Mid-Town Oaks Post-Acute
2600 L Street · Sacramento, CA · 95816 · 9163219440
100 certified beds For profit - Limited Liability company Chain: Pacs Group
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: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.75 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $15,593 |
Inspection citations (61 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
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 19, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D February 19, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D February 19, 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 March 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 11, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E December 4, 2025
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 December 22, 2025 · Resident Rights
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Potential for harm · E December 4, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · E December 4, 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 December 22, 2025 · Pharmacy Service
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Potential for harm · E December 4, 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 December 22, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 22, 2025 · Nutrition and Dietary
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Potential for harm · E December 4, 2025
Dispose of garbage and refuse properly.
Corrected December 22, 2025 · Nutrition and Dietary
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Potential for harm · D December 4, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 22, 2025 · Environmental
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No harm found · C December 4, 2025
Post nurse staffing information every day.
Corrected December 22, 2025 · Nursing and Physician Services
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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 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 26, 2024 · Pharmacy Service
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Potential for harm · E November 7, 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 November 26, 2024 · Pharmacy Service
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Potential for harm · E November 7, 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 November 26, 2024 · Nutrition and Dietary
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Potential for harm · E November 7, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 26, 2024 · Nutrition and Dietary
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Potential for harm · E November 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 26, 2024 · Nutrition and Dietary
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Potential for harm · E November 7, 2024
Provide and implement an infection prevention and control program.
Corrected November 26, 2024 · Infection Control
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Potential for harm · D November 7, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 26, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 14, 2023 | Fine | $15,593 |
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 055493 · certified since November 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.