All states › California › Sacramento › Windsor Care Center of Sacramento
501 Jessie Avenue Sacramento, CA 95838 · Sacramento County
All 23 nursing homes in Sacramento, CA (22 take Medicaid)
CMS certification number 555717 · See this home on Medicare Care Compare
Is Windsor Care Center of Sacramento a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Windsor Care Center of Sacramento as of October 2026.
CMS rates it 1 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
About this nursing home
Paying for care at Windsor Care Center of Sacramento: Medicare and Medicaid
Windsor Care Center of Sacramento is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 20, 2024 and found 15 deficiencies. In total, inspectors issued 50 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 50 citations at Windsor Care Center of Sacramento across 10 inspection dates, 9 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 8, 2024. The most common areas cited were resident rights (8) and freedom from abuse, neglect, and exploitation (7). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, May 8, 2024). 7 citations were under CMS's abuse, neglect and exploitation rules.
December 20, 2024 · 16 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EKeep residents' personal and medical records private and confidential.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DImplement 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.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 3, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
August 22, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 23, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 11, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 8, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 20, 2023 · 1 citation · includes complaint inspection
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
November 16, 2023 · 14 citations
EObserve each nurse aide's job performance and give regular training.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DPost nurse staffing information every day.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DKeep all essential equipment working safely.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
October 10, 2023 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
December 9, 2021 · 12 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DReasonably accommodate the needs and preferences of each resident.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Windsor Care Center of Sacramento
- Inspectors cited the home at the actual-harm level on May 8, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 20, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | — |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Windsor Care Center of Sacramento
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.3 mi
-
4.3 mi
Kaiser Foundation Hospital - Sacramento/Roseville SacramentoEmergency room ★★★★☆ Medicare overall 4 of 5
- 4.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Windsor Care Center of Sacramento › All nursing homes in Sacramento ›
Compare Windsor Care Center of Sacramento with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Advanced Health Care of Sacramento · Sacramento · 5 stars · 3.2 mi
- Sherwood Healthcare Center · Sacramento · 5 stars · 4.5 mi
- Woodside Healthcare Center · Sacramento · 5 stars · 4.8 mi
- Eskaton Village Care Center · Carmichael · 5 stars · 5.4 mi
Other Windsor nursing homes in California
- Windsor the Ridge Rehabilitation Center · Salinas · 5 stars
- Hayward Post Acute · Hayward · 5 stars
- Rosewood Post Acute · Pleasant Hill · 4 stars
- Coastal Post Acute · Salinas · 4 stars
- Monterey Post Acute · Monterey · 4 stars
- Country Drive Post Acute · Fremont · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 22 Windsor nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.