Gramercy Court
2200 Gramercy Drive · Sacramento, CA · 95825 · 9164822200
120 certified beds For profit - Limited Liability company Chain: Generations Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
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 9 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: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.82 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D April 1, 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 March 31, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 25, 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 March 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 5, 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 March 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 8, 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 January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 5, 2025
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 January 5, 2026 · Resident Rights
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Potential for harm · E December 5, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 5, 2026 · Pharmacy Service
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Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 5, 2026 · Nutrition and Dietary
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Potential for harm · D September 17, 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 October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 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 August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 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 August 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 28, 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 June 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D December 5, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
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 December 23, 2024 · Pharmacy Service
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Potential for harm · E December 5, 2024
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 December 23, 2024 · Pharmacy Service
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Potential for harm · D December 5, 2024
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 December 23, 2024 · Nutrition and Dietary
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Potential for harm · D December 5, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected December 23, 2024 · Nutrition and Dietary
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Potential for harm · D December 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 23, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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 555459 · certified since May 24, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.