Elder Care Record

California › Sacramento County › Galt

Rancho Seco Care Center

144 F Street, Galt, CA 95632

CCN 055858 · For-profit, individual · 99 certified beds · chain Ajc Healthcare

CMS abuse iconSpecial Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 99 beds, Rancho Seco Care Center serves Galt in Sacramento County, California and has taken Medicare and Medicaid residents since 1967.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 72 health deficiencies across the three most recent survey cycles (14, 37, 21 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 72.7 per 100 beds, more than the state median of 51.1.

CMS lists 2 penalties in the period covered: fines totalling $490K.

Reported nurse staffing is 4.2 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 43.7%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility.

72health deficiencies, 3 survey cycles3 at actual harm or worse
$490Kfines listed by CMS2 penalties in period
4.2nurse hours per resident per daystate median 4.2
96%occupancy (residents ÷ beds)95 residents a day

Compared with county, state and nation

MeasureThis facilitySacramento Co. medianCalifornia medianUS average
Overall star rating—333.0
Health citations, 3 cycles72504428.7
Citations per 100 beds72.744.151.126.8
Total nurse hours per resident day4.24.24.23.9
RN hours per resident day0.30.60.50.7
Nursing staff turnover43.7%34.8%36.4%45.8%
Fines listed$490,205$0$0—

County and state figures are medians across facilities (37 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 237
Cycle 321

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 11 Apr 2025.

Severity mix: K ×1 L ×1 G ×1 D ×44 E ×22 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation25 Feb 2026
8 Jan 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey7 Feb 2026
8 Jan 2026F0761Ensure 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.EStandard survey7 Feb 2026
8 Jan 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey7 Feb 2026
8 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Feb 2026
8 Jan 2026F0880Provide and implement an infection prevention and control program.EStandard survey7 Feb 2026
8 Jan 2026F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey7 Feb 2026
8 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Feb 2026
8 Jan 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey7 Feb 2026
8 Jan 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey7 Feb 2026
8 Jan 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Feb 2026
10 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Dec 2025
22 Nov 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation9 Dec 2025
20 Nov 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation21 Nov 2025
23 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation24 Jul 2025
20 Jun 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation30 Jun 2025
20 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Jun 2025
19 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation19 Jun 2025
18 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation20 Jun 2025
21 May 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation27 May 2025
30 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation23 May 2025
11 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 May 2025
11 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey7 May 2025
11 Apr 2025F0679Provide activities to meet all resident's needs.EStandard survey7 May 2025
11 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey7 May 2025
11 Apr 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey7 May 2025
11 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey7 May 2025
11 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 May 2025
11 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 May 2025
11 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 May 2025
11 Apr 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey7 May 2025
11 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 May 2025
11 Apr 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey7 May 2025
11 Apr 2025F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey7 May 2025
11 Apr 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey7 May 2025
1 Apr 2025F0761Ensure 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.DComplaint investigation4 Apr 2025
1 Apr 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Apr 2025
25 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation26 Mar 2025
24 Feb 2025F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.LComplaint investigation11 Mar 2025
24 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation11 Mar 2025
24 Feb 2025F0610Respond appropriately to all alleged violations.FComplaint investigation11 Mar 2025
24 Feb 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation11 Mar 2025
24 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation11 Mar 2025
18 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation26 Nov 2024
11 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation17 Oct 2024
11 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation17 Oct 2024
8 Oct 2024F0679Provide activities to meet all resident's needs.DComplaint investigation9 Oct 2024
20 Sep 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation8 Oct 2024
20 Sep 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation8 Oct 2024
5 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Sep 2024
23 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Sep 2024
18 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Jul 2024
16 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation17 Jul 2024
27 Jun 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation17 Jul 2024
26 Jun 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation17 Jul 2024
19 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey13 May 2024
19 Apr 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey13 May 2024
19 Apr 2024F0761Ensure 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.EStandard survey13 May 2024
19 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 May 2024
19 Apr 2024F0880Provide and implement an infection prevention and control program.EStandard survey13 May 2024
19 Apr 2024F0908Keep all essential equipment working safely.EStandard survey13 May 2024
19 Apr 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey13 May 2024
19 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey13 May 2024
19 Apr 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey13 May 2024
4 Apr 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation5 Apr 2024
4 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation5 Apr 2024
19 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation7 Apr 2024
13 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation8 Apr 2024
12 Feb 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint investigation15 Feb 2024
5 Feb 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation15 Feb 2024
28 Nov 2023F0761Ensure 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.DComplaint investigation5 Dec 2023
14 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Oct 2023

Penalties

DateTypeAmountDetail
25 Nov 2025Fine$12,095
24 Feb 2025Fine$478,110

Staffing

Total nursing4.16 h
Nurse aides2.79 h
LPN1.08 h
RN0.29 h
Weekend total3.75 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 43.7%, RNs 44.4%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.7%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.0%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.7%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual. Chain: Ajc Healthcare (14 facilities).

OrganisationRole in the CMS recordInterestSince
Swc Ca Opco 2 LLC5% or greater direct ownership interest100%05/01/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sacramento County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Acc Care CenterSacramento995354545.5$24K2 Apr 2026
Advanced Health Care of SacramentoSacramento405452665.0—14 May 2026
City Creek Post AcuteSacramento995423939.4$22K8 May 2025
Manzanita Healthcare CenterCarmichael995354646.5—15 Apr 2026
Sherwood Healthcare CenterSacramento625431321.0—9 May 2025
University Post-Acute RehabSacramento595452644.1—22 May 2025
Woodside Healthcare CenterSacramento585442136.2—22 Nov 2024
American River CenterCarmichael994442424.2—10 Apr 2026

All 37 facilities in Sacramento County

Questions and answers

How many deficiencies has Rancho Seco Care Center been cited for?

72 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Rancho Seco Care Center been fined?

Yes. CMS lists fines totalling $490K in the period covered.

How does staffing at Rancho Seco Care Center compare?

Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Rancho Seco Care Center?

It is part of the Ajc Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Swc Ca Opco 2 LLC. Individual owners and managers are not listed on this site.

When was Rancho Seco Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 8 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.