Skilled nursing
DOUBLE TREE POST ACUTE CARE CENTER
0.00 reviews · 0 verifiedSACRAMENTO, CALic. 056177
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
ABUSECMS abuse icon presentSource: CMS Provider Information
VBP-SLow SNF VBP readmission measure score (3.2)Source: CMS SNF VBP (PDC)
FINECMS fine: $10,842Source: CMS Penalties
Provided by facility
Double Tree Post Acute specializes in post-acute care for all ages, providing short-term rehabilitation and skilled nursing services. The facility emphasizes a warm family atmosphere, treating residents and guests like cherished family members. With a dedicated staff and a variety of therapeutic activities, Double Tree aims to enhance the quality of life for its residents. The facility has been serving the community since 2017.
TherapiesOn-Site Rehabilitation Services
CMS Care CompareView on Medicare.gov →
Medicare overall
2/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
3.97 total HPRDRN 0.81 · weekend 94%Oct 2025 – Dec 2025
Survey history
13 inspections82 deficiencies on record
Federal IDs
CCN 056177
Overall: 2/5 · Health: 2/5 · Staffing: 4/5 · QM: 2/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 13 inspections.
Health surveyJan 2026 · CMS12 deficiencies
- F-605SS D — Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-692SS D — Provide enough food/fluids to maintain a resident's health.
- F-693SS D — Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- F-760SS D — Ensure that residents are free from significant medication errors.
- F-761SS D — 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.
- F-801SS D — Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire safetyJan 2026 · STATE FIRE MARSHAL9 deficiencies
- K-161SS D — Use approved construction type or materials.
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-291SS D — Install emergency lighting that can last at least 1 1/2 hours.
- K-324SS D — Provide properly protected cooking facilities.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-355SS D — Properly select, install, inspect, or maintain portable fire extinguishes.
- K-754SS D — Provide properly sized and located linen or trash receptacles.
- K-920SS E — Ensure proper usage of power strips and extension cords.
Health surveyDec 2025 · CMS1 deficiencies
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyJul 2025 · CMS2 deficiencies
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Health surveyOct 2024 · CMS1 deficiencies
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyOct 2024 · CMS7 deficiencies
- F-684SS J — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-759SS E — Ensure medication error rates are not 5 percent or greater.
- F-760SS E — Ensure that residents are free from significant medication errors.
- F-761SS E — 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.
- F-803SS D — 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.
- F-908SS E — Keep all essential equipment working safely.
Fire safetyOct 2024 · STATE FIRE MARSHAL11 deficiencies
- E-13SS C — Develop Emergency Preparedness policies and procedures.
- E-29SS C — Develop a communication plan.
- E-30SS C — List the names and contact information of those in the facility.
- E-36SS C — Establish emergency prep training and testing.
- E-39SS C — Conduct testing and exercise requirements.
- E-4SS C — Develop and maintain an Emergency Preparedness Program (EP).
- K-161SS D — Use approved construction type or materials.
- K-211SS D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-363SS D — Install corridor and hallway doors that block smoke.
- K-712SS C — Have simulated fire drills held at unexpected times.
- K-920SS E — Ensure proper usage of power strips and extension cords.
Health surveyApr 2024 · CMS1 deficiencies
- F-600SS E — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Health surveyDec 2023 · CMS1 deficiencies
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyAug 2023 · CMS20 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-578SS D — 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.
- F-584SS E — 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.
- F-641SS D — Ensure each resident receives an accurate assessment.
- F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
- F-755SS E — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-758SS D — 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.
- F-759SS E — Ensure medication error rates are not 5 percent or greater.
- F-761SS E — 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.
- F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F-809SS E — Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-813SS E — Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F-880SS E — Provide and implement an infection prevention and control program.
- F-908SS E — Keep all essential equipment working safely.
- F-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F-925SS F — Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Fire safetyAug 2023 · STATE FIRE MARSHAL15 deficiencies
- K-161SS D — Use approved construction type or materials.
- K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS D — Provide properly protected cooking facilities.
- K-347SS F — Properly provide smoke detection systems in areas open to corridors.
- K-353SS E — Inspect, test, and maintain automatic sprinkler systems.
- K-355SS D — Properly select, install, inspect, or maintain portable fire extinguishes.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-374SS D — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- K-711SS E — Provide a written emergency evacuation plan.
- K-741SS E — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
- K-919SS E — Meet requirements for the use of electrical equipment.
- K-920SS D — Ensure proper usage of power strips and extension cords.
- K-923SS D — Have proper medical gas storage and administration areas.
Health surveyJul 2023 · CMS1 deficiencies
- F-552SS D — Ensure that residents are fully informed and understand their health status, care and treatments.
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