Sutter Care at Home
A hospice in Roseville, California 95661
3001 Lava Ridge Court, Suite 330b, Roseville, California 95661. (916) 797-7850.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 2 deficiencies cited in the last three years
- 3of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
2 deficiencies cited in the last three years
The middle of the 42 hospices serving ZIP code 95661 had 6.
The last inspection on record was on Oct 20, 2025: a complaint inspection by the state.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Oct 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Oct 4, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 434 words
“It is required that the Interdisciplinary Group, in collaboration with the individual’s attending physician (if any), reviews, revises, and documents the individualized care plan: as frequently as the patient’s condition requires; but no less frequently than every 15 calendar days. A revised plan of care includes: information from the patient’s updated comprehensive assessment; [and] record of the patient’s progress toward the outcomes and goals specified in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 27 (4%) clinical records reviewed, the organization did not ensure that a revised plan of care included information from the patient’s updated comprehensive assessment. Clinical Record 9: The patient elected hospice care on 08/17/2024 with a primary terminal diagnosis of cerebral atherosclerosis and co-morbidities that included dementia, chronic kidney disease, a history of urinary tract infections (UTI), and a Foley catheter. The patient resided in an adult living facility (ALF). The initial plan of care dated 08/17/2024 ordered: “Instruct on the care of the urinary catheter and when to contact hospice. Instruct on signs and symptoms of urinary tract infections.” The RN comprehensive assessment dated 09/07/2024 documented that an “18FR, 10ml bulb Foley catheter” was replaced for the patient after it was reported by facility staff that the patient had a decrease in urine output and a possible clogged Foley catheter. The RN comprehensive assessment dated 09/20/2024 documented that the patient’s catheter was “clogged”... “attempted to be flushed with (normal saline) NS”... was “sluggish,” and the catheter was replaced with an “18 Fr, 10ml bulb Foley catheter.” The RN comprehensive assessment dated 10/03/2024 documented that the Foley catheter was reported by facility staff as “likely clogged due to no urine output.” On 10/03/2024; the RN obtained the physician’s order: “Change urinary catheter indwelling coude 18FR, 10ml. May irrigate with 30ML of sterile water or NSS each visit and as needed for obstruction. Change as needed for signs/symptoms of infection, occlusion, or sluggishness.” The RN changed the catheter per the physician’s order. During an interview and joint record review, the Clinical Manager and Administrator confirmed that the plan of care effective 08/17/2024 and the plan of care updates dated 08/21/2024 and 09/04/2024 did not include Skilled Nursing interventions for catheter replacement that specified catheter size and balloon size or irrigation of the catheter. The Administrator confirmed, “Yes, we have our plans of care updated now, and we have a Performance Improvement Project to ensure that Foley catheter size, replacement, and flushing interventions are not missing from our urinary catheter plans of care and our revised as appropriate going forward.””
