Sutter Care at Home
A hospice in Yuba City, California 95991
400 Plumas Blvd, Suite 115b, Yuba City, California 95991. (530) 749-3460.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 8of 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 11 hospices serving ZIP code 95991 had 5.
The last inspection on record was on Feb 17, 2026: a complaint inspection by the Community Health Accreditation Partner.
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 Feb 2025. 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.
Feb 14, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 346 words
“It is required that each patient’s individualized written plan of care reflects patient, and family goals and identifies measurable outcomes anticipated from implementing and coordinating the plan of care. This standard was not met as evidenced by clinical record review and interview. In 2 of 19 (11%) clinical records reviewed revealed the agency did not ensure the plan of care (POC) reflected patient and family goals that were measurable. CLINICAL RECORD 4: The initial nursing assessment dated 01/07/2025 stated in the narrative that the patient was receiving oxygen at 2-5 liters per min continuous via nasal cannula for shortness of breath. A physician order dated 01/08/2025 stated “DC routine oxygen order: Start oxygen, as needed at: 2 L for comfort/mild shortness of breath; 3 L for moderate shortness of breath; 4 L for severe shortness of breath; and 5 L for extreme shortness of breath. via nasal cannula”. The interdisciplinary group (IDG) POC dated 01/08/2025 included the intervention for oxygen therapy, however, the goal for this intervention was “”Oxygen per physician order”. There was no documented evidence that the goals included on the plan of care were measurable. CLINICAL RECORD 17: The initial nursing assessment dated 07/18/2024 included that the patient had a physician order for wound care to the coccyx that stated, “Stage II Pressure Ulcer to Coccyx: cleanse with mild soap and water, pat dry, apply zinc oxide to wound bed and peri wound”. The IDG POC dated 07/18/2024 included the physician order, “Stage II Pressure Ulcer to Coccyx: cleanse with mild soap and water, pat dry, apply zinc oxide to wound bed and peri wound” The goal for the wound care intervention stated, “Provide wound care per physician order.” There was no documented evidence that the goals included on the plan of care were measurable. The Administrator/Alternate Director of Patient Care Services (DPCS) and DPCS/Alternate Administrator stated in an interview on 02/14/2025 that the agency did not ensure the plan POC reflected patient and family goals and interventions that include specific detail based on problems identified in the initial and updated comprehensive assessments.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 303 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 17 (6%) clinical records reviewed for patients that elected hospice aide services revealed the agency did not ensure the Registered Nurse (RN) provided the aide with clear and accurate patient-specific written care instructions on the aide care plan. CLINICAL RECORD 17: The interdisciplinary group (IDG) plan of care (POC) dated 07/18/2024 included a nursing order for wound care to the “Stage II Pressure Ulcer to Coccyx: cleanse with mild soap and water, pat dry, apply zinc oxide to wound bed and peri wound”. The aide care plan dated 07/18/2024 lacked evidence of clear patient-specific written instructions for how the aide was to manage and what to report related to the wound area on the patient’s “Coccyx” while providing the assigned task: “Bed bath”. The aide care plan ordered the task “Bed bath” every visit. The aide visit frequency ordered was 2 times per week. The aide visit notes dated 07/22/2024 and 07/25/2024 lacked evidence of how the aide managed and what to report related to the wound area on the patient’s “Coccyx” while providing the assigned task: “Bed bath”. The Administrator/Alternate Director of Patient Care Services (DPCS) and DPCS/Alternate Administrator stated in an interview on 02/14/2025 that the agency did not ensure the hospice RN provided the aide with clear patient-specific written care instructions on the aide care plan related to how to manage and what to report related to the “Coccyx” wound while performing the ordered task: “Bed bath”.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 17, 2026 | Complaint inspection by the Community Health Accreditation Partner | No deficiencies cited |
| Feb 14, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 25, 2002.
- 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): 15.3 nurse care minutes per routine home care day, 8.8% of skilled nursing minutes at weekends and a visit near death for 91.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 64% at home, 24% in assisted living, 12% 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 | 15.3 min |
| Skilled nursing minutes at weekends | 8.8% |
| Visits near death | 91.1% of patients who died |
Who owns it?
- Sutter Health owns 100% directly since Oct 2, 2000.
- 31 owners or officers are people: Karen A Leon (managing employee (on the payroll)); Karen A Leon (runs it (operational or managerial control)); Keith R Lagnese (managing employee (under contract)); 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)); Paula A Ketchum (managing employee (on the payroll)); Paula A Ketchum (runs it (operational or managerial control)); George T Block (corporate director); 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); Anna J Kiger (corporate officer); Anna J Kiger (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 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 53.8% 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 | 4 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 | 8 of 10 |
How does it compare nearby?
- Of the 11 hospices CMS’s data show serving patients in ZIP code 95991, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
| Adventist Health Home Care Services | 5 |
| Bristol Hospice - Sacramento, LLC | 3 |
| Advanced Home Health and Hospice, Inc. | 5 |
| Blossom Ridge Hospice | 1 |
| Freedom Home Health and Hospice Care Services, Inc. | 10 |
| Suncrest Hospice Sacramento, LLC | 8 |
| A1 Healthcare | 7 |
| Sonder Hospice Care | 5 |
| Sanctuary Hospice | 7 |
| Amari Hospice Care Inc. | 15 |
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.