University Post-Acute Rehab
2120 Stockton Boulevard · Sacramento, CA · 95817 · 9164526631
59 certified beds For profit - Corporation Chain: Aspen Skilled Healthcare
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.17 | 0.55–0.75 |
| Weekend hours / resident-day | 4.04 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · E May 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · E May 22, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · E May 22, 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 June 10, 2025 · Pharmacy Service
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Potential for harm · E May 22, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 10, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 10, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D March 11, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Honor 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.
Corrected June 26, 2024 · Resident Rights
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Potential for harm · D June 6, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected June 26, 2024 · Quality of Life and Care
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Potential for harm · E June 6, 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 June 26, 2024 · Pharmacy Service
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Potential for harm · D June 6, 2024
Provide and implement an infection prevention and control program.
Corrected June 26, 2024 · Infection Control
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Potential for harm · D June 1, 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 June 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 21, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 8, 2024 · Resident Rights
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Potential for harm · D November 28, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected February 11, 2022 · Resident Rights
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Potential for harm · E January 13, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2022
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · E January 13, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · E January 13, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 11, 2022 · Pharmacy Service
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Potential for harm · E January 13, 2022
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 February 11, 2022 · Pharmacy Service
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Potential for harm · D January 13, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 11, 2022 · Nutrition and Dietary
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 555265 · certified since June 10, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.