Saylor Lane Healthcare Center
3500 Folsom Boulevard · Sacramento, CA · 95816 · 9164573500
42 certified beds For profit - Limited Liability company Chain: Cypress Healthcare Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.80 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $1,748 |
Inspection citations (41 in the current record)
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Potential for harm · E May 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
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 May 15, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
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 May 15, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025
Dispose of garbage and refuse properly.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected May 15, 2025 · Infection Control
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Potential for harm · D May 8, 2025
Educate 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.
Corrected May 15, 2025 · Infection Control
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Potential for harm · D April 15, 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 April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 17, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · E May 17, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · D May 17, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 21, 2024 · Quality of Life and Care
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Potential for harm · E May 17, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 21, 2024 · Pharmacy Service
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Potential for harm · E May 17, 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 May 21, 2024 · Pharmacy Service
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Potential for harm · F May 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 21, 2024 · Nutrition and Dietary
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Potential for harm · E May 17, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 17, 2024
Provide and implement an infection prevention and control program.
Corrected May 21, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2023 | Fine | $1,748 |
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 055417 · certified since December 31, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.