The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
WINDSOR CARE CENTER OF SACRAMENTO
SACRAMENTO, CA · Medicare-certified · 128 beds
In good standing
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Health inspections are below average at 2 of 5 stars, quality measures are strong at 5 of 5 stars, staffing is not rated, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: December 20, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.1%Improving
Residents with a fall causing major injury
5.2%Worsening
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
2.6%Improving
Residents who lost too much weight
3.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.4%Improving
Residents whose ability to walk got worse
3.4%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
5.6%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
1.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
86.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to keep residents’ personal and medical records private and confidential. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 583 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 679 — 42 CFR §483.24 — S/S: E
Recent history
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of WINDSOR · 23 homes · 2.5 stars avg
- Resident voice
- Resident council
- Medicare history
- Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.