Inspection citations
22’23
15’24
11’25
8’26
56 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 29, 2026 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| May 14, 2026 | D · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| May 14, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 16, 2026 | D · 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. | Complaint |
| Feb 27, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 19, 2026 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Feb 19, 2026 | 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 |
| Feb 11, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 4, 2025 | E · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Dec 4, 2025 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Dec 4, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Dec 4, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 4, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Dec 4, 2025 | C · minimal | Post nurse staffing information every day. | Routine |
| Dec 4, 2025 | 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 |
| Dec 4, 2025 | 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 |
| Dec 4, 2025 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 4, 2025 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Dec 4, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Nov 7, 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 |
| Nov 7, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Nov 7, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 7, 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 |
| Nov 7, 2024 | E · potential | 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. | Routine |
| Nov 7, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Nov 7, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 7, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 7, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Oct 25, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Complaint |
| Oct 25, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 22, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Sep 26, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 12, 2024 | F · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Jan 8, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Dec 13, 2023 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Sep 14, 2023 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Sep 14, 2023 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Sep 14, 2023 | D · potential | 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. | Routine |
| Sep 14, 2023 | D · potential | Assess the resident when there is a significant change in condition | Routine |
| Sep 14, 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 |
| Sep 14, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Sep 14, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Sep 14, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Sep 14, 2023 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Sep 14, 2023 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Sep 14, 2023 | D · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| Sep 14, 2023 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Sep 14, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Sep 14, 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 |
| Sep 14, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Sep 14, 2023 | F · 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 |
| Sep 14, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Sep 14, 2023 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Sep 14, 2023 | B · minimal | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Routine |
| Sep 14, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 14, 2023 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | 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
Mid-Town Oaks Post-Acute
2600 L Street, Sacramento, CA 95816 · (916) 321-9440
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055493
- Certified beds
- 100
- Legal owner
- White Fir Holdings LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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