Inspection citations
14’23
20’24
4’25
4’26
42 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Apr 15, 2026 | D · potential | Give the resident's representative the ability to exercise the resident's rights. | Complaint |
| Jan 8, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jan 8, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 8, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 9, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 9, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Feb 26, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 26, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 10, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Nov 15, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 10, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Oct 10, 2024 | D · potential | Prepare residents for a safe transfer or discharge from the nursing home. | Complaint |
| Oct 3, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Oct 3, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 3, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 3, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Oct 3, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Oct 3, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 3, 2024 | F · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Oct 3, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 3, 2024 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Oct 3, 2024 | E · potential | 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. | Routine |
| Oct 3, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Oct 3, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 3, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 3, 2024 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Jul 30, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 21, 2024 | E · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Complaint |
| Nov 8, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 11, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 11, 2023 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Oct 11, 2023 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Feb 2, 2023 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Feb 2, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 2, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 2, 2023 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Feb 2, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 2, 2023 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Feb 2, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 2, 2023 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Feb 2, 2023 | E · potential | 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. | Routine |
| Feb 2, 2023 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Auburn Oaks Care Center
3400 Bell Road, Auburn, CA 95603 · (530) 888-6257
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555219
- Certified beds
- 99
- Legal owner
- Aloe Holdings LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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