City Creek Post Acute

6248 66th Avenue · Sacramento, CA · 95823 · 9163924440

99 certified beds For profit - Limited Liability company Chain: Kalesta Healthcare Group

  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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.

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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

Inspection record 30% of score 53
Serious harm & abuse 20% 94
Staffing 20% 75
Federal penalties 15% 48
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.143.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day3.76≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)3 · $26,497

Inspection citations (39 in the current record)

  • Potential for harm · D May 8, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 15, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 17, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 7, 2024 · Quality of Life and Care

  • Potential for harm · E October 17, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 7, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 17, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 7, 2024 · Infection Control

  • Potential for harm · D October 17, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected November 7, 2024 · Nutrition and Dietary

  • Potential for harm · D October 17, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected November 7, 2024 · Environmental

  • Potential for harm · D June 12, 2024 · found via complaint

    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.

    Corrected June 20, 2024 · Quality of Life and Care

  • Potential for harm · D February 8, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 22, 2024 · Quality of Life and Care

  • Potential for harm · E February 1, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 31, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 16, 2024 · Infection Control

  • Potential for harm · D September 15, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 21, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G August 28, 2023 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 2, 2023 · Quality of Life and Care

  • Potential for harm · D July 13, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 14, 2023 · Resident Rights

  • Potential for harm · D July 13, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 14, 2023 · Resident Rights

  • Potential for harm · D July 13, 2023

    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.

    Corrected August 14, 2023 · Resident Rights

  • Potential for harm · D July 13, 2023

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected August 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 13, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 14, 2023 · Quality of Life and Care

  • Potential for harm · D July 13, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 14, 2023 · Pharmacy Service

  • Potential for harm · E July 13, 2023

    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 August 14, 2023 · Pharmacy Service

  • Potential for harm · F July 13, 2023

    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.

    Corrected August 14, 2023 · Nutrition and Dietary

  • Potential for harm · E July 13, 2023

    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.

    Corrected August 14, 2023 · Nutrition and Dietary

  • Potential for harm · F July 13, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 14, 2023 · Nutrition and Dietary

  • Potential for harm · D July 13, 2023

    Provide and implement an infection prevention and control program.

    Corrected August 14, 2023 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 2, 2023Fine$13,762
August 28, 2023Fine$8,190
August 14, 2023Fine$4,545

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 555160 · certified since December 6, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.