Inspection citations
1’23
25’24
6’25
15’26
47 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 17, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 17, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jun 17, 2026 | E · potential | 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. | Routine |
| Jun 17, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 17, 2026 | D · potential | 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. | Routine |
| Jun 17, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jun 17, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jun 17, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 17, 2026 | D · potential | 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. | Routine |
| Jun 17, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 17, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 17, 2026 | D · potential | 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. | Routine |
| Jun 17, 2026 | D · potential | Keep all essential equipment working safely. | Routine |
| Jun 9, 2026 | D · potential | Assess the resident when there is a significant change in condition | Complaint |
| Jun 9, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Jun 13, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 13, 2025 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jun 13, 2025 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jun 13, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 13, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 13, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 21, 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. | Complaint |
| Nov 15, 2024 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Oct 2, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Aug 23, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Aug 23, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 23, 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 |
| Aug 23, 2024 | F · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 23, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 23, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 23, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Aug 23, 2024 | D · 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 |
| Aug 23, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Aug 23, 2024 | D · potential | 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. | Routine |
| Aug 23, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 23, 2024 | F · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Aug 23, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 23, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Aug 23, 2024 | D · potential | Keep all essential equipment working safely. | Routine |
| Aug 23, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Aug 7, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 13, 2024 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Complaint |
| Jan 10, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jan 10, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 10, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 10, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Nov 27, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
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
Cedarwood Post Acute
1090 Rio Lane, Sacramento, CA 95822 · (916) 446-2506
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055296
- Certified beds
- 51
- Legal owner
- Cedarwood Post Acute, LLC
- Part of
- Spyglass Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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