Vacaville Ranch Post Acute

• Star rating

  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

• Star rating

  The CMS staffing star rating changed from 4 of 5 to 3 of 5.

• Star rating

  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

• Star rating

  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

• Staffing

  Total nurse staffing reported to CMS went from 5.8 to 4.7 hours per resident per day.

• Star rating

  The CMS overall star rating changed from 5 of 5 to 4 of 5.

• Star rating

  The CMS health inspection star rating changed from 5 of 5 to 4 of 5.

• Star rating

  The CMS staffing star rating changed from 3 of 5 to 4 of 5.

• Star rating

  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

CMS lists this as a standard inspection.

• Citation F0812. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  CMS lists it as corrected on September 4, 2025.

  CMS has cited this home for F0812 2 times since 2024.

• Citation F0814. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Dispose of garbage and refuse properly.

  CMS lists it as corrected on September 4, 2025.

• Citation F0578. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: 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.

  CMS lists it as corrected on September 4, 2025.

• Citation F0803. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: 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.

  CMS lists it as corrected on September 4, 2025.

• Citation F0880. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on September 4, 2025.

  CMS has cited this home for F0880 2 times since 2024.

• Citation F0628. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  CMS lists it as corrected on September 4, 2025.

• Citation F0658. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

  CMS lists it as corrected on September 4, 2025.

• Citation F0755. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  CMS lists it as corrected on September 4, 2025.

  CMS has cited this home for F0755 2 times since 2024.

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CMS lists this as a standard inspection.

• Citation K0363. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Install corridor and hallway doors that block smoke.

  CMS lists it as corrected on August 15, 2025.

  CMS has cited this home for K0363 2 times since 2024.

• Citation E0015. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Address subsistence needs for staff and patients.

  CMS lists it as corrected on August 22, 2025.

• Citation K0918. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

  CMS lists it as corrected on August 27, 2025.

  CMS has cited this home for K0918 3 times since 2024.

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• Star rating

  The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

• Star rating

  The CMS health inspection star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

• Fine

  CMS changed the fine from February 9, 2024 from $96,190 to $94,169.

• Star rating

  The CMS overall star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS health inspection star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS staffing star rating changed from not rated by CMS to 3 of 5.

• Star rating

  The CMS quality measures star rating changed from not rated by CMS to 2 of 5.

• Special Focus Facility

  CMS no longer lists this home as a Special Focus Facility.

• Staffing

  Total nurse staffing reported to CMS went from 5.4 to 4.8 hours per resident per day.

• Health citation

  CMS removed citation F0550 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0584 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0679 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0689 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0692 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0726 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0802 from the health inspection on August 11, 2023.

• Health citation

  CMS removed citation F0880 from the health inspection on August 11, 2023.

• Fire safety citation

  CMS removed citation E0026 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation E0037 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation E0039 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0211 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0291 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0321 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0324 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0345 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0353 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0355 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0363 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0372 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0511 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0712 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0918 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0920 from the fire safety inspection on August 15, 2023.

• Fire safety citation

  CMS removed citation K0926 from the fire safety inspection on August 15, 2023.

• Name

  CMS lists a new legal business name for this home.

• Ownership

  CMS ownership records list new owners for this home.

• Fine

  CMS changed the fine from February 9, 2024 from $94,169 to $96,190.

CMS lists this as a standard inspection.

• Citation F0812. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  CMS lists it as corrected on January 13, 2025.

• Citation F0761. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on January 13, 2025.

  CMS has cited this home for F0761 2 times since 2024.

• Citation F0804. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  CMS lists it as corrected on January 13, 2025.

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CMS lists this as a standard inspection.

• Citation K0918. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

  CMS lists it as corrected on January 10, 2025.

• Citation K0353. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

  CMS lists it as corrected on January 10, 2025.

• Citation K0920. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure proper usage of power strips and extension cords.

  CMS lists it as corrected on January 10, 2025.

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• Name

  CMS lists a new name for this home. It was ORCHARD POST ACUTE CARE.

• Fine

  CMS changed the fine from January 30, 2024 from $14,678 to $14,813.

• Fine

  CMS changed the fine from February 20, 2024 from $4,893 to $4,938.

• Fine

  CMS changed the fine from February 9, 2024 from $144,875 to $94,169.

• Fine

  CMS changed the fine from December 11, 2023 from $11,538 to $11,645.

• Fine

  CMS changed the fine from January 2, 2024 from $4,545 to $4,587.

CMS lists this as a standard inspection.

• Citation F0755. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  CMS lists it as corrected on August 8, 2024.

• Citation F0756. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  CMS lists it as corrected on August 8, 2024.

• Citation F0880. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on August 8, 2024.

• Citation F0558. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

  CMS lists it as corrected on August 8, 2024.

• Citation F0761. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on August 8, 2024.

• Citation F0881. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Implement a program that monitors antibiotic use.

  CMS lists it as corrected on August 8, 2024.

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CMS lists this as a standard inspection.

• Citation K0161. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Use approved construction type or materials.

  CMS lists it as corrected on August 14, 2024.

• Citation K0363. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Install corridor and hallway doors that block smoke.

  CMS lists it as corrected on August 14, 2024.

• Citation K0511. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have properly installed electrical wiring and gas equipment.

  CMS lists it as corrected on August 14, 2024.

• Citation K0711. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide a written emergency evacuation plan.

  CMS lists it as corrected on August 14, 2024.

• Citation K0918. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

  CMS lists it as corrected on October 28, 2024.

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• Fine

  CMS changed the fine from October 10, 2023 from $2,797 to $2,823.

• Fine

  CMS changed the fine from October 17, 2023 from $3,147 to $3,176.

CMS lists this as a complaint inspection.

• Citation F0580. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  CMS lists it as corrected on June 28, 2024.

• Citation F0602. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

  CMS lists it as corrected on June 28, 2024.

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• Fine

  CMS changed the fine from September 18, 2023 from $6,293 to $6,351.

CMS fine of $4,938 on February 20, 2024.

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CMS fine of $94,169 on February 9, 2024.

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CMS fine of $4,587 on January 2, 2024.

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CMS fine of $11,645 on December 11, 2023.

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CMS fine of $3,176 on October 17, 2023.

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