Windsor Care Center of SacramentoCMS ratings, inspections and fines
- Address
- 501 Jessie Avenue, Sacramento, CA 95838
- CCN
- 555717
- Ownership type
- For-profit, limited liability company
- Certified beds
- 128
- Chain
- Windsor
- Residents per day
- No data
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Windsor Care Center of Sacramento an overall rating of 2 of 5 stars. The last standard survey was on 20 Dec 2024. The latest survey cycle has 15 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sacramento County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 37 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Dec 2024 | 15 | 14 |
| Cycle 2 | 16 Nov 2023 | 18 | 14 |
| Cycle 3 | No date | 18 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0761 | 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 | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Dec 2024 |
| 20 Dec 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 27 Dec 2024 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Dec 2024 |
| 3 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 4 Oct 2024 |
| 22 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Sep 2024 |
| 22 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Sep 2024 |
| 16 Nov 2023 | F0584 | Honor 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. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 25 Dec 2023 |
| 16 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 25 Dec 2023 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Aug 2024 |
| 11 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jul 2024 |
| 8 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 8 May 2024 |
| 20 Dec 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 29 Dec 2023 |
| 10 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Oct 2023 |
| 1 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Aug 2023 |
| 9 Dec 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0761 | 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 | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jan 2022 |
| 9 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Jan 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | No data | 4.20 | 4.52 |
| Registered nurses (RN) | No data | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | No data | 1.20 | |
| Nurse aides | No data | 2.65 | |
| All nurse staff, weekends | No data | 3.80 | 4.09 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 1.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.2% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Windsor Sacramento Estates, LLC
- Chain
- Windsor (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Windsor Haysac Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2010 |
| Antelope Holdings I, LLC | 5% or greater indirect ownership interest | 30 Jun 2023 | |
| Windsor Oxford Holding Company, LLC | 5% or greater indirect ownership interest | 1 Apr 2011 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sacramento County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| North Pointe Care Center | Sacramento | 2 of 5 | 22 | $24,115 | 9 Jan 2026 | |
| Advanced Health Care of Sacramento | Sacramento | 5 of 5 | 6 | $0 | 25 Jul 2025 | |
| Gramercy Court | Sacramento | 4 of 5 | 11 | $0 | 5 Dec 2025 | |
| Sherwood Healthcare Center | Sacramento | 5 of 5 | 9 | $0 | 9 May 2025 | |
| Woodside Healthcare Center | Sacramento | 5 of 5 | 9 | $0 | 22 Nov 2024 | |
| Arden Park Post Acute | Sacramento | 3 of 5 | 13 | $33,586 | 19 Mar 2026 | |
| Mission Carmichael Healthcare Center | Carmichael | 3 of 5 | 14 | $0 | 22 May 2026 | |
| McKinley Park Care Center | Sacramento | 4 of 5 | 17 | $0 | 23 Jan 2026 | |
| Mid-Town Oaks Post-Acute | Sacramento | 3 of 5 | 18 | $15,593 | 4 Dec 2025 | |
| Asbury Park Nursing and Rehabilitation Center | Sacramento | 3 of 5 | 13 | $0 | 26 Mar 2026 | |
| Saylor Lane Healthcare Center | Sacramento | 4 of 5 | 13 | $0 | 8 May 2025 | |
| College Oak Nursing and Rehabilitation Center | Sacramento | 3 of 5 | 8 | $9,814 | 9 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Windsor Care Center of Sacramento (CCN 555717). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/windsor-care-center-of-sacramento-sacramento-ca-555717/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Windsor Care Center of Sacramento last inspected?
- The latest inspection with a citation in the CMS record was on 20 Dec 2024. It was a standard survey and a complaint investigation. It gave 16 citations. The standard survey before the last one was on 16 Nov 2023.
- Who operates Windsor Care Center of Sacramento?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Windsor. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Windsor Care Center of Sacramento a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.