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 396 words
“It is required that a patient clinical record containing past and current findings is maintained for each hospice patient. The record contains correct clinical information that is available to the patient’s attending physician and hospice staff. The record may be maintained electronically or on paper. Each patient’s record includes, at a minimum: physician orders. This standard was not met as evidenced by clinical record review and interview. In 1 of 27 (4%) clinical records reviewed, the organization did not ensure that the patient’s clinical record contained the physician’s order for care and services. Clinical Record 9: The patient elected hospice care on 08/17/2024 with a primary terminal diagnosis of cerebral atherosclerosis and co-morbidities that included dementia, chronic kidney disease, a history of urinary tract infections (UTI), and a Foley catheter. The patient resided in an adult living facility (ALF). The initial plan of care dated 08/17/2024 ordered: “Instruct on the care of the urinary catheter and when to contact hospice. Instruct on signs and symptoms of urinary tract infections.” The RN comprehensive assessment dated 09/07/2024 documented that an “18FR, 10ml bulb Foley catheter” was replaced for the patient after it was reported by facility staff that the patient had a decrease in urine output and a possible clogged Foley catheter. The RN comprehensive assessment dated 09/20/2024 documented that the patient’s catheter was “clogged”... “attempted to be flushed with (normal saline) NS”... was “sluggish,” and the catheter was replaced with an “18 Fr, 10ml bulb Foley catheter.” The RN comprehensive assessment dated 10/03/2024 documented that the Foley catheter was reported by facility staff as “likely clogged due to no urine output.” On 10/03/2024; the RN obtained the physician’s order: “Change urinary catheter indwelling coude 18FR, 10ml. May irrigate with 30ML of sterile water or NSS each visit and as needed for obstruction. Change as needed for signs/symptoms of infection, occlusion, or sluggishness.” The RN changed the catheter per the physician’s order. During interviews and a joint record review on 10/03/2024 and 10/04/2024, the Clinical Manager and Administrator confirmed that the record did not contain documented physician orders for catheter replacement, including catheter size or balloon size, and did not include instructions for flushing the Foley catheter if it became sluggish or clogged. The Administrator confirmed that a physician’s order for the Foley catheter size, bulb capacity, and flushing were in the patient record before the exit conference.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 20, 2025 | Complaint inspection by the state | No deficiencies cited |
| Aug 22, 2025 | Complaint inspection by the state | No deficiencies cited |
| Oct 4, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 1, 1995.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 15.2 nurse care minutes per routine home care day, 11% of skilled nursing minutes at weekends and a visit near death for 92.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 42% at home, 52% in assisted living, 6% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.2 min |
| Skilled nursing minutes at weekends | 11% |
| Visits near death | 92.9% of patients who died |
Who owns it?
- Sutter Health owns 100% directly since Oct 2, 2000.
- 33 owners or officers are people: Mahwash Saeed (managing employee (under contract)); Mahwash Saeed (runs it (operational or managerial control)); Keith R Lagnese (managing employee (under contract)); Keith R Lagnese (corporate officer); Keith R Lagnese (corporate director); Keith R Lagnese (runs it (operational or managerial control)); David J Seidenwurm (corporate director); Carolyn A Goodall (managing employee (on the payroll)); Carolyn A Goodall (runs it (operational or managerial control)); Mark K Mcpherson (managing employee (under contract)); Mark K Mcpherson (corporate officer); Mark K Mcpherson (corporate director); Mark K Mcpherson (runs it (operational or managerial control)); Cynthia M Weber (managing employee (on the payroll)); Cynthia M Weber (runs it (operational or managerial control)); George T Block (corporate director); Claudia Quero (managing employee (on the payroll)); Claudia Quero (runs it (operational or managerial control)); Margaret A Taylor (corporate director); Ursula Nicole Boynton (corporate director); Alden J Mcdonald (corporate officer); Alden J Mcdonald (corporate director); Cameron P Pirouz (managing employee (on the payroll)); Cameron P Pirouz (runs it (operational or managerial control)); Manuel J Jimenez (corporate director); Douglas G Wagemann (corporate director); Albert S Chan (corporate director); Jeffrey T Strawn (corporate officer); Jeffrey T Strawn (corporate director); Patrick A Brown (managing employee (under contract)); Patrick A Brown (corporate officer); Patrick A Brown (runs it (operational or managerial control)); Megan L Merz (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sutter Health | Owns 5% or more directly | 100% | Oct 2, 2000 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.96% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 68.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 3 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 42 hospices CMS’s data show serving patients in ZIP code 95661, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 2.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Sutter Care at Home This hospice | 2 |
| Bristol Hospice - Sacramento, LLC | 3 |
| Green Valley Hospice, Inc. | 12 |
| Arias Hospice Care Inc. | 4 |
| Pinnacle Hospice Care | 21 |
| Kaiser Foundation Hospital - Hospice | 3 |
| Uc Davis Hospice Program | Not given |
| Snowline Health | 7 |
| Mercy Hospice | 12 |
| Yolo Hospice | 12 |
| Hospice of the Foothills | 6 |
| Sutter Auburn Faith VNA & Hospice-Hospice | 14 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.