Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WINDSOR CARE CENTER OF SACRAMENTO

SACRAMENTO, CA · 128 certified beds · Last Life Safety survey December 20, 2024

CMS Certification Number 555717 · first certified December 1997

Ownership

Operated by WINDSOR · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within CA

16 citations — more than 34% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 5.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (December 2025 to June 2026). Most CA facilities have been surveyed by May 2027. This facility’s last Life Safety survey was December 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 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.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility16CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
22021-1282023-1162024-1262024-12
Citations at each Life Safety survey
Survey dateCitations
December 9, 20212
November 16, 20238
December 20, 20246
December 20, 20246

Most-cited tags

Most-cited tags at this facility
K-09183K-09202K-03452E-00391K-09191E-00151E-00311K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32024-12-20
K-0920Ensure proper usage of power strips and extension cords.22024-12-20
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-12-20
E-0039Conduct testing and exercise requirements.12024-12-20
K-0919Meet requirements for the use of electrical equipment.12023-11-16
E-0015Address subsistence needs for staff and patients.12023-11-16
E-0031Provide emergency officials' contact information.12023-11-16
K-0923Have proper medical gas storage and administration areas.12023-11-16

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 8
  • Emergency Preparedness Deficiencies 4
  • Smoke Deficiencies 4
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies8
Emergency Preparedness Deficiencies4
Smoke Deficiencies4

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 20, 2024 — 6 citations

Citations issued on December 20, 2024
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 30, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 23, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 31, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (January 27, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 23, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 30, 2024)

November 16, 2023 — 8 citations

Citations issued on November 16, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (December 31, 2023)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (December 31, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (December 31, 2023)
K-0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Deficient, Provider has date of correction (December 31, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 31, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (December 31, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (December 31, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 31, 2023)

December 9, 2021 — 2 citations

Citations issued on December 9, 2021
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (January 19, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 19, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.