Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555717

Windsor Care Center Of Sacramento

55 federal citations on record .

Record summary

Federal record · Q1 2026
55
Total citations
40
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Abuse & Neglect10 Quality of Care9 Resident Rights8 Nutrition & Dietary7 Medication & Pharmacy6

Most common F-tags at this facility

F6007 F6413 F8123 F5502 F5582

Citation history

55 on record
SurveyF-TagViolationSeveritySource
Dec 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 20, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Dec 20, 2024F880Provide and implement an infection prevention and control program.EStandard
Dec 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Dec 20, 2024F761Ensure 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.DStandard
Dec 20, 2024F758Implement 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.DStandard
Dec 20, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Dec 20, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Dec 20, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Dec 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 20, 2024F679Provide activities to meet all resident's needs.EStandard
Dec 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 20, 2024F641Ensure each resident receives an accurate assessment.DStandard
Dec 20, 2024F583Keep residents' personal and medical records private and confidential.EStandard
Dec 20, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 23, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 11, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Dec 20, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Nov 16, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Nov 16, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Nov 16, 2023F908Keep all essential equipment working safely.DStandard
Nov 16, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Nov 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 16, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Nov 16, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Nov 16, 2023F732Post nurse staffing information every day.DStandard
Nov 16, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Nov 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 16, 2023F641Ensure each resident receives an accurate assessment.DStandard
Nov 16, 2023F584Honor 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.DStandard
Oct 10, 2023F610Respond appropriately to all alleged violations.DComplaint
Aug 1, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 12, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Mar 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 9, 2021F880Provide and implement an infection prevention and control program.DStandard
Dec 9, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 9, 2021F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Dec 9, 2021F761Ensure 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.DStandard
Dec 9, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Dec 9, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 9, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 9, 2021F641Ensure each resident receives an accurate assessment.DStandard
Dec 9, 2021F583Keep residents' personal and medical records private and confidential.DStandard
Dec 9, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
Dec 9, 2021F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Dec 9, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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