All states › California › Vacaville › Vacaville Ranch Post Acute
101 S Orchard Ave Vacaville, CA 95688 · Solano County
All 2 nursing homes in Vacaville, CA (2 take Medicaid)
CMS certification number 055412 · See this home on Medicare Care Compare
Is Vacaville Ranch Post Acute a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Vacaville Ranch Post Acute as of October 2026.
CMS rates it 4 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.30 hours per resident per day at Vacaville Ranch Post Acute, about the same as the California median of 4.27 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 3.93 hours, 9% below its all-week average. 53.7% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Vacaville Ranch Post Acute: Medicare and Medicaid
Vacaville Ranch Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 8, 2025 and found 8 deficiencies. In total, inspectors issued 19 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 19 citations at Vacaville Ranch Post Acute across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 19 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (5) and pharmacy service (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, August 8, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 8, 2025 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EProvide and implement an infection prevention and control program.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 13, 2024 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure 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.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
July 12, 2024 · 6 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DEnsure 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.
DImplement a program that monitors antibiotic use.
May 20, 2024 · 2 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from the wrongful use of the resident's belongings or money.
Questions to ask on a tour of Vacaville Ranch Post Acute
- CMS cited the home under its abuse and neglect rules on May 20, 2024. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 53.7% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $118,515 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 20, 2024 | Fine | $4,938 |
| Feb 9, 2024 | Fine | $94,169 |
| Jan 2, 2024 | Fine | $4,587 |
| Dec 11, 2023 | Fine | $11,645 |
| Oct 17, 2023 | Fine | $3,176 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
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Location
Hospitals near Vacaville Ranch Post Acute
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 4.0 mi
-
6.3 mi
60th Medical Group (Travis AFB) Travis AFBEmergency roomMedian ER visit 2h 19m for patients treated and sent home
-
7.0 mi
Northbay Medical Center FairfieldEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.