Greenhaven Healthcare Center
Greenhaven Healthcare Center is a 148-bed nursing home in Sacramento, California. CMS has certified it for Medicare and Medicaid since 1978-09-20. It averages 144.7 residents a day.
What harm was found in the violations cited at Greenhaven Healthcare Center?
CMS lists 72 health-inspection deficiencies for Greenhaven Healthcare Center since 2023-06-09, 59 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 2026-06-11.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-05-05 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F |
| 2026-04-02 | F0656, F0694 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2026-03-12 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2026-02-26 | F0755, F0761, F0805, F0812, F0813, F0880 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. | E |
| 2026-02-26 | F0578, F0600, F0658, F0685, F0689, F0697, F0760 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services. / Ensure 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. / Ensure that residents are free from significant medication errors. | D |
| 2025-12-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-11-24 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-05-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-04-24 | F0600, F0921 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-04-10 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-04-03 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-02-26 | F0684, F0688 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 |
| 2025-02-04 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-12-26 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D |
| 2024-11-27 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-11-08 | F0804, F0805, F0880 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. | E |
| 2024-11-08 | F0550, F0584, F0600, F0658, F0676, F0684, F0688, F0755, F0758, F0761, F0842, F0868, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-09-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-06-18 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-06-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-04-26 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-24 | F0557, F0689 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-20 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D |
| 2023-11-29 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-11-14 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2023-10-30 | F0761 | 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. | D |
| 2023-10-29 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D |
| 2023-09-22 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-06-09 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-06-09 | F0761, F0802 | 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E |
| 2023-06-09 | F0550, F0637, F0641, F0656, F0658, F0684, F0686, F0759, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Assess the resident when there is a significant change in condition / Ensure 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2023-06-09 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | B |
How is Greenhaven Healthcare Center staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.24516 | 4.51570 |
| Total nursing staff turnover (%) | 33.7 | 36.7 |
| Average number of residents per day | 144.7 | 87.9 |
Who owns Greenhaven Healthcare Center, and what chain is it in?
Greenhaven Healthcare Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name BAWITDABA LLC and belongs to the CYPRESS HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE OFFICER | JACKSON, MATTHEW, JACKSON, ROBERT, SANOFSKY, JACK | since 09/29/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | AGBUNAG, DYAN, CHEEMA, CHANDANDEEP, JACKSON, MATTHEW, JACKSON, ROBERT, SANOFSKY, JACK, TUIFUA, BENJAMIN | since 01/27/2025 |
| ADP OF THE SNF | AGBUNAG, DYAN, CHEEMA, CHANDANDEEP, JACKSON, MATTHEW, JACKSON, ROBERT, SANOFSKY, JACK, TUIFUA, BENJAMIN | since 01/27/2025 |
Were you or a family member harmed at Greenhaven Healthcare Center?