Cedarwood Post Acute
1090 Rio Lane · Sacramento, CA · 95822 · 9164462506
51 certified beds For profit - Corporation Chain: Spyglass Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (46 in the current record)
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Potential for harm · D June 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · E June 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · F June 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 30, 2025 · Nutrition and Dietary
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Potential for harm · E June 13, 2025
Provide and implement an infection prevention and control program.
Corrected June 30, 2025 · Infection Control
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Potential for harm · D November 21, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 15, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 2, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 11, 2024 · Resident Rights
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Potential for harm · D August 23, 2024
Ensure each resident receives an accurate assessment.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · F August 23, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 23, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Ensure that residents are free from significant medication errors.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · D August 23, 2024
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.
Corrected September 11, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · D August 23, 2024
Ensure 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.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · E August 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 11, 2024 · Nutrition and Dietary
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Potential for harm · F August 23, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Provide and implement an infection prevention and control program.
Corrected September 11, 2024 · Infection Control
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Potential for harm · D August 23, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 11, 2024 · Infection Control
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Potential for harm · D August 23, 2024
Keep all essential equipment working safely.
Corrected September 11, 2024 · Environmental
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Potential for harm · D August 23, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 11, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055296 · certified since January 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.