Deficiency Index

Gramercy Court

Sacramento, California · CCN 555459

104 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
246
Surveys
104
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file81/104

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
GENERATIONS HEALTHCARE
County
Sacramento
Medicare-certified since
1991

CMS ratings

Overall
4
Health inspection
2
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 110 for-profit facilities of 100–127 beds in California.

Last survey on record

Jun 25, 2026

137 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.164.16
Registered-nurse hours per resident day0.71—
Annual nurse turnover43.1%37.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3672.0%E1326.0%F12.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 50 of the 246 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F60011×

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

  • F6583×

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

  • F6893×

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

  • F7553×

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

  • F8123×

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

In the surveyor’s words

From the most serious findings on record at Gramercy Court, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Dec 5, 2025

    Based on observation, interview, and record review, the facility failed to ensure food storage and preparation, in accordance with professional standards for food service safety, was provided to residents in a census of 101, when: 1. Floors, rolling racks, equipment, pots/pans, grill/stove panel, refrigerator doors, water pitcher preparation area, garbage cans, can opener, and towels were found unclean and unsanitary; 2. Food, and staff's personal food and drink, items were found in refrigerators and in the dry storage room, opened, not labeled, not securely covered, dented, and expired; and 3. Kitchen staff did not know how to explain or demonstrate the proper procedures for testing sanitizing solutions, and expired test strips were being used. […]

  • No harm, potential for more than minimal, widespreadF801Jan 14, 2022

    Based on observation, interview and record review, the facility failed to ensure the Dietary Supervisor's license was current for a census of 100. This failure resulted in improper training of staff in food preparation and unmaintained kitchen equipment. Findings: During an observation of a walk-in refrigerator with the Dietary Supervisor (DS) and Registered Dietician (RD) on [DATE] at 8:35 a.m., the following items were found open and undated: a half container of coleslaw; one packet of mozzarella cheese; one open carton of half and half milk; an opened bottle of salad dressing; one open bottle of mayonnaise; two bottles of peeled garlic; one bottle of relish; and one bottle of Caesar dressing. In a concurrent interview, the DS and RD acknowledged all the opened products were observed. […]

  • No harm, potential for more than minimal, widespreadF812Jan 14, 2022

    Based on observation, interview and record review, the facility failed to ensure food was safely stored and prepared when: 1. Opened and unlabeled food was stored in the refrigerator and dry goods storage; 2. Expired food was stored in the refrigerator; 3. Ready-to-use kitchen appliances were soiled; 4. Staff continued to use damaged kitchen equipment; 5. Wet pans were stacked and placed in the ready-to-use area; 6. A thick black substance was found throughout multiple kitchen surfaces; 7. Staff was unable to properly demonstrate the manual dishwashing process; and 8. Staff did not wear a beard cover. These failures decreased the facility's potential to prepare, store, and provide food under sanitary conditions for a census of 100 residents. Findings: 1. […]

  • No harm, potential for more than minimal, widespreadF908Jan 14, 2022

    Based on observation, interview and record review, the facility failed to ensure electrical equipment was maintained and in operational condition when: 1. The refrigerator and freezer door gaskets were torn; 2. The walk-in freezer was overcrowded; 3. The freezer door would not close shut; and 4. Resident refrigerators were not maintained at the proper temperature. These failures decreased the potential for the facility to provide safe food storage and handling practices among 100 residents. Findings: 1. During an observation on 1/10/22 at 8:38 a.m., several cracks and a reddish, dark brown substance was found on the refrigerator and freezer gaskets. In a concurrent interview, the DS stated, As for my knowledge they were never replaced or cleaned. 2. […]

  • No harm, potential for more than minimal, patternF600Aug 24, 2026

    Based on observation, interview, and record review, the facility failed to ensure three of four sampled residents (Resident 1, Resident 3, and Resident 4) were free from abuse, when:Resident 2 hit Resident 1 on the back of Resident 1's neck with his handResident 4 hit Resident 3 and Resident 3 hit Resident 4 backThese failures resulted in Residents 1, 3, and 4 not being free from abuse and had the potential for Resident 1 to be seriously harmed and to negatively impact Resident's 1, 3 and 4's highest practicable physical, mental, and psychosocial well-being.1. […]

