Advanced Health Care of Sacramento

Name: Advanced Health Care of Sacramento
Address: 1411 Expo Parkway, Sacramento, CA, 95815, US
Telephone: 9167586300

1411 Expo Parkway, Sacramento, CA 95815 · Sacramento County · 40 certified beds · avg 39 residents/day · certified since Aug 26, 2019

Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 25, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
May 12, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 31, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Aug 30, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Aug 9, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 9, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 9, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 9, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 9, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Aug 9, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 9, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 29, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Apr 23, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 16, 2022	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 16, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 16, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 16, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 16, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Worst severity that year
2022	5	E
2024	14	E
2025	6	F
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.07	4.31	3.95	top 13% in California; top 12% in the U.S.
Registered Nurse hours	1.60	0.61	0.69	top 3% in California; top 4% in the U.S.
Weekend total nurse staffing	4.01	3.90	3.50	top 33% in California; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.29	0.51	0.48	top 5% in California; top 3% in the U.S.
Total nursing staff turnover (%)	30.2	36.7	45.8	top 30% in California; top 14% in the U.S.
RN turnover (%)	40.0	38.1	42.9	bottom 47% in California; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.06, RN 1.92, weekend 4.80. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
New Ahc Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/31/2023
The Gail Miller GST Trust	Organization	5% or Greater Indirect Ownership Interest	70%	12/31/2023
The Miller Utah Trust, Dated August 22, 2019	Organization	5% or Greater Indirect Ownership Interest	5%	12/31/2023
The RNC Opportunity Trust	Organization	5% or Greater Indirect Ownership Interest	5%	12/31/2023
Javaheri, Ashkan	Individual	Contracted Managing Employee	NOT APPLICABLE	01/01/2022
Oxnam, Nathan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Walker, Jonathan	Individual	W-2 Managing Employee	NOT APPLICABLE	01/02/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can I see where garbage is stored and how often it's removed?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Sherwood Healthcare Center	1.7 mi	Sacramento, CA	★★★★★	4/5
McKinley Park Care Center	1.8 mi	Sacramento, CA	★★★★☆	3/5
Mid-Town Oaks Post-Acute	1.9 mi	Sacramento, CA	★★★☆☆	2/5
Saylor Lane Healthcare Center	2.2 mi	Sacramento, CA	★★★★☆	3/5
Pioneer House	2.7 mi	Sacramento, CA	★★★☆☆	2/5	abuse
University Post-Acute Rehab	2.8 mi	Sacramento, CA	★★★★★	4/5
Woodside Healthcare Center	2.9 mi	Sacramento, CA	★★★★★	4/5
Asbury Park Nursing and Rehabilitation Center	3.1 mi	Sacramento, CA	★★★☆☆	2/5
North Pointe Care Center	3.2 mi	Sacramento, CA	★★☆☆☆	1/5	abuse
Windsor Care Center of Sacramento	3.2 mi	Sacramento, CA	★★☆☆☆	2/5
Gramercy Court	3.3 mi	Sacramento, CA	★★★★☆	2/5	abuse
Arden Park Post Acute	4.3 mi	Sacramento, CA	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Sacramento →

Facility data as of CMS processing date 2026-08-01. CCN 555913.

The Care File

Visit checklist — Advanced Health Care of Sacramento

1411 Expo Parkway, Sacramento, CA 95815 · 9167586300

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555913 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)