Deficiency Index

Saylor Lane Healthcare Center

Sacramento, California · CCN 055417

28 surveys since 2011, 1 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
108
Surveys
28
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file24/28

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

The facility

Certified beds
42
Ownership
For profit - Limited Liability company
Chain
CYPRESS HEALTHCARE GROUP
County
Sacramento
Medicare-certified since
1971

CMS ratings

Overall
4
Health inspection
3
Staffing
4
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 252 for-profit facilities with fewer than 66 beds in California.

Last survey on record

May 8, 2025

550 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 day4.114.36
Registered-nurse hours per resident day0.48—
Annual nurse turnover20.0%36.4%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

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 minimalD1741.5%E1843.9%F512.2%
No harm, potential for minimalA—B—C12.4%
CMS’s current file: 41 of the 108 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7613×

    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.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

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

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Saylor Lane Healthcare Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 8, 2025

    Based on observation, interview and record review, the facility failed to ensure food was prepared, stored, served, or distributed in accordance with professional standards of food safety when: 1. The ice machine was not clean per manufacturer's guidance, 2. The reach-in freezer was not clean, 3. The blade of the can opener was not well maintained, 4. The cutting boards had deep grooves, 5. Several metal pans were stacked wet and stored in the clean and ready-to-use storage areas, 6. Dietary Aide (DA) 1 and DA 2 were unable to verbalize the proper procedure of manual dishwashing with the 2-compartment sink, 7. DA 2 was unable to verbalize and demonstrate the proper testing and correct concentration of the sanitizer for the dishwashing with the dishwashing machine and 8. […]

  • No harm, potential for more than minimal, widespreadF814May 8, 2025

    Based on observation, interview and record review, the facility failed to provide a clean environment for the residents and visitors when one out of one garbage dumpster, located outside the facility, was not closed securely due to deformed dumpster lids. This failure had the potential for an unsafe environment for the residents and visitors due to possible pest infestation and spread of diseases in the facility. Findings: During a concurrent observation and interview with [NAME] (CK) on 5/5/25 at 9:44 a.m., observed one out of one dumpster was covered with its two lids. However, the lids were bowed away from the edge of the dumpster and leaving a one- to two-inch gap in between. The deformed lids lacked the integrity to securely cover the bin. […]

  • No harm, potential for more than minimal, widespreadF812May 17, 2024

    Based on observation, interview, and record review, the facility failed to ensure food safety when food storage temperature logs and sanitization solution logs were not being consistently documented. This failure had the potential to lead to food borne illnesses for 38 residents eating facility prepared meals. Findings: During a concurrent observation and interview on 5/13/24, at 8:21 a.m., with Cook (CK1), the Dry Food Storage Temperature Control Log was reviewed. CK1 stated the temperature for the dry foods' storage room was taken and documented twice daily, once on morning shift and once on evening shift. CK1 confirmed 4 entries were missing for the month of May 2024. […]

  • No harm, potential for more than minimal, widespreadF727May 19, 2022

    Based on interview and record review, the facility failed to ensure Registered Nurse (RN) coverage for eight consecutive hours a day, seven days per week for a census of 39 residents. This failure prevented the facility's ability to provide consistent RN services and supervision of care. Findings: During a concurrent interview and record review on 5/17/22 at 3:15 p.m., the Human Resources/Payroll (HRP) stated the Director of Nursing (DON) was on leave on 4/14/22, 4/15/22, and 5/13/22. A review of the Employee Timesheet (ET) indicated, the DON was on vacation on 4/14/22, 4/15/22, and 5/13/22. The HRP also stated Licensed Nurse 2 (LN) 2 worked on 4/14/22 and 4/15/22 for 4 hours each day. The ET indicated, the LN 2 worked on 4/14/22, 4/15/22 from 11:19 a.m. […]

  • No harm, potential for more than minimal, widespreadF812May 19, 2022

    Based on observation, interview, and record review, the facility failed to ensure food was procured, stored and served under sanitary conditions for 39 residents to prevent food borne illness when: 1. Opened food items were not labeled with an opened date; 2. Expired food was not discarded from the refrigerator; 3. Staff personal items were found in the food prep and ready-to-use areas; 4. Ready-to-use service items were dirty and kitchen surfaces were in poor condition; 5. An opened food item was uncovered, not properly labeled, and stored in the dry goods storage area; 6. Staff wore face masks improperly; and 7. […]

Read 21 findings in full →The most serious and the most recent: 21 of 108 on record.

Every survey on record

FindingsAt actual harm or above

  • May 8, 2025Standard13 findings
  • Apr 15, 2025Complaint2 findings
  • May 17, 2024Standard11 findings
  • Sep 16, 2022Complaint1 finding
  • May 19, 2022Standard15 findings
  • Nov 8, 2021Complaint1 finding
  • Jul 8, 2021Complaint1 finding
  • May 27, 2021Complaint1 finding
Show the 20 earlier surveys
  • Mar 15, 2021Complaint1 finding
  • Sep 18, 2019Standard3 findings
  • Sep 27, 2018Standard5 findings
  • Apr 11, 2018Complaint3 findings
  • Feb 6, 2018Complaint1 finding
  • Sep 7, 2017Complaint2 findings
  • Sep 1, 2017Standard9 findings
  • Aug 4, 2017Complaint2 findings
  • Feb 17, 2017Complaint1 finding
  • Sep 23, 2016Standard6 findings
  • Aug 2, 2016Complaint1 finding
  • Nov 23, 2015Complaint3 findings
  • Sep 12, 2014Standard2 findings
  • Aug 5, 2014Complaint1 finding
  • Sep 20, 2013—4 findings
  • Jan 14, 2013—2 findings · 1 harm
  • Jan 7, 2013—1 finding
  • Oct 19, 2012—10 findings
  • Jul 3, 2012—1 finding
  • Sep 22, 2011—5 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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