All 23 Medicare-certified nursing homes in Sacramento,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
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.