Skilled nursing facility · CMS certification number 555459
Gramercy Court
Sacramento, California · Medicare and Medicaid · 120 certified beds in Care Compare
Download Gramercy Court’s record (CSV, each figure with its worksheet, line and column)
Gramercy Court: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on September 26, 2025.
- Net patient revenue rose from $19.7M in fiscal year 2023 to $19.9M in fiscal year 2024.
- Its result from service to patients: −$1.9M (2022), −$1.2M (2023), −$898K (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Its net patient revenue of $19.9M ranks 241st of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Gramercy Court: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1440257 | 2023 · report 1395039 | 2022 · report 1365666 | 2021 · report 1368878 | 2020 · report 1343688 | 2019 · report 1279055 | 2018 · report 1278423 | 2017 · report 1209223 | 2016 · report 1174314 | 2015 · report 1143643 | 2014 · report 1108915 | 2013 · report 1077533 | 2012 · report 1044936 | 2011 · report 1036247 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | September 26, 2025 | September 17, 2024 | September 27, 2023 | November 29, 2023 | March 2, 2023 | January 26, 2021 | January 15, 2021 | August 21, 2018 | August 21, 2017 | September 30, 2016 | August 27, 2015 | August 30, 2014 | August 1, 2013 | June 19, 2013 |
| Total patient revenue | $20,561,760 | $20,857,911 | $20,346,929 | $20,056,036 | $18,426,532 | $20,971,810 | $20,834,180 | $16,959,180 | $5,669,910 | $14,178,163 | $14,730,853 | $14,571,994 | $14,155,556 | $13,944,704 |
| Contractual allowances and discounts | $673,073 | $1,201,972 | $1,460,487 | $1,582,887 | $422,429 | $1,902,958 | $2,723,469 | $1,535,768 | $399,539 | $3,586,707 | $2,446,965 | $2,864,377 | $2,469,999 | $1,980,807 |
| Net patient revenue | $19,888,687 | $19,655,939 | $18,886,442 | $18,473,149 | $18,004,103 | $19,068,852 | $18,110,711 | $15,423,412 | $5,270,371 | $10,591,456 | $12,283,888 | $11,707,617 | $11,685,557 | $11,963,897 |
| Total operating expenses | $20,786,517 | $20,879,555 | $20,736,867 | $19,708,595 | $18,763,216 | $17,648,364 | $16,839,997 | $15,429,036 | $7,193,716 | $14,582,653 | $14,386,485 | $14,226,935 | $14,137,005 | $14,552,630 |
| Net income from service to patients | −$897,830 | −$1,223,616 | −$1,850,425 | −$1,235,446 | −$759,113 | $1,420,488 | $1,270,714 | −$5,624 | −$1,923,345 | −$3,991,197 | −$2,102,597 | −$2,519,318 | −$2,451,448 | −$2,588,733 |
| Total other income | $3,390,882 | $235,056 | $106,374 | $149,776 | $1,037,559 | $1,188 | $3,221 | $4,782 | $245 | $2,619,257 | $2,279,607 | $2,040,793 | $2,241,544 | $2,104,208 |
| Net income after other income | $2,493,052 | −$988,560 | −$1,744,051 | −$1,085,670 | $278,446 | $1,421,676 | $1,273,935 | −$842 | −$1,923,100 | −$1,371,940 | $177,010 | −$478,525 | −$209,904 | −$484,525 |
| Net income | $2,417,154 | −$1,092,768 | −$1,744,051 | −$2,547,693 | $128,466 | $1,401,903 | $1,223,517 | −$4,831 | −$1,923,100 | −$1,371,940 | $177,010 | −$478,525 | −$209,907 | −$484,525 |
| Total facility beds, all components | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Bed days available, all components | 43,920 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 3,060 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 1,340 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 32,789 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 37,189 | 36,243 | 36,120 | 35,610 | 36,794 | 40,140 | 39,996 | 39,552 | 19,528 | 41,524 | 42,256 | 42,206 | 40,909 | 41,004 |
| Medicare discharges | 100 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 16 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 590 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 706 | 995 | 1,024 | 1,036 | 944 | 1,127 | 1,031 | 818 | 196 | 373 | 305 | 283 | 301 | 342 |
| Average length of stay, Medicare, in days | 30.6 | 31.58 | 26.25 | 23.47 | 25.14 | 21.18 | 25.85 | 23.9 | 23.9 | 26.42 | 30.79 | 41.28 | 40.85 | 30.32 |
| Average length of stay, Medicaid, in days | 83.75 | 127.38 | 536.61 | 565.17 | 351.75 | 444.9 | 170.79 | 229.93 | 559.42 | 412.73 | 437.25 | 350.99 | 310.23 | 349.83 |
