential.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

29. 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.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

30. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

31. DF0637Assess the resident when there is a significant change in condition2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

34. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

35. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

36. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-14 · Health · corrected 2023-10-12

    Actual harm

37. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

38. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

39. DF0730Observe each nurse aide's job performance and give regular training.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

41. 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.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

42. EF0759Ensure medication error rates are not 5 percent or greater.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

43. FF0761Ensure 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.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

45. DF0814Dispose of garbage and refuse properly.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

46. BF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2023-09-14 · Health · corrected 2023-10-12

    Potential for minimal harm

47. EF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

48. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-09-14 · Health · corrected 2023-10-12

    Potential for more than minimal harm

49. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-08-17 · Health · corrected 2023-09-07

    Potential for more than minimal harm

50. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-08-16 · Health · corrected 2023-09-27

    Potential for more than minimal harm

51. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-06 · Health · corrected 2023-07-21

    Potential for more than minimal harm

52. DF0641Ensure each resident receives an accurate assessment.2023-06-29 · Health · corrected 2023-07-25

    Potential for more than minimal harm

53. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-07-25

    Potential for more than minimal harm

54. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-29 · Health · corrected 2023-07-25

    Potential for more than minimal harm

55. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-15 · Health · corrected 2023-06-30

    Potential for more than minimal harm

56. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-06-15 · Health · corrected 2023-06-30

    Potential for more than minimal harm

Ownership

Other facilities in SACRAMENTO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.