Elder Care Record

California › Sacramento County › Sacramento

Gramercy Court

2200 Gramercy Drive, Sacramento, CA 95825

CCN 555459 · For-profit, limited liability company · 120 certified beds · chain Generations Healthcare

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 120 beds, Gramercy Court serves Sacramento in Sacramento County, California and has taken Medicare and Medicaid residents since 1991.

CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 2, staffing 5 and quality measures 5.

Inspectors recorded 50 health deficiencies across the three most recent survey cycles (11, 19, 20 by cycle, most recent first), none at the actual-harm level. That is 41.7 per 100 beds, about the same as the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.2 hours per resident per day (0.7 RN), close to the California median of 4.2; nursing staff turnover is 43.1%.

CMS flags that the facility carries the CMS abuse icon.

50health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.2nurse hours per resident per daystate median 4.2
88%occupancy (residents ÷ beds)106 residents a day

Compared with county, state and nation

MeasureThis facilitySacramento Co. medianCalifornia medianUS average
Overall star rating4333.0
Health citations, 3 cycles50504428.7
Citations per 100 beds41.744.151.126.8
Total nurse hours per resident day4.24.24.23.9
RN hours per resident day0.70.60.50.7
Nursing staff turnover43.1%34.8%36.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (37 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 219
Cycle 320

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 5 Dec 2024.

Severity mix: D ×36 E ×13 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Jun 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation7 Jul 2026
27 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation9 Jun 2026
1 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation31 Mar 2026
25 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation5 Mar 2026
5 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation5 Mar 2026
8 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation30 Jan 2026
5 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jan 2026
5 Dec 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey5 Jan 2026
5 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Jan 2026
17 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation1 Oct 2025
6 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Aug 2025
17 Jul 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation17 Aug 2025
28 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Jun 2025
21 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 May 2025
5 Dec 2024F0761Ensure 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.EStandard survey23 Dec 2024
5 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Dec 2024
5 Dec 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey23 Dec 2024
5 Dec 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey23 Dec 2024
5 Dec 2024F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey23 Dec 2024
5 Dec 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 Dec 2024
5 Dec 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey23 Dec 2024
5 Dec 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey23 Dec 2024
5 Dec 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey23 Dec 2024
5 Dec 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey23 Dec 2024
5 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey23 Dec 2024
21 Nov 2024F0697Provide safe, appropriate pain management for a resident who requires such services.EComplaint investigation10 Dec 2024
20 Nov 2024F0610Respond appropriately to all alleged violations.DComplaint investigation12 Dec 2024
17 Oct 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation29 Oct 2024
5 Sep 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation18 Sep 2024
14 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Aug 2024
17 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Jul 2024
3 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation15 Apr 2024
1 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey23 Feb 2024
1 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey23 Feb 2024
1 Feb 2024F0761Ensure 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.EStandard survey23 Feb 2024
1 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Feb 2024
1 Feb 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey23 Feb 2024
1 Feb 2024F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard survey23 Feb 2024
1 Feb 2024F0641Ensure each resident receives an accurate assessment.DStandard survey23 Feb 2024
1 Feb 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey23 Feb 2024
1 Feb 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey23 Feb 2024
1 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey23 Feb 2024
1 Feb 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey23 Feb 2024
1 Feb 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey23 Feb 2024
1 Feb 2024F0814Dispose of garbage and refuse properly.DStandard survey23 Feb 2024
1 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey23 Feb 2024
1 Feb 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey23 Feb 2024
9 Nov 2023F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation20 Nov 2023
18 Sep 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint investigation11 Oct 2023
18 Sep 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation11 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.16 h
Nurse aides2.43 h
LPN1.03 h
RN0.71 h
Weekend total3.72 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 43.1%, RNs 47.6%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.3%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.3%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.2%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.1%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.5%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Ghc Of Sac - Snf Llc. Chain: Generations Healthcare (27 facilities).

OrganisationRole in the CMS recordInterestSince
Bmo Bank National Association5% or greater security interestNOT APPLICABLE10/06/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sacramento County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Acc Care CenterSacramento995354545.5$24K2 Apr 2026
Advanced Health Care of SacramentoSacramento405452665.0—14 May 2026
City Creek Post AcuteSacramento995423939.4$22K8 May 2025
Manzanita Healthcare CenterCarmichael995354646.5—15 Apr 2026
Sherwood Healthcare CenterSacramento625431321.0—9 May 2025
University Post-Acute RehabSacramento595452644.1—22 May 2025
Woodside Healthcare CenterSacramento585442136.2—22 Nov 2024
American River CenterCarmichael994442424.2—10 Apr 2026

All 37 facilities in Sacramento County

Questions and answers

How many deficiencies has Gramercy Court been cited for?

50 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Gramercy Court been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Gramercy Court compare?

Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Gramercy Court?

It is part of the Generations Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Gramercy Court last inspected?

The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 5 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.