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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Administered by Caleb Summerhays, City Creek Assisted Living is a nursing home in Sacramento at 6254 66th Avenue. It’s operated by T Street LLC under Avenues Healthcare’s ownership. Accepted are Medicare, Medicaid, and private pay, offering families multiple pathways to cover nursing care and support. The 121-bed community has been operating for four years and accepts residents on a relatively short-term basis, with an average stay duration of 59 days. This pattern reflects a focus on post-acute rehabilitation and transitional care instead of exclusively long-term placement. The surrounding neighborhood is car-dependent, with Walk Score of 13, so visitors and residents will want transportation access for errands and outings.
Staffing support is built into the daily routine, with total nursing care averaging 3 hours and 49 minutes per resident day and nursing aides providing 3 hours and 51 minutes of hands-on care per resident daily. This support level ensures consistent attention to personal care needs spanning bathing, dressing, and grooming assistance, along with scheduled medication management. The home offers family-style dining with snacks throughout the day and coordinates meal services part of the daily routine. Residents have access to laundry, housekeeping, and medication reminder services, and the facility arranges local shopping trips and transportation to help residents stay in tune with the community. The facility also coordinates with home health services to bridge any post-discharge care needs and offers a calendar of activities to keep residents informed of upcoming events.
Shared residential rooms exist, and the community highlights support with activities of daily living and care coordination across different service providers, making it a practical option for families needing coordinated nursing care and rehabilitation amid a stay.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 224th out of 345 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 51m per day | ▼ 5% State avg: 4h 4m per day · National avg: 3h 25m per day |
Higher than the California average: 72.8%City Creek Assisted Living is legally operated by T Street Llc, and administrated by Caleb Summerhays.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
14 points below the California average for nursing homes (81/100)
Inspection score: 67 out of 100. Letter grade D+. 14 points below the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 50 | 10 | This facility has 400% more total citations than a typical California nursing home (50 vs. CA avg 10).↑ 400% worse |
|
Citations per year
Average citations per year since 2021.
| 10 | 2 | This facility has 400% more citations per year than a typical California nursing home (10 vs. CA avg 2).↑ 400% worse |
|
Citations per inspection
Average citations per inspection.
| 0.6 | 3.3 | This facility has 82% fewer citations per inspection than a typical California nursing home (0.6 vs. CA avg 3.3).↓ 82% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 85 | 16 | This facility has 431% more total visits than a typical California nursing home (85 vs. CA avg 16).↑ 431% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 53 | 13 | This facility has 308% more complaint visits than a typical California nursing home (53 vs. CA avg 13).↑ 308% worse Rank #1360 / 1397 Complaint visits — State benchmarked This home is ranked 1360th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 28 | 7 | This facility has 300% more other visits than a typical California nursing home (28 vs. CA avg 7).↑ 300% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
Complaints & Investigations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 51 | 14 | This facility has 264% more total complaints than a typical California nursing home (51 vs. CA avg 14).↑ 264% worse |
|
Complaints per year
Average complaints per year since 2021.
| 10.2 | 2.8 | This facility has 264% more complaints per year than a typical California nursing home (10.2 vs. CA avg 2.8).↑ 264% worse |
California average 12.5
Last Health inspection on May 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 40 citations resulted from standard inspections; 9 of 40 resulted from complaint investigations; and 2 of 40 came from combined inspections (standard and complaint).
100% better than California averageCalifornia average: 0.4
100% worse than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
6% fewer staff per resident than California average
5% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
127 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 21,338 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,648 | 92 | 100% | 7.8 |
| Registered Nurse | 15 | 0 | 15 | 4,345 | 92 | 100% | 7.6 |
| RN Director of Nursing | 6 | 0 | 6 | 2,151 | 64 | 70% | 7.9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 1,407 | 79 | 86% | 6.5 |
| Qualified Activities Professional | 4 | 0 | 4 | 1,399 | 92 | 100% | 7.9 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,285 | 71 | 77% | 6.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 936 | 73 | 79% | 7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 835 | 84 | 91% | 7 |
| Speech Language Pathologist | 3 | 0 | 3 | 835 | 69 | 75% | 7.1 |
| Dietitian | 1 | 0 | 1 | 529 | 67 | 73% | 7.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 523 | 75 | 82% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 469 | 66 | 72% | 7.1 |
| Qualified Social Worker | 2 | 0 | 2 | 464 | 62 | 67% | 7.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 67 | 66 | 72% | 1 |
| Medical Director | 0 | 1 | 1 | 60 | 66 | 72% | 0.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 4 | 1 | 1% | 4.4 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
36% lower than California averageCalifornia average: $55K
69% more fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
14% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
10% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
5% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
18.3%
52% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.7%
23% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
50% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.6%
8% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
3.8%
10% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
24.8%
270% worse than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
12.4%
23% worse than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
41% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
80% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for City Creek Assisted Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #125 / 346Payroll — State benchmarkedThis home is ranked 125th out of 346 homes in California for payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
8.8 miles from city center
Estimated distance in miles from Sacramento's city center to City Creek Assisted Living's address, calculated via Google Maps.
Add your location
City Creek Assisted Living is located in SACRAMENTO, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| Woodside Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (Arden-Arcade) | 59
Facility
59
CA AVG
103
Rank
#1092 / 1658 | 93.2% | +10% | 4.46 | -16% | +6% | $0 | 21 | 7.0 | - | 54 |
78
Facility
78
CA AVG
57
Rank
#486 / 2093 | - | $7.9M | $5.7M | 71.4% | 555798 | ||||
| City Creek Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (Valley Hi / North Laguna) | 121
Facility
121
CA AVG
103
Rank
#555 / 1658 | 92.6% | +9% | 3.82 | +21% | -10% | $43.2k | 40 | 3.3 | 2 | 112 |
13
Facility
13
CA AVG
57
Rank
#1927 / 2093 | Avenues Healthcare, Inc. | $20.2M | $9.9M | 49% | 555160 | ||||
| McKinley Park Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (East Sacramento) | 86
Facility
86
CA AVG
103
Rank
#880 / 1658 | 93.0% | +10% | 3.51 | -2% | -17% | $15.4k | 52 | 2.7 | - | 77 |
85
Facility
85
CA AVG
57
Rank
#290 / 2093 | - | $16.7M | $8.4M | 50.1% | 555122 | ||||
| Windsor Care Center of Sacramento |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (North Sacramento) | 128
Facility
128
CA AVG
103
Rank
#507 / 1658 | 97.7% | +15% | 6.73 | +12% | +59% | $9.8k | 60 | 3.0 | 1 | 125 |
60
Facility
60
CA AVG
57
Rank
#1051 / 2093 | - | $14.9M | $8.0M | 53.3% | 555717 | ||||
| Revere Court of Sacramento |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sacramento (Southwestern Sacramento) | 72
Facility
72
CA AVG
103
Rank
#983 / 1658 | 88.9% | +5% | 5.41 | -9% | +28% | $24.1k | 43 | 7.2 | - | 64 |
51
Facility
51
CA AVG
57
Rank
#1324 / 2093 | Asian Community Center Of Sacramento Valley Inc | $13.4M | $8.4M | 62.6% | 555261 |
City Creek Assisted Living is in the Valley Hi / North Laguna neighborhood of SACRAMENTO.
The legal owner and operator of City Creek Assisted Living is T Street Llc.
City Creek Assisted Living has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
City Creek Assisted Living's occupancy is 93%.
Yes — see the floorplan options available at City Creek Assisted Living on this page.
Caleb Summerhays is the administrator of City Creek Assisted Living.
City Creek Assisted Living has 121 beds.
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