Asbury Park Nursing and Rehabilitation Center
2257 Fair Oaks Boulevard · Sacramento, CA · 95825 · 9166492000
139 certified beds For profit - Limited Liability company Chain: Cypress Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.74 | 0.55–0.75 |
| Weekend hours / resident-day | 4.06 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (54 in the current record)
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Potential for harm · E March 26, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 11, 2026 · Resident Rights
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Potential for harm · D March 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 26, 2026
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.
Corrected April 11, 2026 · Quality of Life and Care
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Potential for harm · D March 26, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 11, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 11, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 11, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 11, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
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 April 11, 2026 · Pharmacy Service
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Potential for harm · E March 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2026 · Nutrition and Dietary
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Potential for harm · E March 26, 2026
Provide and implement an infection prevention and control program.
Corrected April 11, 2026 · Infection Control
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Potential for harm · E August 14, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 22, 2025 · Environmental
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Potential for harm · D March 20, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 24, 2025 · Resident Rights
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Potential for harm · D February 5, 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 February 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 10, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Keep residents' personal and medical records private and confidential.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Provide appropriate foot care.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · E January 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 31, 2025 · Pharmacy Service
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Potential for harm · D January 10, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 31, 2025 · Pharmacy Service
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Potential for harm · E January 10, 2025
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.
Corrected January 31, 2025 · Pharmacy Service
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Potential for harm · E January 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected January 31, 2025 · Pharmacy Service
-
Potential for harm · E January 10, 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 January 31, 2025 · Pharmacy Service
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Potential for harm · F January 10, 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 January 31, 2025 · 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 555673 · certified since July 30, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.