Sacramento Post-acute
SACRAMENTO POST-ACUTE in SACRAMENTO, CA — inspection on January 30, 2026.
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
During a review of Resident 1's Progress notes dated 1/5/26-1/27/26, indicated, no IDT meeting or investigation notes regarding Resident 1's fall on 1/9/26 were documented.
During an interview on 1/30/26, at 12:30 p.m., with Administrator (Admin), Admin stated, the facility protocol if someone alleges a fall, we investigate it.
During a review of Resident 1's Physician Progress Note dated 1/6/26, at 10:46 p.m., note indicated, she [Resident 1] expressed that she is very anxious about being in the facility because when they transferred her this morning she was dropped from the bed.
She states that she is scared of falling again.During a record request on 1/30/26, the facility was unable to provide documentation they investigated Resident 1's fall on 1/9/26.During a review of the facility's policy and procedure (P&P) titled, Accidents and Incidents-Investigating and Reporting dated, 2017, the P&P indicated, All accidents or incidents involving residents.occurring on our premises shall be investigated and reported to the administrator. 1.
The nurse supervisor/charge nurse and/or the department director shall promptly initiate an investigation of the accident or incident. 2.
The following data, if applicable, shall be included on the Report of Incident/Accident form: a.
The date and time the accident or incident took place.
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