36 Nursing Homes That Accept Medicaid in Sacramento County, California
36 of the 37 Medicare-certified nursing homes in Sacramento County, California (97%) are Medicaid-certified, and all are listed below. 12 of the 36 graded homes earn an A and 1 earn a D or F. They average 4.24 nursing hours per resident per day, 0.05 hours below the 4.29 for every home in Sacramento County, California. Manzanita Healthcare Center in Carmichael grades highest at A (96 out of 100).
How Medicaid-certified 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
4.24
All homes in Sacramento County, California: 4.29
Worse than the local average
Nurse staff turnover
35.5%
All homes in Sacramento County, California: 35.4%
Worse than the local average
Average ElderGrade score
77.2/100
All homes in Sacramento County, California: 77.7/100
Worse than the local average
Grade spread
A
B
C
12 grade A, 10 grade B, 13 grade C, 1 grade D,
The best-graded Medicaid-certified home in Sacramento County, California is
Manzanita Healthcare Center
in Carmichael, CA, grade A, 96/100.
Every Medicaid-certified nursing home in Sacramento County, California
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.
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.
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.
Elk Grove Post Acute runs 136 beds under for-profit LLC ownership, and its nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, with weekends about 4% thinner than weekdays. What stands out is retention: 23.2% turnover against a national 45.8% means far fewer familiar faces leaving each year. The trouble is the inspection record. Seventy-seven deficiencies, three at harm or jeopardy level, and eight tied to abuse is a lot to carry, and the two-out-of-five health inspection rating reflects it. Quality measures score well, but those come largely from resident assessments rather than surveyor findings. The last inspection was May 2026, so the record is current.
River City Post Acute runs 178 beds in Carmichael under a for-profit LLC, and the staffing numbers are thin: 3.54 nurse hours per resident day against a national average of 3.86, with weekends dipping about 7% below its own weekday level. Annual turnover sits at 52.2%, notably higher than the 45.8% national figure, so the people doing the work keep changing. The current record shows 92 deficiencies, none flagged at harm or jeopardy level, but 13 tied to abuse, and the last inspection was March 2026. Federal ratings land at one star for health inspections and two each for quality measures and staffing.
Arden Park Post Acute runs 177 certified beds in Sacramento under for-profit LLC ownership, and its staffing sits at 3.80 nurse hours per resident day, just under the national average of 3.86, with weekends running about 8% leaner than weekdays. Turnover is the bright spot: 34.8% against a national 45.8%, meaning this home holds onto nurses better than most. The inspection record is the concern. Sixty-three deficiencies, three at harm or jeopardy level and nine abuse-related, with two fines totaling $33,586 and a health inspection rating of 2 out of 5, though quality measures score 5 out of 5. The last inspection was March 19, 2026.
Bridgewood Post Acute runs on solid staffing for a 49-bed home, 4.63 nurse hours per resident day, about 20% above the national average, and its 29.6% turnover is well below the 45.8% national figure, meaning the people caring for residents tend to stick around. Weekends dip roughly 9% below weekday coverage, worth asking about if your family visits then.
The concern sits with inspections. Fifty-three deficiencies on the current record, including one at harm or jeopardy level and six tied to abuse, drove a 2-star health inspection rating from CMS despite a 5-star quality measure score. The most recent inspection was June 2025, so the record is recent. For-profit individual ownership. Ask to see the plan of correction for the abuse-related findings before deciding.
River Pointe Post-Acute is a 112-bed for-profit partnership in Carmichael, and the numbers tell a mixed story. The quality measure rating of 4 out of 5 looks good on paper, but staffing sits at 1 out of 5, the weakest possible, which is the number that shapes daily life for residents. The inspection record is harder to ignore: 54 deficiencies on file, including 2 at the harm or jeopardy level and 4 tied to abuse. Fines total just under $10,000, and the last inspection was March 2026. Annual turnover runs 44.1%, slightly better than the national average. Ownership is for-profit partnership, and the combination of thin staffing with a long deficiency history is worth asking about directly before you decide.
Double Tree Post Acute Care Center has 122 certified beds and runs on for-profit, limited-liability ownership in Sacramento. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, and the 29.7% annual turnover is well below the national 45.8%, so people tend to stay. Weekends run roughly 9% thinner than weekdays, worth knowing if your visits fall on Saturdays or Sundays. The inspection record is the harder read: 46 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with one fine of $10,842. The most recent inspection was January 23, 2026, so the record is current.
