North Pointe Care Center
500 Jessie Avenue · Sacramento, CA · 95838 · 9169227177
161 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $24,115 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $24,115 |
Inspection citations (68 in the current record)
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Potential for harm · D March 27, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2026 · Quality of Life and Care
-
Potential for harm · D March 4, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
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 January 28, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · E January 9, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
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 January 28, 2026 · Nutrition and Dietary
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Potential for harm · F January 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 28, 2026 · Nutrition and Dietary
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Potential for harm · E January 9, 2026
Provide and implement an infection prevention and control program.
Corrected January 28, 2026 · Infection Control
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Potential for harm · D January 9, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 28, 2026 · Environmental
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Potential for harm · D January 9, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B January 9, 2026
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Deficient, Provider has plan of correction · Environmental
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No harm found · B January 9, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has plan of correction · Environmental
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Actual harm · G September 26, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 13, 2024 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected October 1, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 1, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2026 | Fine | $24,115 |
| January 9, 2026 | Payment Denial | 3 days |
| June 28, 2024 | Payment Denial | 2 days |
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 555400 · certified since January 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.