| Average length of stay, all patients, in days | 52.68 | 36.43 | 35.27 | 34.37 | 38.98 | 35.62 | 38.79 | 48.35 | 99.63 | 111.32 | 138.54 | 149.14 | 135.91 | 119.89 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 409262 | 2009 · report 381995 | 2008 · report 346250 | 2007 · report 322379 | 2006 · report 290696 | 2005 · report 259902 | 2004 · report 225015 | 2003 · report 200481 | 2002 · report 148892 | 2001 · report 194517 | 2000 · report 98310 | 1999 · report 98309 | 1998 · report 98308 | 1997 · report 98306 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled | settled | as submitted | settled with audit |
| Processed by CMS | June 30, 2011 | July 16, 2010 | June 19, 2009 | July 31, 2008 | August 1, 2007 | July 27, 2006 | June 23, 2005 | November 23, 2004 | June 11, 2003 | September 21, 2004 | March 15, 2002 | October 31, 2001 | July 3, 2000 | November 12, 1999 |
| Net patient revenue | $11,622,350 | $12,338,054 | $11,854,337 | $11,299,869 | $11,213,351 | $9,427,300 | $8,395,804 | $7,875,727 | $7,994,861 | $9,429,728 | $8,089,994 | $8,484,477 | $8,628,653 | $7,184,102 |
| Total operating expenses | $14,667,563 | $14,206,127 | $14,641,446 | $13,591,710 | $13,054,530 | $11,496,661 | $11,049,229 | $10,622,039 | $8,093,136 | $9,422,691 | $8,620,440 | $8,556,769 | $8,962,601 | $8,847,914 |
| Net income from service to patients | −$3,045,213 | −$1,868,073 | −$2,787,109 | −$2,291,841 | −$1,841,179 | −$2,069,361 | −$2,653,425 | −$2,746,312 | −$98,275 | $7,037 | −$530,446 | −$72,292 | −$333,948 | −$1,663,812 |
| Total other income | $1,907,360 | $2,061,478 | $2,297,364 | $2,529,495 | $2,262,093 | $2,461,589 | $2,282,558 | $1,814,955 | $315,089 | $181,279 | $99,679 | $308,725 | $895,242 | $55,386 |
| Total other expenses | $1,057 | — | — | $100 | — | — | $26 | $201 | $245,672 | $50,749 | $114,440 | — | — | $12,094 |
| Net income | −$1,138,910 | $193,405 | −$489,745 | $237,554 | $420,914 | $392,228 | −$370,893 | −$931,558 | −$28,858 | $137,567 | −$545,207 | $236,433 | $561,294 | −$1,620,520 |
| Total facility beds, all components | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Total patient days, all components | 39,963 | 41,372 | 41,733 | 41,781 | 41,293 | 40,081 | 39,341 | 40,373 | 39,646 | 39,376 | 30,034 | 37,941 | 40,513 | 38,840 |
| Total discharges, all components | 338 | 303 | 307 | 337 | 395 | 362 | 237 | 213 | 245 | 322 | 276 | 269 | 202 | 239 |
| Average length of stay, Medicare, in days | 40.25 | 39.58 | 45.21 | 39.67 | 37.34 | 30.98 | 43.45 | 39.2 | 43.48 | 49.63 | 30.52 | 29.11 | 36.84 | 33.78 |
| Average length of stay, Medicaid, in days | 397.34 | 391.63 | 495.98 | 670.56 | 518.36 | 1,132 | 944.23 | 792 | 467.47 | 174.13 | — | — | — | — |
| Average length of stay, all patients, in days | 118.23 | 136.54 | 135.94 | 123.98 | 104.54 | 110.72 | 166 | 189.54 | 161.82 | 122.29 | 108.82 | 141.04 | 200.56 | 162.51 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
Gramercy Court: nurse staffing hours by quarter →
Who owns Gramercy Court, as filed with CMS
Care Compare
- 5% OR GREATER SECURITY INTEREST: BMO BANK, N.A. (organization), since 10/06/2021
- CORPORATE DIRECTOR: MASTROCOLA, LOIS (individual), since 02/01/1998; OLDS, THOMAS (individual), since 02/01/1998
- CORPORATE OFFICER: MASTROCOLA, LOIS (individual), since 02/01/1998; OLDS, THOMAS (individual), since 02/01/1998
- W-2 MANAGING EMPLOYEE: MASTROCOLA, LOIS (individual), since 09/20/2023
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GHC OF SAC - SNF LLC (enrollment ID O20170908001570).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIFE GENERATIONS HEALTHCARE, LLC (organization), 100.00%, since 07/01/2016
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: FRED SMITH (individual), 12.69%, since 07/01/2016; LOIS A MASTROCOLA (individual), 9.18%, since 07/01/2016; THOMAS OLDS (individual), 78.13%, since 07/01/2016
- 5% OR GREATER SECURITY INTEREST: BMO BANK, N.A. (organization), since 10/06/2021
- CORPORATE DIRECTOR: LOIS A MASTROCOLA (individual), since 02/01/1998; THOMAS OLDS (individual), since 02/01/1998
- CORPORATE OFFICER: LOIS A MASTROCOLA (individual), since 02/01/1998; THOMAS OLDS (individual), since 02/01/1998
- W-2 MANAGING EMPLOYEE: LOIS A MASTROCOLA (individual), since 09/20/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: LIFE GENERATIONS HEALTHCARE, LLC; BMO BANK, N.A..
