Skilled nursing facility · CMS certification number 555913

Advanced Health Care of Sacramento

Sacramento, California · Medicare

Certified beds, as filed in Care Compare: 40

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$16,530,974	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,911,811	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,619,163	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,056,230	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,562,933	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,401	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,565,334	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,565,334 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	14,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	13,309	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	970	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,279	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	530	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	44	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	574	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435925, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$16,170,703	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,364,064	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,806,639	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,983,741	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,822,898	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,144	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,838,042	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,838,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,029	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	558	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	25.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391640, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$16,494,613	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,332,112	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,162,501	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,228,851	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,933,650	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$46,007	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,979,657	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,979,657 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,957	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	594	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	23.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358556, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$16,454,930	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,258,539	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,196,391	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,473,263	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,723,128	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$86,772	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,809,900	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,809,900 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,739	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	560	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356571, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$16,258,471	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,647,985	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,610,486	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,255,190	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$355,296	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$419,410	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$774,706	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $774,706 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,819	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	539	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	25.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290354, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 26 August 2019 to 31 December 2019 — a reporting period of 127 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,901,401	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,030,063	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,871,338	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,196,566	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$325,228	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$388	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$324,840	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$324,840 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	40	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	3,225	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	133	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	24.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255544, read from the public cost report file SNF10FY2019.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
NEW AHC HOLDINGS, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 12/31/2023
THE GAIL MILLER GST TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	70%	since 12/31/2023
THE MILLER UTAH TRUST, DATED AUGUST 22, 2019	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	5%	since 12/31/2023
THE RNC OPPORTUNITY TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	5%	since 12/31/2023
JAVAHERI, ASHKAN	CONTRACTED MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2022
OXNAM, NATHAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2024
WALKER, JONATHAN	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/02/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC HEALTHCARE OF SACRAMENTO LLC (enrollment ID O20180214000056).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
NEW AHC HOLDINGS, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
KAREN GAIL MILLER IRREV TR FBO ZANE MILLER	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE GAIL MILLER GST TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE MILLER UTAH TRUST, DATED AUGUST 22, 2019	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
THE RNC OPPORTUNITY TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	5	12/31/2023	Private equity company: No Real estate investment trust: No Holding company: No
ASHKAN JAVAHERI	Individual	CONTRACTED MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN C OXNAM	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JONATHAN WALKER	Individual	W-2 MANAGING EMPLOYEE	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/2/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: ASHKAN JAVAHERI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ASHKAN JAVAHERI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2024: NATHAN C OXNAM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: TRAVIS L WINWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: AHC CALIFORNIA FACILITIES CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: MARK EMMETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DAVID WAYNE NATTRESS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE FRASURE FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: CINDY STICE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE RNC OPPORTUNITY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE GAIL MILLER GST TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NEW AHC HOLDINGS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ASHKAN JAVAHERI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
15 March 2023: ANDREW R FRASURE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

1 July 2026: ASHKAN JAVAHERI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ASHKAN JAVAHERI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 August 2024: NATHAN C OXNAM no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: TRAVIS L WINWARD no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: AHC CALIFORNIA FACILITIES CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: MARK EMMETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ANDREW R FRASURE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: DAVID WAYNE NATTRESS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE FRASURE FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: CINDY STICE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: JOSEPH B WALKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NATHAN C OXNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE RNC OPPORTUNITY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE MILLER UTAH TRUST, DATED AUGUST 22, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WI appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE GAIL MILLER GST TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: NEW AHC HOLDINGS, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ADVANCED HEALTH CARE - LARRY H MILLER CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: ASHKAN JAVAHERI appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
1 August 2024: KAREN GAIL MILLER IRREV TR FBO ZANE MILLER appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-08-01.csv
14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
14 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
15 March 2023: ANDREW R FRASURE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
23 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	25 July 2025	25 July 2025	6	4
2	9 August 2024	9 August 2024	10	5
3	16 December 2022	16 December 2022	10	4

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

26 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 May 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	27 May 2026
25 July 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	15 August 2025
25 July 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	15 August 2025
25 July 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	15 August 2025
25 July 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	15 August 2025
25 July 2025	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	15 August 2025
12 May 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	10 June 2025
31 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Yes	Deficient, Provider has date of correction	23 January 2025
30 August 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	Yes	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	30 August 2024
29 July 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	29 July 2024
21 June 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	19 July 2024
21 June 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	19 July 2024
7 June 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	20 June 2024
23 April 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	16 May 2024
16 December 2022	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	26 January 2023
16 December 2022	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	26 January 2023
16 December 2022	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	26 January 2023
16 December 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	26 January 2023
16 December 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	26 January 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare
Ownership Type	For profit - Limited Liability company
Legal Business Name	AHC HEALTHCARE OF SACRAMENTO LLC
Date First Approved to Provide Medicare and Medicaid Services	2019-08-26
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Sacramento
Telephone Number	9167586300
Chain Name	ADVANCED HEALTH CARE
Chain ID	11
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	40
Average Number of Residents per Day	39.3
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 1 July 2026: ASHKAN JAVAHERI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Advanced Health Care of Sacramento

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