CCN 555913 · Sacramento County, California
Advanced Health Care of Sacramento
1411 Expo Parkway, Sacramento, CA 95815
Advanced Health Care of Sacramento is a 40-bed for-profit nursing home in Sacramento, California, first certified for Medicare or Medicaid in 2019. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 39.3 residents a day, about 98% of its certified beds. It has an active FHA-insured Section 232 loan: $14.3 million originally, at 2.49%, with $13 million outstanding as of September 30, 2026 and maturity in January 2057.
Facility facts
- Certified beds
- 40
- Average residents per day
- 39.3 (98.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare
- Legal business name
- Ahc Healthcare of Sacramento LLC
- Certified since
- Aug 26, 2019
- Chain or affiliated group
- Advanced Health Care (26 facilities, chain average 4.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 6.06 | 4.24 | 3.68 |
| RN hours per resident per day | 1.92 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 4.80 | ||
| Nursing staff turnover | 30.2% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 98.2% | 92.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 6 (Jul 25, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Advanced Health Care of Sacramento meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| New Ahc Holdings, LLCOrganization | Direct Ownership Interest | 100% | 12/31/2023 |
| The Gail Miller Gst TrustOrganization | Indirect Ownership Interest | 70% | 12/31/2023 |
| The Miller Utah Trust, Dated August 22, 2019Organization | Indirect Ownership Interest | 5% | 12/31/2023 |
| The Rnc Opportunity TrustOrganization | Indirect Ownership Interest | 5% | 12/31/2023 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 23, 2021 | 223(f) refinance or purchaseHUD project name: Advanced Health Care of Sacramento, 40 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC | $14,306,900 | Active: 2.49%, $13,038,498 balanceMatures Jan 1, 2057. Servicer: Berkadia Commercial Mortgage | 13622092 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.