Private equity company, real estate investment trust and holding company: Paused by CMS: FRED SMITH; LOIS A MASTROCOLA; THOMAS OLDS; LOIS A MASTROCOLA; THOMAS OLDS; LOIS A MASTROCOLA; THOMAS OLDS; LOIS A MASTROCOLA.
Changes in ownership
- September 1, 2026, Care Compare ownership file; no longer listed: BMO BANK NATIONAL ASSOCIATION (5% OR GREATER SECURITY INTEREST); listed: BMO BANK, N.A. (5% OR GREATER SECURITY INTEREST). NH_Ownership_Sep2026_2.csv
- March 1, 2024, enrollment ownership file; no longer listed: KENDRA NOONAN (W-2 MANAGING EMPLOYEE); FRED SMITH (5% OR GREATER DIRECT OWNERSHIP INTEREST); THOMAS OLDS (5% OR GREATER DIRECT OWNERSHIP INTEREST); LOIS A MASTROCOLA (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: FRED SMITH (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 1, 2016; THOMAS OLDS (DIRECTOR), associated since February 1, 1998; THOMAS OLDS (OFFICER), associated since February 1, 1998; THOMAS OLDS (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 1, 2016; LOIS A MASTROCOLA (W-2 MANAGING EMPLOYEE), associated since September 20, 2023; LOIS A MASTROCOLA (DIRECTOR), associated since February 1, 1998; LOIS A MASTROCOLA (OFFICER), associated since February 1, 1998; LOIS A MASTROCOLA (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since July 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
Recent changes on this record
- August 24, 2026: A deficiency was cited under tag F 0600, scope and severity E. NH_HealthCitations_Oct2026.csv
Inspections of Gramercy Court
- Cycle 1: health December 5, 2025 (10 deficiencies), fire safety December 5, 2025 (7)
- Cycle 2: health December 5, 2024 (19 deficiencies), fire safety December 5, 2024 (9)
- Cycle 3: health February 1, 2024 (20 deficiencies), fire safety February 1, 2024 (8)
Deficiencies cited at Gramercy Court
51 deficiencies on file, by tag, newest citation first
every one from a health inspection; 22 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0600, freedom from abuse, neglect, and exploitation: August 24, 2026 (E, from a complaint, Deficient, Provider has plan of correction, corrected September 8, 2026); June 25, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 7, 2026); May 27, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected June 9, 2026); April 1, 2026 (D, from a complaint, Past Non-Compliance, corrected March 31, 2026); February 25, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 5, 2026); February 5, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected March 5, 2026); January 8, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected January 30, 2026); September 17, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected October 1, 2025); August 6, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2025); July 17, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 17, 2025); May 28, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 6, 2025); July 17, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 30, 2024).
- F 0584, resident rights: December 5, 2025 (E, Deficient, Provider has date of correction, corrected January 5, 2026); September 18, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 11, 2023).
- F 0755, pharmacy service: December 5, 2025 (E, Deficient, Provider has date of correction, corrected January 5, 2026); April 3, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 15, 2024); February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0812, nutrition and dietary: December 5, 2025 (F, Deficient, Provider has date of correction, corrected January 5, 2026); December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024); February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0689, quality of life and care: April 21, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 7, 2025); August 14, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 27, 2024); February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0550, resident rights: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0552, resident rights: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0554, resident rights: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0636, resident assessment and care planning: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0656, resident assessment and care planning: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0658, resident assessment and care planning: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024); February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024); September 18, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 11, 2023).
- F 0758, pharmacy service: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0761, pharmacy service: December 5, 2024 (E, Deficient, Provider has date of correction, corrected December 23, 2024); February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0803, nutrition and dietary: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0810, nutrition and dietary: December 5, 2024 (D, Deficient, Provider has date of correction, corrected December 23, 2024).
- F 0697, quality of life and care: November 21, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected December 10, 2024).
- F 0610, freedom from abuse, neglect, and exploitation: November 20, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 12, 2024).
- F 0557, resident rights: October 17, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 29, 2024).
- F 0678, quality of life and care: September 5, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2024).
- F 0641, resident assessment and care planning: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0655, resident assessment and care planning: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0695, quality of life and care: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0804, nutrition and dietary: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0806, nutrition and dietary: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0814, nutrition and dietary: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0842, resident assessment and care planning: February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0848, administration: February 1, 2024 (E, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0880, infection control: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0947, nursing and physician services: February 1, 2024 (D, Deficient, Provider has date of correction, corrected February 23, 2024).
- F 0624, resident rights: November 9, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2023).
Gramercy Court in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: GHC OF SAC - SNF LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1991-05-24
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Sacramento
- Telephone Number: 9164822200
- Chain Name: GENERATIONS HEALTHCARE
- Chain ID: 236
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 107.2
- Overall Rating: 4
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for Gramercy Court: no penalty in Care Compare.
Other nursing facilities in Sacramento
Report a figure on Gramercy Court’s record that differs from its CMS file, quoting 555459.