Capital Post Acute
6821 24th Street · Sacramento, CA · 95822 · 9163916011
121 certified beds For profit - Limited Liability company Chain: Spyglass Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 5 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (71 in the current record)
-
Potential for harm · D April 29, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 22, 2026 · Environmental
-
Potential for harm · D February 24, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 13, 2026 · Infection Control
-
Potential for harm · E February 20, 2026
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 20, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 20, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · D February 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · E February 20, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 26, 2026 · Pharmacy Service
-
Potential for harm · D February 20, 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 February 26, 2026 · Pharmacy Service
-
Potential for harm · D February 20, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 26, 2026 · Nutrition and Dietary
-
Potential for harm · E February 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2026 · Nutrition and Dietary
-
Potential for harm · D February 20, 2026
Provide or get specialized rehabilitative services as required for a resident.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · E February 20, 2026
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
-
Potential for harm · D February 20, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 26, 2026 · Environmental
-
Potential for harm · D February 20, 2026 · 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 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 28, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 29, 2026 · Quality of Life and Care
-
Potential for harm · D December 12, 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 January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 10, 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 December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 1, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 9, 2025 · Resident Rights
-
Potential for harm · D April 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
-
Potential for harm · D February 4, 2025 · found via complaint
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 13, 2025 · Pharmacy Service
-
Potential for harm · D November 7, 2024
Keep residents' personal and medical records private and confidential.
Corrected November 30, 2024 · Resident Rights
-
Potential for harm · D November 7, 2024
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.
Corrected November 30, 2024 · Resident Rights
-
Potential for harm · D November 7, 2024
Ensure each resident receives an accurate assessment.
Corrected November 30, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 30, 2024 · Resident Assessment and Care Planning
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555442 · certified since December 13, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.