Ahc Home Care of Sacramento
A hospice in North Sacramento, California 95815
1411 Expo Parkway, Suite 140, North Sacramento, California 95815. (916) 758-6400.
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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.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
6 deficiencies cited in the last three years
The middle of the 35 hospices serving ZIP code 95815 had 7.
The last inspection on record was on Nov 18, 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
6 deficiencies in 1 month of the last 36. Last cited Nov 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.
Nov 14, 2024: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 105 words
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #5 - Medication profile contained but no longer using Latanoprost ophthalmic, Diclofenac topical or Albuterol with Nebulizer. During home visit interview, wife who manages medication states patient has not used in several months.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 134 words
“Upon patient record review, 3 of 14 (Patient #5, 7, 11) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #5 - POC dated 09/12/24 contained “change Foley Catheter as ordered” - did not contain size or frequency. Patient #7 - POC dated 10/15/24 contained “perform wound care to R middle toe clean with NS apply A&D ointment daily and PRN” no modifier for PRN. Patient #11 - POC dated 09/04/24 contained “flush Foley catheter as needed” did not have solution, amount, frequency or modifier for as needed. Also contained “change Foley Catheter every 30 days and as needed - did not contain Foley or balloon size and no modifier for as needed.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 108 words
“Upon client record review, 2 of 14 (Patient #11, 12) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #11 - Visit note 09/05/24 Foley catheter changed then again on 10/10/24. Order on POC states to change every 30 days and PRN - greater than 30 days between catheter changes. Visit note 11/09/24 - SN removed and discontinued Foley Catheter but no order documented. Patient #12 - POC dated 10/06/24 did not contain wound care but daily visits made to perform wound care to abdominal wound - order not written until 10/21/24 (effective date).”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 132 words
“Upon patient record review, 1 of 14 (Patient #1) did not have evidence the hospice offers bereavement counseling that includes: • Making bereavement services available to the family and other individuals in the bereavement plan of care up to 1 year following the death of the patient. Bereavement counseling also extends to residents of a SNF/NF or ICF/IID when appropriate and identified in the bereavement plan of care • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #1 - did not have evidence of a bereavement plan of care that included the kind of bereavement services to be offered or the frequency of service delivery.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 116 words
“Upon patient record review 2 of 14 (Patient #7, 13) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #7 - Aide care plan “change linen” 1 x week but aide changed twice on week 2 and week 4. Also during home visit aide shampooed patients hair but task not on aide care plan. Patient #13 - Aide care plan “change linen” 1 x week but aide changed twice on week 2 and week 5.”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 14 (Personnel #11) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel #11 - SLP skills competency assessment performed by PT.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 18, 2025 | Complaint inspection by the state | No deficiencies cited |
| Nov 14, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 16, 2021.
- CMS doesn’t list its type of ownership.
- 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): 10.4 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 91.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 55% at home, 40% in assisted living, 4% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.4 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 91.4% of patients who died |
Who owns it?
- Ahc California Facilities Corporation owns 100% directly since Jan 10, 2018.
- Ahc California Facilities Corporation runs it.
- 14 owners or officers are people: Jay Henderson (managing employee (on the payroll), 100%); David Wayne Nattress (owns 5% or more through other companies, 28.99%); David Edward Nattress (owns 5% or more through other companies, 13.92%); Camille A Frasure (owns 5% or more through other companies, 9.63%); Andrew R Frasure (owns 5% or more through other companies, 7.91%); Forest Arnett (corporate officer); David Wayne Nattress (corporate officer); David Wayne Nattress (corporate director); David Wayne Nattress (runs it (operational or managerial control)); Munish Kumar (managing employee (under contract), 0%); Andrew R Frasure (corporate officer); Andrew R Frasure (runs it (operational or managerial control)); David Edward Nattress (corporate officer); Robert Dale Mcintire (corporate director).
- 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 |
|---|---|---|---|
| Ahc California Facilities Corporation | Owns 5% or more directly | 100% | Jan 10, 2018 |
| Ahc California Facilities Corporation | Runs it (operational or managerial control) | 100% | Jan 10, 2018 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 82% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 31% 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 | Not rated |
| 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 | 7 of 10 |
How does it compare nearby?
- Of the 35 hospices CMS’s data show serving patients in ZIP code 95815, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 6.
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 |
|---|---|
| Prohealth Home Care, Inc. | 10 |
| American River Hospice Services | 4 |
| Ahc Home Care of Sacramento This hospice | 6 |
| Kh Prime Hospice Care | 32 |
| New Era Hospice, Inc. | 3 |
| Kaiser Foundation Hospital - Hospice | 3 |
| Uc Davis Hospice Program | Not given |
| Snowline Health | 7 |
| Hospice of San Joaquin | 0 |
| Mercy Hospice | 12 |
| Yolo Hospice | 12 |
| Sutter Care at Home | 2 |
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.