01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-22 | 9 | 2024-11-22 | 11 |
| Cycle 2 | 2023-11-02 | 4 | 2023-11-02 | 9 |
| Cycle 3 | 2021-12-03 | 8 | 2021-12-03 | 10 |
CMS CCN 5557982026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Woodside Healthcare Center
2240 Northrop Ave · Sacramento, CA 95825 · Sacramento County
Certified beds58CMS provider file
Recent citation rows51current CMS citation release
Penalty rows0current 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
51 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-22 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-11-22 · HEALTHF0689Severity E · pattern; 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 · 2024-12-162024-11-22 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-11-22 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-11-22 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-11-22 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-162024-11-22 · 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 · 2024-12-162024-11-22 · 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 · 2024-12-162024-11-22 · 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 · 2024-12-162024-11-22 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-12-222024-11-22 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-12-052024-11-22 · FIREK0342Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2024-11-262024-11-22 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-11-252024-11-22 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-252024-11-22 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-22 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-11-252024-11-22 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-11-282024-11-22 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-11-22 · 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 · 2024-11-222024-11-22 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-12-162023-11-02 · HEALTHF0658Severity D · isolated; 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 · 2023-11-172023-11-02 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-11-172023-11-02 · HEALTHF0812Severity F · widespread; 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 · 2023-11-172023-11-02 · 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 · 2023-11-1703 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CYPRESS HEALTHCARE GROUP LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 09/29/2023
- JACKSON, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- JACKSON, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- SANOFSKY, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/20/2019
- BARKOVSKII, DMITRIIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/30/2025
- BEAM, REBECCAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2019
- FASTOVICH, LYUBOVIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/29/2021
- JACKSON, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2019
- JACKSON, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2019
- KLIMOVICH, IRINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/29/2023
- LEE, MAIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/12/2024
- PASTRANO-OCLARINO, MYLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/09/2021
- PORTELA, ALICIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2021
- REYNA, CHRISTIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2024
- SANOFSKY, JACKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/20/2019
- TRUKHAN, OLGAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/29/2021
- BARKOVSKII, DMITRIIIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/30/2025
- BEAM, REBECCAIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2019
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 hours4.42per resident day
RN hours0.55per resident day
Weekend nurse hours4.08per resident day
Staff turnover23.8%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