WINDSOR CARE CENTER OF SACRAMENTO
WINDSOR CARE CENTER OF SACRAMENTO is a 128-bed nursing home in SACRAMENTO, California. CMS has certified it for Medicare and Medicaid since 1997-12-30.
What harm was found in the violations cited at WINDSOR CARE CENTER OF SACRAMENTO?
CMS lists 51 health-inspection deficiencies for WINDSOR CARE CENTER OF SACRAMENTO since 2021-12-09, 39 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 2024-12-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-12-20 | 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 |
| 2024-12-20 | F0583, F0677, F0679, F0880, F0921 | Keep residents' personal and medical records private and confidential. / 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 and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-12-20 | F0550, F0558, F0641, F0684, F0699, F0755, F0758, F0761, F0812, F0600 | Honor 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. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-10-03 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-08-22 | F0600, F0656 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-07-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-07-11 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-08 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-12-20 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2023-11-16 | F0730, F0805, F0812, F0813 | Observe each nurse aide's job performance and give regular training. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2023-11-16 | F0584, F0641, F0657, F0677, F0732, F0755, F0759, F0908, F0919, F0921 | 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 each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-10-10 | F0610 | Respond appropriately to all alleged violations. | D |
| 2023-08-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2021-12-09 | F0684, F0726, F0812 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-12-09 | F0550, F0557, F0558, F0583, F0641, F0692, F0761, F0806, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. | D |
Who owns WINDSOR CARE CENTER OF SACRAMENTO, and what chain is it in?
WINDSOR CARE CENTER OF SACRAMENTO is registered with CMS as For profit - Limited Liability company, operates under the legal business name WINDSOR SACRAMENTO ESTATES, LLC and belongs to the WINDSOR chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | WINDSOR HAYSAC HOLDINGS LLC | since 06/01/2010 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ANTELOPE HOLDINGS I, LLC, WINDSOR OXFORD HOLDING COMPANY, LLC, ROBIN, AARON, TRESS, AVROHOM | since 04/01/2011 |
| CORPORATE OFFICER | ROBIN, AARON, SHAW, PAMELA, TRESS, AVROHOM | since 06/30/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | SHAW, PAMELA | since 06/30/2023 |
Were you or a family member harmed at WINDSOR CARE CENTER OF SACRAMENTO?