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Nursing HomeMedicaid

Cedarwood Post Acute

Strong Medicare quality ratings; families often praise compassionate and attentive nursing/cna staff. Still worth an in-person visit.

1090 Rio Lane, Southwestern Sacramento · Sacramento, CA 9582251 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 53 Google reviews

5
4
3
2
1
Cedarwood Post Acute Nursing Home in Sacramento, CA — Street View
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What this means for your family

This facility offers an exceptionally caring and professional staff that many families find comforting. However, you should closely monitor hygiene standards and room cleanliness during your visit, as recent reviews indicate significant lapses in sanitation and facility maintenance.

Google Reviews

Google Reviews

53 reviews on Google
Families often praise the facility for its exceptionally kind, professional, and attentive nursing and CNA staff, frequently describing the environment as feeling like family. However, there are significant, serious concerns regarding hygiene, including reports of dirty linens, poor wound care, and unpleasant odors in hallways. While many find the facility clean and well-managed, others have experienced severe issues with communication and room maintenance.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean4.0Activities5.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing/CNA staff
  • Professional and welcoming administration
  • Warm, family-like atmosphere
  • Effective rehabilitation and recovery outcomes

Concerns

  • Issues with cleanliness and hygiene (dirty linens/rooms) (mentioned by 2 reviewers)
  • Unpleasant odors in hallways (mentioned by 2 reviewers)
  • Difficulties with staff communication and responsiveness (mentioned by 2 reviewers)
  • Inadequate room/bathroom facilities (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62023(27)4.12024(13)3.82025(4)1.72026(3)

Distribution · 47 analyzed

5
32
4
6
3
1
2
2
1
6
11 reviews posted between Jul 21, 2023Jul 22, 2023 · 11 were 5-star

How They Respond to Reviews

7%response rate
Good

The owner provides personalized responses that address reviewers by name and acknowledge specific details of their feedback. For negative reviews, the owner proactively offers direct contact information to resolve issues and improve systems.

Questions for Your Tour

  • 1We've heard wonderful things about how warm and family-like the atmosphere is here; how do you foster that sense of community among the residents?
  • 2What specific steps does your housekeeping team take to ensure rooms and linens are kept fresh and clean every day?
  • 3How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 4Can you tell us about the daily activities and social programs available to help residents stay engaged and active?
  • 5In the event of a medical emergency during the night, what is the protocol for notifying the family and providing immediate care?
  • 6Since the staff is often described as so compassionate, how do you ensure that level of attentive care remains consistent across all shifts?

Personalized based on this facility's data


Key Review Excerpts

My grandmother had to be in for a couple weeks and the staff were absolutely phenomenal... Especially Kay Krohn she went over and above with communication and patient treatment.

Grandchild of resident · 2023★★☆☆☆

I had to go against medical advice to discharge my mother who had an infection wound and yeast infection so bad it was all up her back. Don’t trust terrible.

Daughter of resident · 2023☆☆☆☆

The rooms are small and barely have enough room for patients’ wheelchairs. Bathrooms are shared in between 2 rooms, often with mixed gender use.

Rehab patient · 2025★★☆☆☆
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
4.16hrs
OK
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.4%
CA
11.6%
Sacramento
8.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
15.3%
CA
10.5%
Sacramento
9.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.2%
Mixed vs Avgs
Here
9.2%
US
19.5%
CA
13.7%
Sacramento
8.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.5%
Mixed vs Avgs
Here
10.5%
US
19.4%
CA
10.7%
Sacramento
9.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.5%
Mixed vs Avgs
Here
6.5%
US
14.4%
CA
10.4%
Sacramento
6.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.2%
Mixed vs Avgs
Here
6.2%
US
12.1%
CA
7.0%
Sacramento
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.7%
CA
93.2%
Sacramento
97.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.2%
Mixed vs Avgs
Here
94.2%
US
81.8%
CA
94.2%
Sacramento
98.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
CA
1.5%
Sacramento
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Well below state avg (15.4)
13 complaint-triggered

Cedarwood Post Acute has significant ongoing issues across multiple care areas, with families filing 15 complaints that triggered federal inspections. The facility shows persistent problems with fire safety systems, medication management, and care planning that span multiple years and surveys. While all deficiencies show correction dates, the recurring nature of issues in fire safety, medication errors, and resident care planning suggests systemic challenges that may impact resident safety and care quality.

Jun 13, 2025Routine
15
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0341Minimal · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Nov 21, 2024Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Nov 15, 2024Complaint
1
0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Oct 2, 2024Complaint
1
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Aug 23, 2024Routine
28
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0658Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0842Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0352Minimal · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Aug 7, 2024Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cedarwood Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Spyglass Healthcare

Chain Size

8 facilities nationwide

Chain avg rating: 3.1/5 · Rank 2 of 7

Ownership & Management

Owners

Amm Trust

Owner · Organization

25%

Spyglass Healthcare LLC

Owner · Organization

50%

Gastwirth, Joshua

Owner

25%

Key personnel

Brandi, RobertOfficer / DirectorMccormack, RyanOfficer / DirectorOakwood Health LLCManagerSpyglass Healthcare LLCManagerBrandi, RobertManager
Source: Medicare provider data

Contact

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References & Resources

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