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Windsor Care Center of Sacramento

Nursing Home Facility

501 Jessie Avenue, Sacramento, CA 95838

Nursing Home Care Senior Living
Windsor Care Center of Sacramento

Windsor Care Center of Sacramento is a senior care community located in Sacramento, CA. It provides nursing home care and senior living for older adults in the Sacramento area. To learn more or schedule a tour, call (916) 922-8855.

Operated by Windsor, which runs 21 communities in our directory.

With 128 beds, Windsor Care Center of Sacramento is one of the larger communities in the area, senior care communities in Sacramento average about 17 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Sacramento average about 3.4 stars. Its most recent standard health inspection was in December 2024 and recorded 15 deficiencies.

The community is located in Sacramento County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing Not reported
  • Quality measures ★★★★★ 5/5

This community did not file the payroll return CMS uses to work out nursing hours. CMS scores a missing return as one star, which looks the same on this page as a home that reported and staffs thinly, so we leave the staffing score out rather than show you a number that says nothing about its nurses. The missing return does still count against the overall score above. It is a fair thing to ask about on a tour: how many staff are on at night, and at weekends.

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 51 problems at Windsor Care Center of Sacramento. 1 finding involved harm to a resident. 10 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected December 2024. Corrected by December 27, 2024.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care or services that was trauma informed and/or culturally competent.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected December 2024. Corrected by December 27, 2024.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2024. Corrected by December 27, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Windsor Care Center of Sacramento offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 128
  • Last health inspection December 2024

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