SNF
CITY CREEK POST ACUTE
CCN: 555160 · SACRAMENTO, CA 95823 · Sacramento County
Overview
- Address
- 6248 66TH AVENUE, SACRAMENTO, CA 95823
- Phone
- 9163924440
- Certified beds
- 99
- Avg daily residents
- 91 (92% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1983-12-06
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.26 | 4.54 | 3.62 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.64 | 0.79 | 0.54 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.04 | 1.01 | 0.88 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.59 | 2.74 | 2.20 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.67 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.81
hrs / resident / day
RN (weekend)
0.51
hrs / resident / day
Total nurse (adjusted, weekend)
3.23
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
43.7%
annual
RN turnover
60.9%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.61
higher acuity than avg
Case-Mix Index Ratio
1.17
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-10-17 | 7 | 6 | 3 | 36 | 1 | 36 |
| Cycle 2/3 (prior) | 2023-07-13 | 19 | 12 | 7 | 136 | 1 | 136 |
Total weighted health score
61.0
lower is better
Deficiencies (39)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
38 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-08 | 2025-05-15 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-29 | 2024-11-08 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-17 | 2024-11-07 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-17 | 2024-11-07 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-17 | 2024-11-07 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-10-17 | 2024-11-07 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-17 | 2024-11-07 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-10-17 | 2024-11-07 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-06-12 | 2024-06-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-08 | 2024-02-22 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-02-01 | 2024-02-14 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-01-31 | 2024-02-16 |
| 0610 | Respond appropriately to all alleged violations. | D | 2023-09-15 | 2023-09-21 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-08-28 | 2023-10-02 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-13 | 2023-08-14 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-07-13 | 2023-08-14 |
| 0584 | Honor 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. | D | 2023-07-13 | 2023-08-14 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-07-13 | 2023-08-14 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-07-13 | 2023-08-14 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-07-13 | 2023-08-14 |
| 0761 | Ensure 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. | E | 2023-07-13 | 2023-08-14 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2023-07-13 | 2023-08-14 |
| 0803 | Ensure 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. | E | 2023-07-13 | 2023-08-14 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-13 | 2023-08-14 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-07-13 | 2023-08-14 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-07-13 | 2023-08-14 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-05-06 | 2021-06-19 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-05-06 | 2021-06-19 |
| 0583 | Keep residents' personal and medical records private and confidential. | E | 2021-05-06 | 2021-06-19 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2021-05-06 | 2021-06-19 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-05-06 | 2021-06-19 |
| 0679 | Provide activities to meet all resident's needs. | E | 2021-05-06 | 2021-06-19 |
| 0680 | Ensure the activities program is directed by a qualified professional. | E | 2021-05-06 | 2021-06-19 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-05-06 | 2021-06-19 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2021-05-06 | 2021-06-19 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2021-05-06 | 2021-06-19 |
| 0761 | Ensure 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. | E | 2021-05-06 | 2021-06-19 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-05-06 | 2021-06-19 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-05-06 | 2021-06-19 |
Penalties (4)
Fines issued
4
last 3 years
Total fines
$34,966
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-14 | Fine | $4,545 |
| 2023-08-28 | Fine | $8,190 |
| 2023-06-12 | Fine | $8,469 |
| 2023-10-02 | Fine | $13,762 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 11.9% Medicaid 60.4% Other 27.7%
Operating performance
Operating Margin
-3.5%
Total Margin
-2.7%
Occupancy Rate
91.5%
Cost per Resident Day
$82
Revenue & costs
Net Patient Revenue
$15.6M
Total Costs
$2.7M
Net Income
-$425K
Balance sheet
Total Assets
-$2.3M
Total Liabilities
$2.2M
Fund Balance
-$4.5M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: KALESTA HEALTHCARE GROUP
- Chain ID
297- Facilities in chain
- 13
- Legal business name
- TRESTLES LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.2
Staffing
2.5
QM
4.0
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/01/2019 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| CLAWSON, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2022 |
| PORTER, MICAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2022 |
| WILLIAMS, RYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2022 |
| CLAWSON, SCOTT | CORPORATE OFFICER | since 02/01/2022 |
| WILLIAMS, RYAN | CORPORATE OFFICER | since 02/01/2022 |
| BLANKENFELD, KENNETH | W-2 MANAGING EMPLOYEE | since 10/01/2019 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $82 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 11.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-424,587 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,643,522 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 91.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -3.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $-2,284,121 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,724,010 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-4,471,330 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,187,209 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.87991 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.20144 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.54304 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.62439 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.23492 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 91.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.00787 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.73918 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.79443 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.54148 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.00283 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 297 | Chain ID |
| Provider Information | Chain Name | KALESTA HEALTHCARE GROUP | Chain Name |
| Provider Information | City/Town | SACRAMENTO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555160 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Sacramento | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1983-12-06 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 38.4924 | Latitude |
| Provider Information | Legal Business Name | TRESTLES LLC | Legal Business Name |
| Provider Information | Location | 6248 66TH AVENUE,SACRAMENTO,CA,95823 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -121.43 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 13 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 4 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.60884 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.16782 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 6248 66TH AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | CITY CREEK POST ACUTE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 440 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 36 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 3 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 36 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 12 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-07-13 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 136 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 136 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 19 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.50575 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 60.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.67377 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.03501 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.58948 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08759 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.63876 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.26325 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9163924440 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 34966.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.80513 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 4 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 43.7 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 61.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 95823 | ZIP Code |