Elk Grove Post Acute

CMS abuse icon · CCN 055308 · WINDSOR ELK GROVE CARE AND REHABILITATION LLC · For profit - Limited Liability company · WINDSOR chain · 136 certified beds · Sacramento · CA


Elk Grove Post Acute is a 136-bed nursing home in Elk Grove, California. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 130.2 residents a day.

What harm was found in the violations cited at Elk Grove Post Acute?

CMS lists 77 health-inspection deficiencies for Elk Grove Post Acute, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0761, F0805, F0812, F0814, F0908Ensure 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Keep all essential equipment working safely.E
2026-05-14F0600, F0640, F0641, F0658, F0803, F0919Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure 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. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2026-03-30F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2026-03-11F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-02-06F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.D
2026-02-05F0584Honor 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
2026-01-29F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2026-01-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-01-13F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-11-24F0600, F0628, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-11-13F0600, F0658Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-07-21F0658, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D
2025-06-19F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-06-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-04F0697, F0726Provide safe, appropriate pain management for a resident who requires such services. / 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.D
2025-05-06F0880Provide and implement an infection prevention and control program.D
2025-04-17F0677, F0687Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate foot care.D
2025-04-08F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-02-27F0658, F0755, F0761, F0802, F0812, F0880, F0908, F0919Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2025-02-27F0550, F0558, F0677, F0679, F0684, F0695, F0697, F0808Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure 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.D
2025-01-14F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-01-02F0697Provide safe, appropriate pain management for a resident who requires such services.D
2024-11-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-06-27F0695Provide safe and appropriate respiratory care for a resident when needed.D
2024-03-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-02-16F0755, F0804Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2024-02-16F0583, F0584, F0658, F0684, F0697, F0698, F0758, F0812, F0880, F0908Keep residents' personal and medical records private and confidential. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.E
2024-02-16F0638, F0806, F0919Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-12-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-22F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-11-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-10-20F0677, F0814, F0842Provide care and assistance to perform activities of daily living for any resident who is unable. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was Elk Grove Post Acute fined?

DateTypeAmount
2024-02-16Fine$8,824

How is Elk Grove Post Acute staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.791604.51570
Total nursing staff turnover (%)23.236.7
Average number of residents per day130.287.9

Who owns Elk Grove Post Acute, and what chain is it in?

Elk Grove Post Acute is registered with CMS as For profit - Limited Liability company, operates under the legal business name WINDSOR ELK GROVE CARE AND REHABILITATION LLC and belongs to the WINDSOR chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTANTELOPE REALTY HOLDINGS I, LLC, WINDSOR NORCAL 13 HOLDINGS LLCsince 01/04/2007
5% OR GREATER INDIRECT OWNERSHIP INTERESTANTELOPE HOLDINGS I, LLC, ROBIN, AARON, TRESS, AVROHOMsince 06/30/2023
CORPORATE OFFICERROBIN, AARON, TRESS, AVROHOMsince 08/14/2023
OPERATIONAL/MANAGERIAL CONTROLNEWGEN ADMINISTRATIVE SERVICES, LLC, CHOW, KELLY, FELICIANO, LARRY, SHAW, PAMELAsince 01/16/2017
TRUSTEE OF THE SNFSHAW, PAMELAsince 06/30/2023
ADP OF THE SNFNEWGEN ADMINISTRATIVE SERVICES, LLC, CHOW, KELLY, FELICIANO, LARRY, SHAW, PAMELAsince 01/16/2017

Were you or a family member harmed at Elk Grove Post Acute?