01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-10-17 | 6 | 2024-10-17 | 5 |
| Cycle 2 | 2023-07-13 | 14 | 2023-07-13 | 14 |
| Cycle 3 | 2021-05-06 | 19 | 2021-05-06 | 7 |
CMS CCN 5551602026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
City Creek Post Acute
6248 66Th Avenue · Sacramento, CA 95823 · Sacramento County
Certified beds99CMS provider file
Recent citation rows65current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
65 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-05-08 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2024-10-29 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-10-17 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-10-17 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2024-11-07 · complaint2024-10-17 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-10-17 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-10-17 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-10-17 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2024-11-07 · complaint2024-10-17 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-17 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-17 · FIREK0343Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-10-17 · FIREK0919Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2024-10-312024-06-12 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-06-20 · complaint2024-02-08 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-02-22 · complaint2024-02-01 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-02-14 · complaint2024-01-31 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-02-16 · complaint2023-09-15 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2023-09-21 · complaint2023-08-28 · HEALTHF0697Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-10-02 · complaint2023-07-13 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-08-072023-07-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-08-142023-07-13 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2023-08-142023-07-13 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-08-142023-07-13 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2023-08-1403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-10-02 | Fine | $13,762 | 0 |
| 2023-08-28 | Fine | $8,190 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- KALESTA HEALTHCARE GROUP, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2019
- CLAWSON, SCOTTIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST44% · since 10/01/2019
- WILLIAMS, RYANIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST44% · since 10/01/2019
- TEXAS CAPITAL BANK NAOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 04/17/2025
- FIELDS, DOMONIQUEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2019
- FLAKE, ETHANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/07/2024
- HINKLE, CORTNEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/09/2024
- MODI, ISHANKUMARIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/04/2019
- MOSHER, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/08/2024
- MURRAY, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/08/2024
- SOARES, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2021
- CHEN, KAI SHINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/04/2021
- CLAWSON, SCOTTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- JONES, STEVENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2024
- WILLIAMS, RYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2019
- CHEN, KAI SHINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/04/2021
- DHIR, SUNILIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2020
- FIELDS, DOMONIQUEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.10per resident day
RN hours0.58per resident day
Weekend nurse hours3.70per resident day
Staff turnover47.2%CMS reported field
06 / LOCAL RECORDS
Open the Sacramento ledger →Other published facilities nearby
Acc Care Center99 beds · CMS overall 5/564 citation rowsAdvanced Health Care Of Sacramento40 beds · CMS overall 5/539 citation rowsArden Park Post Acute177 beds · CMS overall 3/586 citation rowsAsbury Park Nursing And Rehabilitation Center139 beds · CMS overall 3/585 citation rowsBruceville Terrace - D/P Snf Of Methodist Hospital171 beds · CMS overall 3/554 citation rowsBridgewood Post Acute49 beds · CMS overall 3/5101 citation rowsCapital Post Acute121 beds · CMS overall 2/5113 citation rowsCedarwood Post Acute51 beds · CMS overall 3/577 citation rows