Greenhaven runs on a for-profit LLC structure with 148 beds, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. Weekend coverage dips about 7% below its own weekday levels, and turnover is 33.7%, noticeably better than the 45.8% national rate. The trouble shows up in inspections: 71 deficiencies on record, including one at the harm level and nine tied to abuse, with the most recent inspection dated February 2026. That's a wide gap between how the place is staffed and how it's actually being run day to day. Strong quality scores don't cancel out a harm-level finding or nine abuse citations. Ask to see the plan of correction before you decide anything.
Bruceville Terrace runs on unusually deep staffing for a nonprofit: 5.06 nurse hours per resident day, roughly a third more than the national figure, with weekend coverage dipping only about 9% below its own weekdays. Turnover sits at 18.3% against a national average of 45.8%, so the people caring for residents tend to stay. The trade-off shows up in its inspection record, 33 deficiencies on file, two of them abuse-related, though none reached harm or jeopardy, and the most recent survey dates to May 2026. Quality measures score well above average. What you're looking at is a well-staffed home that still accumulates paperwork-level citations.
North Pointe Care Center is a 161-bed for-profit home in Sacramento, and its numbers pull in different directions. Nurse staffing sits at 3.69 hours per resident day, slightly under the national average, and weekends run about 6% thinner than weekdays, a gap families often feel on Saturday and Sunday. Turnover is 37.7%, actually better than the 45.8% national figure, so the crew is steadier than most. The concern is the inspection record: 68 deficiencies, including 13 tied to abuse and 3 at harm or jeopardy level, with a $24,115 fine and a January 2026 inspection.
Capital Post Acute runs 121 beds in Sacramento under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average. Turnover is 38.2%, better than the 45.8% national figure, though weekend coverage drops about 11% below weekday levels, so care may thin out when families visit. What pulls the record down is the inspection side: a 2/5 health inspection rating and 71 deficiencies on file, 11 of them abuse-related, none at the harm level. The most recent inspection was February 2026. Quality measures score well at 4/5, but that paperwork strength doesn't erase 71 citations.
Gramercy Court runs 120 certified beds in Sacramento under for-profit LLC ownership, and its staffing numbers are genuinely strong: 4.16 nurse hours per resident day, roughly 8% above the national average, with weekend staffing dipping about 11% below its own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The trouble is the inspection record, 49 deficiencies, 11 of them abuse-related, and a 2/5 health inspection rating, all as of a December 2025 survey. That's a lot of cited problems for a home this size, and the abuse category is the kind of thing families should ask about directly before touring. Strong staffing and a shaky inspection history can coexist, but they tell different stories.
Pioneer House runs 4.13 nurse hours per resident day, which is about 7% above the national average, and turnover at 44.8% is basically in line with the country as a whole. The staffing picture isn't the problem. The current record shows 59 deficiencies, including one at the harm or jeopardy level and seven flagged as abuse-related, and the health inspection rating sits at 2 out of 5. Quality measures score 5 out of 5, so the day-to-day clinical numbers look strong even as the inspection history does not. Weekend staffing drops roughly 11% below its own weekday level, which is worth asking about directly. It's a 50-bed for-profit LLC, last inspected in December 2025.
Rancho Seco Care Center has a staffing edge on paper, 4.16 nurse hours per resident day, roughly 8% above the national average, but weekends run about 10% thinner than its own weekdays, so the coverage a family sees on a Tuesday isn't what they get on a Sunday. Turnover sits at 43.7%, slightly better than the national 45.8%, which suggests some stability in who's actually on the floor. What overrides all of that is the record: 72 deficiencies, including 3 at harm or jeopardy level and 16 abuse-related, plus two fines totaling $490,205 and placement in CMS's Special Focus Facility program. The most recent inspection was January 8, 2026.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Sacramento County, California?
There are 36 Medicaid-certified Medicare-certified nursing homes in Sacramento County, California, 97% of the 37 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Sacramento County, California they average 4.24 total nursing hours per resident per day, against 4.29 for all nursing homes in Sacramento County, California, a difference of -0.05 hours. Staff turnover averages 35.5% against 35.4%.
Which Medicaid-certified nursing home grades best in Sacramento County, California?