Double Tree Post Acute Care Center

Name: Double Tree Post Acute Care Center
Address: 7400 24TH STREET, Sacramento, CA, 95822, US
Telephone: 9164224825

7400 24th Street, Sacramento, CA 95822 · Sacramento County · 122 certified beds · avg 108 residents/day · certified since Aug 1, 1977

Abuse citation flag (CMS)

Part of chain: BVHC, LLC (12 facilities, chain avg rating 3.3★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

$10,842

Fines, last 3 years

4.52

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 3, 2024 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Oct 18, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (45)

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
Jan 23, 2026	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.
Jan 23, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 23, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jan 23, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jan 23, 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.
Jan 23, 2026	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.
Jan 23, 2026	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.
Jan 23, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 23, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jan 23, 2026	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.
Jan 23, 2026	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.
Jan 23, 2026	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jul 9, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jul 9, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 24, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Oct 3, 2024	▲ J · Immediate jeopardy, 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.
Oct 3, 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.
Oct 3, 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.
Oct 3, 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.
Oct 3, 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.
Oct 3, 2024	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Oct 3, 2024	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 17, 2024	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 28, 2023	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. · from a complaint
Aug 17, 2023	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 17, 2023	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 17, 2023	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 17, 2023	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 17, 2023	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 17, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Aug 17, 2023	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.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Aug 17, 2023	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.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 17, 2023	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2023	21	0	F
2024	9	1	J ▲
2025	3	0	D
2026	12	0	F

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)

1 fine totaling $10,842.

Date	Type	Amount / length
Oct 3, 2024	Fine	$10,842

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)	4.52	4.31	3.95	top 28% in California; top 22% in the U.S.
Registered Nurse hours	0.85	0.61	0.69	top 15% in California; top 24% in the U.S.
Weekend total nurse staffing	4.10	3.90	3.50	top 28% in California; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.51	0.48	top 19% in California; top 21% in the U.S.
Total nursing staff turnover (%)	29.7	36.7	45.8	top 28% in California; top 14% in the U.S.
RN turnover (%)	36.0	38.1	42.9	top 48% in California; top 40% 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 4.11, RN 0.77, weekend 3.72. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Calabazaron, Redentor	Individual	Operational/Managerial Control	NOT APPLICABLE	02/14/2022
Calabazaron, Redentor	Individual	ADP of the SNF	NOT APPLICABLE	02/14/2022
Chinthakindi, Ravi	Individual	Operational/Managerial Control	NOT APPLICABLE	01/30/2023
Chinthakindi, Ravi	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2023
Glenn, Curtis	Individual	Operational/Managerial Control	NOT APPLICABLE	05/05/2021
Glenn, Curtis	Individual	ADP of the SNF	NOT APPLICABLE	05/05/2021
Lata, Rosalind	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Lata, Rosalind	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Martin, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Martin, Richard	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Pollock, Jason	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
Pollock, Jason	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2002
Thapa, Nischal	Individual	Operational/Managerial Control	NOT APPLICABLE	08/06/2024
Thapa, Nischal	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2024
Wilson, Claire	Individual	Operational/Managerial Control	NOT APPLICABLE	02/12/2018
Wilson, Claire	Individual	ADP of the SNF	NOT APPLICABLE	02/12/2018

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"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
Capital Post Acute	1.0 mi	Sacramento, CA	★★☆☆☆	2/5	abuse
City Creek Post Acute	2.7 mi	Sacramento, CA	★★★★★	4/5
Acc Care Center	2.7 mi	Sacramento, CA	★★★★★	3/5
Bridgewood Post Acute	2.9 mi	Sacramento, CA	★★★☆☆	2/5	abuse
Greenhaven Healthcare Center	3.5 mi	Sacramento, CA	★★★☆☆	2/5	abuse
Cedarwood Post Acute	3.7 mi	Sacramento, CA	★★★☆☆	3/5
Bruceville Terrace - D/P SNF of Methodist Hospital	3.7 mi	Sacramento, CA	★★★☆☆	2/5	abuse
University Post-Acute Rehab	4.9 mi	Sacramento, CA	★★★★★	4/5
Saylor Lane Healthcare Center	5.5 mi	Sacramento, CA	★★★★☆	3/5
Mid-Town Oaks Post-Acute	5.8 mi	Sacramento, CA	★★★☆☆	2/5
McKinley Park Care Center	5.9 mi	Sacramento, CA	★★★★☆	3/5
Pioneer House	6.1 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 056177.

The Care File

Visit checklist — Double Tree Post Acute Care Center

7400 24th Street, Sacramento, CA 95822 · 9164224825

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $10,842

Most serious findings on record:

▲ Oct 3, 2024 (F-0684, Immediate jeopardy, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "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 056177 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)