Capital Post Acute: Roaches and Spiders in Rooms - CA
That was four days before inspectors arrived at Capital Post Acute on April 29, 2026. By the time they got there, the bugs were still there.
In the first room inspectors visited, at 11:08 in the morning, a live roach was on the floor. A live brown spider, an inch long, was on the sliding door. Under the bed, two more roaches sat on a glue trap. Under a wooden cabinet near the door, inspectors found another roach and two more black spiders, each an inch long, also on a trap.
The resident, who had been admitted for surgical aftercare and was fully cognitively intact, became angry during the inspection. She told inspectors she felt hurt and uncomfortable having to sleep with pests in her room. She said bugs were found in her room often. The activities assistant who was present in the room at the time confirmed everything inspectors saw, roach by roach, spider by spider.
Down the hall, the second resident, admitted with essential hypertension and also cognitively intact, sat in her wheelchair and described what had happened to her that Saturday. A roach had crawled across her foot while she was in bed. She said she felt uncomfortable in the facility.
A licensed nurse reviewed the photographs inspectors had taken and confirmed the infestation in the first resident's room. The nurse said the conditions were unsanitary and noted that spider bites can cause allergic reactions. The nurse also said the presence of pests could make residents feel uncomfortable with their care at the facility.
The Director of Nursing, interviewed that afternoon, said the expectation was for residents' rooms to be clean and free of pests.
The facility's own pest control policy, reviewed during the inspection, states that the facility maintains an ongoing program to ensure the building is kept free of insects and rodents. The traps under the bed and beneath the cabinet suggest the problem was known. They also suggest it wasn't working.
Roaches and spiders are not abstract sanitation concerns in a nursing home setting. Residents in post-acute and long-term care are often immunocompromised, recovering from surgery, or managing chronic conditions that make infections harder to fight. A bite that a healthy person shrugs off can become something more serious for someone in a skilled nursing bed. Beyond the medical risk, the psychological toll of sharing a room with insects, of lying in bed waiting to feel something crawl across your foot, is its own kind of harm.
Capital Post Acute's inspection was triggered by a complaint, not a routine survey. That means someone, likely a resident or a family member, had already raised the alarm before inspectors walked through the door. The inspection confirmed what they described.
The first resident said bugs appeared in her room often. The traps were already in place. The pests were still there.
Inspectors cited the facility for failing to maintain an effective pest control program, a deficiency affecting the living conditions, health, and safety of residents. The violation was rated at the minimal harm level, meaning inspectors determined no actual harm had occurred, though the potential was present.
The woman who had a roach crawl across her foot in the middle of the night might weigh that rating differently.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Capital Post Acute from 2026-04-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Capital Post Acute in Sacramento, CA was cited for violations during a health inspection on April 29, 2026.
That was four days before inspectors arrived at Capital Post Acute on April 29, 2026.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.