500 JESSIE AVENUE, Sacramento, CA 95838
Memory Care
Secure memory care24-hour supervisionMedication management
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Prices not published
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Medicare-certifiedSkilled Nursing
Windsor Care Center of Sacramento
Sacramento, CaliforniaMedicare inspection record
About Windsor Care Center of Sacramento
WINDSOR CARE CENTER OF SACRAMENTO is a for profit - limited liability company nursing home in SACRAMENTO, CA with 128 certified beds.
Community at a glance
Capacity
128 residents
Location
Sacramento, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
501 JESSIE AVENUE, Sacramento, California 95838
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 20, 2024, state inspectors cited 15 health deficiencies (the California average is 15.5).
Medicare has not fined Windsor Care Center of Sacramento in the last three years.
Inspections
37 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
December 20, 2024 · Standard inspection · 15 citations
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Dec 27, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Dec 27, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 27, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 27, 2024Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 27, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 27, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 27, 2024Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 27, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 27, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 27, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 27, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 27, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 27, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 27, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 27, 2024
December 20, 2024 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 27, 2024
October 3, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 4, 2024
August 22, 2024 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 6, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 6, 2024
July 23, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 5, 2024
July 11, 2024 · Complaint investigation · 1 citation+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 12, 2024
May 8, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 8, 2024
December 20, 2023 · Complaint investigation · 1 citation+
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Dec 29, 2023
November 16, 2023 · Standard inspection · 14 citations+
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 25, 2023Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Dec 25, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 25, 2023Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 25, 2023Post nurse staffing information every day.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Dec 25, 2023Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 25, 2023Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 25, 2023Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 25, 2023Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Dec 25, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 25, 2023Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 25, 2023Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 25, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 25, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 25, 2023
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Windsor Sacramento Estates, LLC
- Medicare-certified beds
- 128
- Accepts
- Medicare and Medicaid
- First certified
- December 30, 1997
- Part of a chain
- Windsor, 22 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 555717
Location
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501 JESSIE AVENUESacramento, CA 95838
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500 JESSIE AVE, Sacramento, CA 95838
Memory Care
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Prices not published
Questions about Windsor Care Center of Sacramento
How did Windsor Care Center of Sacramento do on its last inspection?+
State inspectors visited on December 20, 2024 and cited 15 health deficiencies. The California average is 15.5.
Has Windsor Care Center of Sacramento been fined by Medicare?+
Medicare's records show no fines against Windsor Care Center of Sacramento in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.