Greenhaven Healthcare Center
455 Florin Road · Sacramento, CA · 95831 · 9163932550
148 certified beds For profit - Limited Liability company Chain: Cypress Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- 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.
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 6 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: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 4.12 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (70 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 1, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
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.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · E February 26, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 20, 2026 · Pharmacy Service
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Potential for harm · D February 26, 2026
Ensure that residents are free from significant medication errors.
Corrected March 20, 2026 · Pharmacy Service
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Potential for harm · E February 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 March 20, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Actual harm · G December 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 14, 2026 · Quality of Life and Care
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Potential for harm · D November 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 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 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 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 May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 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 May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 20, 2025 · Environmental
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Potential for harm · D April 10, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2025 · Quality of Life and Care
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 555098 · certified since September 20, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.