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Double Tree Post Acute Care Center

📍 7400 24th Street, Sacramento, CA 95822 📞 (916) 422-4825 🛏️ 122 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $15,000

$15,000
Jan 23, 2023

Fine

2022 5 penalties totaling $44,637

$11,450
Oct 12, 2022

Fine

$7,443
Oct 12, 2022

Fine

$15,000
Mar 24, 2022

Fine

$9,750
Mar 24, 2022

Fine

$994
Feb 7, 2022

Fine

2021 1 penalties totaling $655

$655
Nov 29, 2021

Fine

2020 1 penalties totaling $8,875

$8,875
Aug 5, 2020

Fine

2018 1 penalties totaling $3,400

$3,400
Dec 24, 2018

Fine

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Health Violations by Year

2024 1 violations

Tag 0600 E Apr 17, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 15, 2024

2023 29 violations

Tag 0880 D Dec 28, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 28, 2023
Tag 0550 D Aug 17, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 8, 2023
Tag 0578 D Aug 17, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 8, 2023
Tag 0584 E Aug 17, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Sep 8, 2023
Tag 0641 D Aug 17, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 8, 2023
Tag 0656 E Aug 17, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 8, 2023
Tag 0657 D Aug 17, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 8, 2023
Tag 0698 D Aug 17, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Sep 8, 2023
Tag 0755 E Aug 17, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 8, 2023
Tag 0756 D Aug 17, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Sep 8, 2023
Tag 0758 D Aug 17, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Sep 8, 2023
Tag 0759 E Aug 17, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Sep 8, 2023
Tag 0761 E Aug 17, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Sep 8, 2023
Tag 0804 E Aug 17, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Sep 8, 2023
Tag 0809 E Aug 17, 2023

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Sep 8, 2023
Tag 0812 E Aug 17, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 8, 2023
Tag 0813 E Aug 17, 2023

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

✓ Corrected: Sep 8, 2023
Tag 0880 E Aug 17, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 8, 2023
Tag 0908 E Aug 17, 2023

Keep all essential equipment working safely.

✓ Corrected: Sep 8, 2023
Tag 0921 E Aug 17, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Sep 8, 2023
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2022 5 violations

Tag 0689 D Nov 2, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 3, 2022
Tag 0600 D Oct 13, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 15, 2022
Tag 0692 G Oct 12, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Oct 31, 2022
Tag 0755 D Oct 12, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 31, 2022
Tag 0880 E Mar 24, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 12, 2022

2021 19 violations

Tag 0921 E Oct 20, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 10, 2021
Tag 0925 E Oct 20, 2021

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 10, 2021
Tag 0880 E Sep 21, 2021

Provide and implement an infection prevention and control program.

Tag 0558 D Jul 22, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 31, 2021
Tag 0656 D Jul 22, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 31, 2021
Tag 0692 E Jul 22, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 31, 2021
Tag 0759 D Jul 22, 2021

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 31, 2021
Tag 0761 D Jul 22, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 31, 2021
Tag 0806 E Jul 22, 2021

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Aug 31, 2021
Tag 0810 D Jul 22, 2021

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Aug 31, 2021
Tag 0812 B Jul 22, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 31, 2021
Tag 0880 E Jul 22, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 31, 2021
Tag 0600 E Jun 24, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 25, 2021
Tag 0602 D Jun 23, 2021

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Sep 16, 2021
Tag 0609 D May 4, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 27, 2021
Tag 0656 D May 4, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 27, 2021
Tag 0684 D Apr 27, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 14, 2021
Tag 0690 D Apr 27, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 14, 2021
Tag 0755 D Mar 8, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 18, 2021
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2020 18 violations

Tag 0551 D Nov 6, 2020

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Nov 20, 2020
Tag 0657 D Nov 6, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 20, 2020
Tag 0684 D Nov 6, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 20, 2020
Tag 0658 E Nov 5, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 19, 2021
Tag 0684 E Nov 5, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 19, 2021
Tag 0604 D Aug 12, 2020

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 2, 2021
Tag 0656 E Aug 5, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 6, 2020
Tag 0880 F Aug 5, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 6, 2020
Tag 0761 D Mar 25, 2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jun 23, 2021
Tag 0550 D Mar 12, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 14, 2020
Tag 0584 E Mar 12, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Aug 14, 2020
Tag 0625 E Mar 12, 2020

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Aug 14, 2020
Tag 0656 D Mar 12, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 14, 2020
Tag 0658 E Mar 12, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 14, 2020
Tag 0755 D Mar 12, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Aug 14, 2020
Tag 0761 E Mar 12, 2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 14, 2020
Tag 0812 E Mar 12, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 14, 2020
Tag 0880 E Mar 12, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 14, 2020

2019 18 violations

Tag 0655 D Oct 3, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Dec 6, 2019
Tag 0689 D Apr 22, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 28, 2019
Tag 0558 E Mar 18, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 8, 2019
Tag 0697 D Mar 8, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 8, 2019
Tag 0623 D Jan 16, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Apr 29, 2019
Tag 0693 D Jan 14, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Mar 14, 2019
Tag 0550 E Jan 10, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 27, 2019
Tag 0641 E Jan 10, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 27, 2019
Tag 0656 E Jan 10, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 27, 2019
Tag 0658 D Jan 10, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 27, 2019
Tag 0684 D Jan 10, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 27, 2019
Tag 0698 D Jan 10, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Mar 27, 2019
Tag 0726 F Jan 10, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Mar 27, 2019
Tag 0759 D Jan 10, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Mar 27, 2019
Tag 0806 D Jan 10, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Mar 27, 2019
Tag 0812 E Jan 10, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 27, 2019
Tag 0842 D Jan 10, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 27, 2019
Tag 0880 D Jan 10, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 27, 2019
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2018 12 violations

Tag 0626 D Dec 4, 2018

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Jan 3, 2019
Tag 0557 D Nov 13, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Dec 20, 2018
Tag 0658 D Jun 27, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 10, 2018
Tag 0223 D May 24, 2018

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Jun 7, 2018
Tag 0636 D Feb 8, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Apr 17, 2018
Tag 0641 D Feb 8, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 17, 2018
Tag 0675 D Feb 8, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Apr 17, 2018
Tag 0685 D Feb 8, 2018

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Apr 17, 2018
Tag 0690 D Feb 8, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 17, 2018
Tag 0697 D Feb 8, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 17, 2018
Tag 0732 B Feb 8, 2018

Post nurse staffing information every day.

✓ Corrected: Apr 17, 2018
Tag 0281 D Jan 25, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 6, 2018

2017 13 violations

Tag 0225 D Oct 12, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Nov 29, 2017
Tag 0223 D Sep 14, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Nov 27, 2017
Tag 0241 D Sep 14, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Nov 27, 2017
Tag 0225 D May 12, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Jul 11, 2017
Tag 0281 D Feb 9, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 23, 2017
Tag 0286 B Feb 9, 2017

Maintain 15 months of resident assessments in the resident's active clinical record.

✓ Corrected: Mar 23, 2017
Tag 0329 D Feb 9, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Mar 23, 2017
Tag 0332 E Feb 9, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: Mar 23, 2017
Tag 0334 D Feb 9, 2017

Develop policies and procedures for influenza and pneumococcal immunizations.

✓ Corrected: Mar 23, 2017
Tag 0425 E Feb 9, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Mar 23, 2017
Tag 0431 E Feb 9, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Mar 23, 2017
Tag 0441 D Feb 9, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Mar 23, 2017
Tag 0514 D Feb 9, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Mar 23, 2017
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