Auburn Oaks Care Center

For profit - Limited Liability company · PACS GROUP chain · 99 certified beds · CCN 555219 · ALOE HOLDINGS LLC · Placer · CA


Auburn Oaks Care Center is a 99-bed nursing home in Auburn, California. CMS has certified it for Medicare and Medicaid since 1986-06-03. It averages 94.9 residents a day.

What harm was found in the violations cited at Auburn Oaks Care Center?

CMS lists 43 health-inspection deficiencies for Auburn Oaks Care Center since 2023-02-02, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-15.

Survey dateTagDeficiencySeverity
2026-04-15F0551Give the resident's representative the ability to exercise the resident's rights.D
2026-01-08F0658, F0812Ensure services provided by the nursing facility meet professional standards of quality. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-01-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-12-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-07-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-02-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-02-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-12-10F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-11-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-10-10F0583, F0624Keep residents' personal and medical records private and confidential. / Prepare residents for a safe transfer or discharge from the nursing home.D
2024-10-03F0730Observe each nurse aide's job performance and give regular training.F
2024-10-03F0658, F0755, F0756, F0761, F0812, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-10-03F0641, F0656, F0677, F0684, F0689, F0806, F0881Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Implement a program that monitors antibiotic use.D
2024-07-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-06-21F0554Allow residents to self-administer drugs if determined clinically appropriate.E
2023-11-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-10-11F0689, F0697, F0919Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-08-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-02-02F0755, F0759, F0760, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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
2023-02-02F0655, F0656, F0684, F0686, F0758, F0812Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Implement 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D

How is Auburn Oaks Care Center staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.164184.51570
Total nursing staff turnover (%)46.936.7
Average number of residents per day94.987.9

Who owns Auburn Oaks Care Center, and what chain is it in?

Auburn Oaks Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name ALOE HOLDINGS LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHUDSON RIVER OPCO LLCsince 11/05/2021
5% OR GREATER INDIRECT OWNERSHIP INTERESTBAY BRIDGE CAPITAL PARTNERS, LLCsince 08/15/2014
CONTRACTED MANAGING EMPLOYEECHEEMA, CHANDANDEEPsince 04/25/2021
W-2 MANAGING EMPLOYEELARSEN, JORINsince 05/01/2022
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at Auburn Oaks Care Center?