Sherwood Healthcare Center
4700 Elvas Ave, Sacramento, CA 95819 · Sacramento County · 62 certified beds · avg 58 residents/day · certified since Feb 1, 1971
Part of chain: CYPRESS HEALTHCARE GROUP (13 facilities, chain avg rating 3.8★)
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 (13)
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 9, 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 9, 2025 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| May 9, 2025 | 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. |
| May 9, 2025 | 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. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 9, 2025 | D · Potential for harm, one-off | 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. |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jun 17, 2021 | 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. |
| Jun 17, 2021 | 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. |
| Jun 17, 2021 | 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. |
| Jun 17, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 4 | 0 | E |
| 2025 | 9 | 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)
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) | 3.95 | 4.31 | 3.95 | bottom 37% in California; top 42% in the U.S. |
| Registered Nurse hours | 0.34 | 0.61 | 0.69 | bottom 19% in California; bottom 14% in the U.S. |
| Weekend total nurse staffing | 3.61 | 3.90 | 3.50 | bottom 40% in California; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.51 | 0.48 | bottom 48% in California; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 30.0 | 36.7 | 45.8 | top 29% in California; top 14% in the U.S. |
| RN turnover (%) | 0.0 | 38.1 | 42.9 | — |
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 3.97, RN 0.35, weekend 3.64. Staffing rating: 3/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abrego, Marianna | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2024 |
| Abrego, Marianna | Individual | ADP of the SNF | NOT APPLICABLE | 12/16/2024 |
| Belton, Stacy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2022 |
| Belton, Stacy | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2022 |
| Cepec, Milan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/09/2019 |
| Cepec, Milan | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2019 |
| Jackson, Matthew | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
| Jackson, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Jackson, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2019 |
| Jackson, Robert | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
| Jackson, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Jackson, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2019 |
| Leung, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2024 |
| Leung, Victoria | Individual | ADP of the SNF | NOT APPLICABLE | 02/20/2024 |
| Murray, Dustin | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/20/2020 |
| Murray, Dustin | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2020 |
| Nunez, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/12/2022 |
| Nunez, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 09/12/2022 |
| Sandigo, Augusto | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2019 |
| Sandigo, Augusto | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| McKinley Park Care Center | 1.2 mi | Sacramento, CA | ★★★★☆ | 3/5 | |
| Saylor Lane Healthcare Center | 1.4 mi | Sacramento, CA | ★★★★☆ | 3/5 | |
| Woodside Healthcare Center | 1.6 mi | Sacramento, CA | ★★★★★ | 4/5 | |
| Asbury Park Nursing and Rehabilitation Center | 1.7 mi | Sacramento, CA | ★★★☆☆ | 2/5 | |
| Advanced Health Care of Sacramento | 1.7 mi | Sacramento, CA | ★★★★★ | 4/5 | |
| Mid-Town Oaks Post-Acute | 1.7 mi | Sacramento, CA | ★★★☆☆ | 2/5 | |
| University Post-Acute Rehab | 1.8 mi | Sacramento, CA | ★★★★★ | 4/5 | |
| Gramercy Court | 2.8 mi | Sacramento, CA | ★★★★☆ | 2/5 | abuse |
| Pioneer House | 3.3 mi | Sacramento, CA | ★★★☆☆ | 2/5 | abuse |
| Arden Park Post Acute | 3.5 mi | Sacramento, CA | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 055305.