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23 Medicaid Nursing Homes With a Clean Record in Sacramento County, California

23 of the 37 Medicare-certified nursing homes in Sacramento County, California (62%) are Medicaid-certified, clean-record, and all are listed below. 12 of the 23 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 35%, 0.4 points lower than the 35.4% across all homes there. Manzanita Healthcare Center in Carmichael grades highest at A (96 out of 100).

How Medicaid-certified, clean-record homes in Sacramento County, California compare

This group set against every nursing home in Sacramento County, California, from the current CMS release.

Nursing hours per resident per day

4.31

All homes in Sacramento County, California: 4.29

Better than the local average

Nurse staff turnover

35%

All homes in Sacramento County, California: 35.4%

Better than the local average

Average ElderGrade score

85.1/100

All homes in Sacramento County, California: 77.7/100

Better than the local average

Grade spread

A
B

12 grade A, 10 grade B, 1 grade C,

The best-graded Medicaid-certified, clean-record home in Sacramento County, California is Manzanita Healthcare Center in Carmichael, CA, grade A, 96/100.

Every Medicaid-certified, clean-record nursing home in Sacramento County, California

Showing 21 to 23 of 23, best-graded first.

B

77/100

Mid-Town Oaks Post-Acute

Sacramento, CA · Sacramento County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.07 /day
Staff turnover
54%
Serious cites
0

Mid-Town Oaks runs 4.07 nurse hours per resident day, a bit above the national average, but that staffing thins out on weekends and more than half the nurses turned over last year, 54.1% against a national 45.8%. The inspection record carries 58 deficiencies, including one at the harm level and four tied to abuse, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, which is a real signal, but it's worth asking how a building with this many cited problems and this much turnover holds that score. The most recent inspection was December 4, 2025, so the record is current. One fine on file, $15,593.

B

75/100

City Creek Post Acute

Sacramento, CA · Sacramento County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
47%
Serious cites
0

City Creek Post Acute runs a 99-bed for-profit operation in Sacramento, and the staffing picture is more mixed than the headline number suggests. Total nurse hours come in at 4.10 per resident day, about 6% above the national average, but weekends drop roughly 10% below the home's own weekday coverage, so the care your family member gets on a Saturday may look thinner than what the tour showed. Staff turnover sits at 47.2%, slightly worse than the national rate, and the current record carries 39 deficiencies, including three tied to abuse and one at the harm level. Three fines total $26,497. The most recent inspection was October 2024.

C

66.5/100

Mountain Manor Senior Residence

Carmichael, CA · Sacramento County

CMS 1/547 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Mountain Manor is a 47-bed for-profit in Carmichael, and the number that stands out is staffing: the federal data puts it at one star, the lowest tier, well below what CMS considers adequate for a building this size. That shortfall sits behind a C grade, and it's the piece families should weigh hardest, since daily care depends on who's actually on the floor. The inspection record shows 53 deficiencies, none of them at harm or jeopardy level and none abuse-related, though three fines totaling $38,855 have been issued. State surveyors were last in on April 24, 2025, so the record is recent, and quality measures land at three stars, middle of the pack. Ask about direct-care hours per resident before you visit.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in Sacramento County, California?
There are 23 Medicaid-certified, clean-record Medicare-certified nursing homes in Sacramento County, California, 62% of the 37 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In Sacramento County, California they average 4.31 total nursing hours per resident per day, against 4.29 for all nursing homes in Sacramento County, California, a difference of +0.02 hours. Staff turnover averages 35% against 35.4%.
Which Medicaid-certified, clean-record nursing home grades best in Sacramento County, California?
Manzanita Healthcare Center in Carmichael, CA, grade A, 96 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 23 graded Medicaid-certified, clean-record homes in Sacramento County, California, 12 grade A and 0 grade D or F.
Do Medicaid-certified, clean-record nursing homes in Sacramento County, California accept Medicaid?
23 of the 23 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Sacramento County, California