Read 22 findings in full →The most serious and the most recent: 22 of 246 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 24, 2026Complaint1 finding
  • Jun 25, 2026Complaint1 finding
  • May 27, 2026Complaint1 finding
  • Apr 1, 2026Complaint1 finding
  • Feb 25, 2026Complaint1 finding
  • Feb 5, 2026Complaint1 finding
  • Jan 8, 2026Complaint1 finding
  • Dec 5, 2025Standard3 findings
Show the 96 earlier surveys
  • Sep 17, 2025Complaint1 finding
  • Aug 6, 2025Complaint1 finding
  • Jul 17, 2025Complaint1 finding
  • May 28, 2025Complaint1 finding
  • Apr 21, 2025Complaint1 finding
  • Dec 5, 2024Standard11 findings
  • Nov 21, 2024Complaint1 finding
  • Nov 20, 2024Complaint1 finding
  • Oct 17, 2024Complaint1 finding
  • Sep 5, 2024Complaint1 finding
  • Aug 14, 2024Complaint1 finding
  • Jul 17, 2024Complaint1 finding
  • Apr 3, 2024Complaint1 finding
  • Feb 1, 2024Standard15 findings
  • Nov 9, 2023Complaint1 finding
  • Sep 18, 2023Complaint2 findings
  • Mar 2, 2023Complaint1 finding
  • Dec 5, 2022Complaint2 findings
  • Nov 16, 2022Complaint1 finding
  • Sep 15, 2022Complaint1 finding
  • Aug 3, 2022Complaint1 finding
  • May 31, 2022Complaint2 findings
  • Jan 14, 2022Standard12 findings
  • Jan 6, 2022Complaint1 finding
  • Dec 21, 2020Infection control1 finding
  • Sep 3, 2020Infection control1 finding
  • Aug 13, 2020Complaint1 finding
  • Nov 7, 2019Standard11 findings · 1 harm
  • Oct 31, 2019Complaint2 findings
  • Jun 25, 2019Complaint1 finding
  • Apr 19, 2019Complaint1 finding
  • Dec 13, 2018Standard4 findings
  • Mar 8, 2018Standard3 findings
  • Feb 7, 2018Complaint1 finding
  • Jan 31, 2018Complaint1 finding
  • Dec 22, 2017Complaint2 findings
  • Aug 1, 2017Complaint2 findings
  • Apr 7, 2017Standard2 findings
  • Feb 28, 2017Complaint1 finding
  • Sep 29, 2016Complaint2 findings
  • Sep 27, 2016Complaint1 finding
  • Sep 26, 2016Complaint1 finding
  • Sep 22, 2016Complaint2 findings
  • Sep 16, 2016Complaint1 finding
  • Aug 11, 2016Complaint1 finding
  • Jul 20, 2016Complaint1 finding
  • Jun 27, 2016Complaint1 finding
  • Jun 15, 2016Complaint1 finding
  • Jun 9, 2016Complaint1 finding
  • May 18, 2016Complaint1 finding
  • Apr 22, 2016Complaint1 finding
  • Apr 21, 2016Standard11 findings
  • Jan 11, 2016Complaint1 finding
  • Dec 10, 2015Complaint3 findings
  • Nov 16, 2015Complaint1 finding
  • Nov 15, 2015Complaint1 finding
  • Sep 3, 2015Complaint1 finding
  • Aug 28, 2015Complaint3 findings
  • Jun 6, 2015Complaint1 finding
  • May 27, 2015Complaint1 finding
  • Apr 29, 2015Complaint1 finding
  • Apr 28, 2015Complaint1 finding
  • Apr 15, 2015Complaint1 finding
  • Apr 14, 2015Standard17 findings
  • Nov 21, 2014Complaint1 finding
  • Nov 10, 2014Complaint1 finding
  • Oct 24, 2014Complaint1 finding
  • Oct 16, 2014Complaint2 findings
  • Oct 3, 2014Complaint1 finding
  • Sep 11, 2014Complaint2 findings
  • Aug 21, 2014Complaint1 finding
  • Aug 7, 2014Complaint1 finding
  • Jul 17, 2014Complaint1 finding
  • Jun 13, 2014Complaint3 findings
  • Jun 11, 2014Complaint1 finding
  • Jun 10, 2014Complaint2 findings
  • Apr 11, 2014Standard8 findings
  • Apr 1, 2014Complaint1 finding
  • Mar 25, 2014Complaint1 finding
  • Mar 6, 2014Complaint1 finding
  • Jan 15, 2014—2 findings
  • Sep 11, 2013—1 finding
  • Sep 3, 2013—1 finding
  • Aug 30, 2013—1 finding
  • Jul 2, 2013—1 finding
  • Apr 19, 2013—11 findings
  • Feb 6, 2013—1 finding
  • Feb 5, 2013—2 findings · 1 harm
  • Nov 2, 2012—1 finding
  • Sep 28, 2012—1 finding
  • Jul 10, 2012—1 finding
  • May 25, 2012—18 findings
  • May 7, 2012—1 finding
  • Apr 9, 2012—1 finding
  • Apr 2, 2012—2 findings
  • Apr 22, 2011—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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