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Complaint Investigation

Bruceville Terrace - D/p Snf Of Methodist Hospital

December 19, 2025 · Sacramento, CA · 8151 Bruceville Road
Citations 1
CMS Rating 4/5
Beds 171
Provider ID 555344
Healthcare Facility
Bruceville Terrace - D/p Snf Of Methodist Hospital
Sacramento, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL in SACRAMENTO, CA — inspection on December 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During a review of Resident 1's NPN, dated 11/23/25 at 11:50 a.m., the NPN indicated, Resident 1 was discharged home with the RP.

The NPN did not indicate that the RP was informed of the assisted fall that had occurred.During a concurrent interview and record review on 12/19/25 at 12:25 p.m. with Director of Nursing (DON), Resident 1's NPN on 11/23/25 at 2:51 a.m. was reviewed.

The NPN indicated, .endorsed AM nurse to follow up The DON stated that calling the RP again was part of the follow-up process.

Further review of the chart showed no documentation of a follow-up call to the RP.

The DON confirmed that no additional follow-up call was made.

The DON stated that she expected the day shift nurse to follow up and ensure the RP was made aware of the fall.

The DON also stated that the nurse should have informed the RP about the fall when the RP arrived to pick up Resident 1 for discharge.During a review of the facility's policy and procedure (P&P) titled, Falling Incidents, dated 5/22/25, the P&P indicated, .notify the Physician and Responsible Party.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SACRAMENTO, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.