Nursing home
Windsor Care Center of Sacramento
501 Jessie Avenue, Sacramento, CA 95838 · Map
For profit - Limited Liability company · Part of Windsor (19 facilities) · 128 certified beds
Windsor Care Center of Sacramento is a Medicare-certified nursing home in Sacramento, California. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Its most recent inspection on Dec 20, 2024 cited 15 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Windsor Care Center of Sacramento compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 4.51 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.65 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.64 | 2.34 | — |
| Nursing staff turnover | —% | 38.1% | 46.4% | — |
| Deficiencies cited, last inspection | 15.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 20, 2024 inspection was corrected by December 27, 2024
What inspectors found at Windsor Care Center of Sacramento
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 20, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 20, 2024 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Dec 20, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 501 Jessie Avenue
Sacramento, CA 95838 - CMS certification #
- 555717
- Ownership
- For profit - Limited Liability company
- Certified beds
- 128
- Avg residents/day
- —
- Provider type
- Medicare and Medicaid
- First certified
- 1997-12-30
- Chain
- Windsor (19 facilities)
- Setting
- Urban
Part of Windsor
Windsor operates 19 nursing facilities across the United States. View all Windsor facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Windsor Care Center of Sacramento using Google Maps.
Other public records
- Kitchen 4 inspections by Sacramento County Environmental Management Department since 2024; latest IN COMPLIANCE (January 2026)
- Workplace safety 1 OSHA workplace safety inspection since 2018, no violations cited
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Sacramento County Environmental Management Department: Windsor Care Center of Sacramento-lhcf
- Jan 14, 2026 (routine): IN COMPLIANCE. No violations listed. Report
- Jan 14, 2026 (routine): PASS. No violations listed. Report
- Jan 24, 2025 (routine): PASS. Report
1 violation
- WAREWASHING AND SANITIZING PROCEDURES [Corrected at time of Inspection]
- Feb 7, 2024 (routine): PASS. No violations listed. Report
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Pass (green): No major violations, or they were corrected during the inspection. Conditional Pass (yellow): Major violations found; a follow-up inspection is required. Closed (red): Closed for an imminent health hazard.
Care and services
From the community’s website
What Windsor Care Center of Sacramento says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Smoke-free.
For the safety and welfare of all residents and staff, we are a non-smoking facility.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 7, 2018: complaint inspection, partial (health). Case closed Aug 7, 2018. No violations cited. OSHA record. OSHA recorded the employer as Windsor Sacramento Estates, LLC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital - Sacramento, Sacramento. 4.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- North Pointe Care Center, Sacramento. 0.0 miles away, straight line.
- Nearest home health agency office
- Tfr - Home Health Agency, Sacramento. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95838 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Sacramento, Sacramento, 1.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Natomas Dialysis, Sacramento, 2.9 miles away, straight line (CMS rating 3 of 5 stars)
Shc Wb Sacramento, Sacramento, 3.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 33 Medicare hospices tell CMS they serve ZIP code 95838.
Sonder Hospice Care, office in Sacramento, 1.6 miles away, straight line
Ahc Home Care Of Sacramento, office in North Sacramento, 3.2 miles away, straight line
American River Hospice Services, office in Sacramento, 3.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Sutter Valley Medical Foundation, Sacramento. 5.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: Area protected by a levee from the 1% annual chance flood (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Windsor Care Center of Sacramento a good nursing home?
CMS gives Windsor Care Center of Sacramento an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Windsor Care Center of Sacramento had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Windsor Care Center of Sacramento have?
Windsor Care Center of Sacramento is certified for 128 beds.