Quick answer: A serious bedsore (stage 3 or 4) in a Sacramento County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. Sacramento County has 37 skilled nursing facilities, and while most rate well, a cluster at the bottom report one-star ratings, thin staffing, and real fines. Those are the homes where a serious pressure ulcer is most likely, because a bedsore is a repositioning failure, and repositioning fails where there are too few aides to turn every bedridden resident every two hours.
If your loved one developed a bedsore in a Sacramento, Carmichael, or Elk Grove nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential case review. We spent years defending nursing homes, so we know exactly how these cases are fought, and you pay nothing unless we win.
Nursing home records in Sacramento County
Sacramento County has 37 federally certified nursing facilities with 3,915 licensed beds. Since 1997, state inspectors have issued 479 citations against Sacramento County facilities, including 13 class AA citations and 116 class A citations. Facilities in the county have been assessed $3,106,512 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
26 of those enforcement actions were connected to a resident's death.
13 Sacramento County facilities currently carry the federal abuse warning icon.
The county's facilities average 3.3 of 5 stars on the federal rating system. 8 of 37 facilities hold a 1 or 2 star overall rating.
Sacramento County facilities have been assessed $696,733 in federal fines.
The most cited nursing homes in Sacramento County
- Arden Park Post Acute (55 citations)
- North Pointe Care Center (50 citations)
- Gramercy Court (25 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in Sacramento County
In the CMS data, these are the homes in the county reporting the fewest nursing hours per resident. In Carmichael, River City Post Acute reports 3.54 nursing hours per resident per day, where the state average is 4.52, with a 1 star overall rating and a 1 star health inspection rating. It carries a 2 star staffing rating and the federal abuse warning icon as well. North Pointe Care Center in Sacramento reports 3.69 nursing hours per resident per day against a state average of 4.52, with a 2 star overall rating and a 1 star health inspection rating. Its record also shows a 4 star staffing rating, $24,115 in federal fines across 1 federal penalty and the federal abuse warning icon. In Elk Grove, Elk Grove Post Acute reports 3.79 nursing hours per resident per day, where the state average is 4.52, with a 3 star overall rating and a 2 star health inspection rating. Its record also shows a 4 star staffing rating, $8,824 in federal fines across 1 federal penalty and the federal abuse warning icon. Countywide, 8 of 37 homes hold a 1 or 2 star overall rating.
Countywide, 13 of the 37 homes currently carry the CMS abuse icon, which the agency applies to facilities cited for abuse-related deficiencies. When a pressure sore develops at a home with that profile, it deserves a close look.
Before you accept a facility's explanation for a bedsore, check its record in our Sacramento County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How Sacramento County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Sacramento County Long-Term Care Ombudsman (Agency on Aging Area 4) at (916) 376-8910, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Sacramento County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
A single phone call can tell you whether you have a case. It is free and confidential. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. They have since recovered millions of dollars for families in elder abuse cases across California. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. At a home with one-star staffing and an abuse flag, that gap is the first thing to check. As Sacramento County nursing home abuse lawyers, we handle these cases across Sacramento, Carmichael, Elk Grove, and the county and throughout California.
Talk to a Sacramento County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve families throughout Sacramento County and all of California, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
Is a bedsore automatically neglect?
No, but a serious pressure ulcer at a home with one-star staffing and fines deserves a hard look. Federal rules treat advanced bedsores as preventable except where a documented medical condition makes them unavoidable.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in Sacramento County?
Sacramento County has 37 federally certified nursing facilities with 3,915 licensed beds. Every one of them is listed in our Sacramento County nursing home directory with its ratings, staffing, citations and fines.
Do Sacramento County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 479 citations against Sacramento County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Sacramento County nursing home directory with its ratings, staffing, citations and fines.
Which Sacramento County nursing homes carry a one-star overall CMS rating or the highest published fine totals?
By the current CMS data, these are the homes in Sacramento County with the lowest overall CMS ratings. Mountain Manor Senior Residence in Carmichael carries a 1 star overall rating and a 2 star health inspection rating and $38,855 in federal fines across 3 federal penalties. River Pointe Post-Acute in Carmichael carries a 1 star overall rating and a 2 star health inspection rating, $9,870 in federal fines across 1 federal penalty and the federal abuse warning icon. River City Post Acute in Carmichael carries a 1 star overall rating and a 1 star health inspection rating and the federal abuse warning icon. Every Sacramento County home's full record, with its ratings, staffing, citations and fines, is in our Sacramento County nursing home directory.
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Disclaimer: facility ratings, staffing figures, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.