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Nursing homeFAID #13744

Windsor Care Center of Sacramento

501 JESSIE AVENUE, SACRAMENTO, CA, 95838
(916) 922-8855
128 licensed beds

CMS rates Windsor Care Center of Sacramento 1 out of 5 overall. Federal inspectors issued 66 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of WINDSOR CARE CENTER OF SACRAMENTO
Photo via Google · Windsor Care Center of Sacramento
What we can show you for free.
Bed capacity
128
CMS facility ID
555717
Care type
Nursing home
County
Sacramento
Facility name
Windsor Care Center of Sacramento
Street address
501 JESSIE AVENUE
City / state / ZIP
Sacramento, CA 95838
Phone
(916) 922-8855

Windsor Care Center of Sacramento is a Medicare/Medicaid-certified skilled nursing facility in Sacramento, California. It is licensed for 128 beds — above the median for skilled nursing facilities in California (98 beds).

It is one of 317 senior care facilities in Sacramento and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Windsor, a group of 22 facilities on this site.

Federal inspectors have cited Windsor Care Center of Sacramento 66 times across 15 inspections in the last three years, including 7 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Windsor
Ownership type
For profit - Limited Liability company

Registered owners & officers

Windsor Haysac Holdings Llc
Direct owner — 100% stake — since 2010
Antelope Holdings I, Llc
Indirect owner — since 2023
Robin, Aaron
Officer — since 2023
Shaw, Pamela
Officer · Operational control — since 2023
Tress, Avrohom
Officer — since 2023
Windsor Oxford Holding Company, Llc
Indirect owner — since 2011

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1997-12-30
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-12-20

Cost & payer profile (FY2023 cost report)

Average billed charges
$361 per day (≈ $10,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
84% Medicaid · 1% Medicare · 15% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
30% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
128
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 7:00 AM – 7:00 PM · Tuesday: 7:00 AM – 7:00 PM · Wednesday: 7:00 AM – 7:00 PM · Thursday: 7:00 AM – 7:00 PM · Friday: 7:00 AM – 7:00 PM · Saturday: Closed · Sunday: Closed
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.
2024-12-20Health inspectionComplaint-triggered16 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-27
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-27
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-27
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-27
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-12-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-27
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-12-27
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-27
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-12-27
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-12-27
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-27
F-0758
D · No harm found
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.
Corrected 2024-12-27
F-0761
D · No harm found
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.
Corrected 2024-12-27
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-27
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-12-27
2024-10-03Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-04
11 earlier / fire-safety inspections (49 citations)
2024-08-22Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-06
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-06
2024-07-23Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-05
2024-07-11Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-12
2024-05-08Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-08
2023-12-20Health inspectionComplaint-triggered1 citation
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-12-29
2023-11-16Health inspection14 citations
F-0584
D · No harm found
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.
Corrected 2023-12-25
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-12-25
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-25
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-25
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-25
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2023-12-25
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-25
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-25
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-12-25
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-25
F-0813
E · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-12-25
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2023-12-25
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-12-25
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-12-25
2023-10-10Health inspectionComplaint-triggered1 citation
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-10-19
2021-12-09Health inspection12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-01-09
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-01-09
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-01-09
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2022-01-09
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-01-09
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-01-09
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-01-09
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-01-09
F-0761
D · No harm found
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.
Corrected 2022-01-09
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-01-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-01-09
2024-12-20Fire-safety inspectionComplaint-triggered6 citations
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2025-01-30
K-0345
F · No harm foundFrom a complaint
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-23
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-31
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-01-27
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-23
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-30
2023-11-16Fire-safety inspection8 citations
E-0015
C · No harm found
Address subsistence needs for staff and patients.
Corrected 2023-12-31
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2023-12-31
E-0031
D · No harm found
Provide emergency officials' contact information.
Corrected 2023-12-31
K-0343
D · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2023-12-31
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-31
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-31
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-12-31
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-12-31
2021-12-09Fire-safety inspection2 citations
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-19
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-19
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555717.
How it compares in California.
Inspection citations, 3 years
66
More than 51% of nursing homes in the state
State median: 65
Federal fines, 3 years
$0
No federal fines on record
State median: $0

Resident outcomes

On 2 federal quality measures, this facility does better than the California average on 2 and worse on 0. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Hospitalizations per 1000 long-stay resident days0.002.211.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.001.501.69Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 20250401-20260331. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0600 5 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0641 3 inspections. Ensure each resident receives an accurate assessment.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
  • F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  • F-0558 2 inspections. Reasonably accommodate the needs and preferences of each resident.

What its owners also hold

  • Antelope Holdings I, Llc has an ownership stake on file at 16 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
  • Windsor Oxford Holding Company, Llc has an ownership stake on file at 3 nursing homes, averaging 2.3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Kaiser Foundation Hospital - Sacramento, about 4.3 miles. CMS rating 4 of 5.
  • Heritage Oaks Hospital, about 4.6 miles.
  • Mercy General Hospital, about 5.1 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
2.467 ratings on Google
★★★Darren Davis · 2026-04-09 · via Google

“I made in person contact with this location. Received a tour. When I followed up on my application via text or phone call. No one was able to direct me . Frequent holds lasting 40 min or more and " call back tomorrow " as replies to my questions. I do ask a lot of them. So and so is gone for the day.”

★★★★★Liberty Barandas · 2024-09-27 · via Google

“Their staff and managers make such a strong group of individuals, they go above and beyond to make sure the residents are safe and well taken care of. It takes special people to work in healthcare, each and every department is such an important component that makes this such an amazing team.”

★★★★★Cộng Sản lừa Việt Á · 2021-04-24 · via Google

“I had a great experience with Windsor Care Sacramento last week. One of our immediate family member was there and we had chances to visit him. The administrator and all the healthcare providers treat us very nice. We see the warming and family atmosphere around us. And we know our loved one is in good hands. Thank you nurses, nurse aids, physical therapist and occupational therapist for taking a g…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 66 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered