General Information: WINDSOR CARE CENTER OF SACRAMENTO
Nursing home name WINDSOR CARE CENTER OF SACRAMENTO
Address501 JESSIE AVENUE
SACRAMENTO, CA 95838
Phone number (916) 922-8855
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 128
Total number of residents 115
Perc of occupied beds 89
Sprinkler status Yes
Number of Facility Reported Incidents5
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: WINDSOR CARE CENTER OF SACRAMENTO
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 2
2
Nursing Home Staffing Info: WINDSOR CARE CENTER OF SACRAMENTO
National AverageCalifornia AverageWINDSOR CARE CENTER OF SACRAMENTO
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 3
3
Total Number of Residents NA NA 115
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 3.55 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.06 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.51 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.55 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.49 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.09 hours
Health Survey: WINDSOR CARE CENTER OF SACRAMENTO
Heath Survey Summary on 2013-03-28
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-19
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-03-17
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Health Survey Details: WINDSOR CARE CENTER OF SACRAMENTO
Inspection Results: 03/28/2013
Corrected Deficiency Scope and Severity
04/19/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
04/19/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
04/19/2013 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
04/19/2013 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
04/19/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
04/19/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
04/19/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
04/19/2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
04/19/2013 Ensure that residents are safe from serious medication errors. Pattern/Minimal harm or potential for actual harm
04/19/2013 Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated/Minimal harm or potential for actual harm
04/19/2013 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern/Minimal harm or potential for actual harm
04/19/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
04/19/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/19/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
04/19/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/19/2012
Corrected Deficiency Scope and Severity
05/17/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
05/17/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
05/17/2012 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated/Minimal harm or potential for actual harm
05/17/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
05/17/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Widespread/Potential for minimal harm
05/17/2012 Put firmly secured handrails on each side of hallways. Isolated/Minimal harm or potential for actual harm
05/17/2012 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
05/17/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 03/17/2011
Corrected Deficiency Scope and Severity
04/25/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/25/2011 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
04/25/2011 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
04/25/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/25/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
04/25/2011 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
04/25/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
04/25/2011 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated/Minimal harm or potential for actual harm
04/25/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
04/25/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
04/25/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/25/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: WINDSOR CARE CENTER OF SACRAMENTO
Fire Safety Survey Summary on 2013-04-11
Total Number of Fire SafetyDeficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-03
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-03-24
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: WINDSOR CARE CENTER OF SACRAMENTO
Fire Safety Survey Results: 04/11/2013
Corrected Deficiency Severity
05/01/2013 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
05/01/2013 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
05/01/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
05/01/2013 Signs that state that exit doors are to be kept closed. Pattern/Minimal harm or potential for actual harm
05/01/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
05/01/2013 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
05/01/2013 Properly located and lighted "Exit" signs. Isolated/Minimal harm or potential for actual harm
05/01/2013 An approved installation, maintenance and testing program for fire alarm systems. Widespread/Potential for minimal harm
05/01/2013 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
05/01/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
05/01/2013 Weekly inspections and monthly testing of generators. Isolated/Minimal harm or potential for actual harm
05/01/2013 Exits that are free from obstructions and can be used at all times. Isolated/Minimal harm or potential for actual harm
05/01/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/03/2012
Corrected Deficiency Severity
06/08/2012 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
06/08/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
06/08/2012 Other fire safety features required by fire safety codes. Isolated/Minimal harm or potential for actual harm
06/08/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
06/08/2012 Properly installed hallway dispensers for alcohol-based hand rub. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/24/2011
Corrected Deficiency Severity
04/21/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
04/21/2011 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
04/21/2011 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
04/21/2011 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
04/21/2011 A separate and independent backup electrical power source. Widespread /Minimal harm or potential for actual harm

Resident Complaints: WINDSOR CARE CENTER OF SACRAMENTO
Date Complaint Substantiated: 08/28/2013
CorrectedCategoryDeficiencySeverity
09/13/2013Provide timely notification to the resident before transfer or discharge. D
09/13/2013Tell the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave. D
Date Complaint Substantiated: 08/19/2013
CorrectedCategoryDeficiencySeverity
08/29/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 08/14/2013
CorrectedCategoryDeficiencySeverity
09/23/2013Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
09/23/2013Ensure that residents are safe from serious medication errors. D
Date Complaint Substantiated: 01/31/2013
CorrectedCategoryDeficiencySeverity
03/14/2013Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. D
Date Complaint Substantiated: 07/12/2012
CorrectedCategoryDeficiencySeverity
07/25/2012Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. D
Date Complaint Substantiated: 04/11/2012
CorrectedCategoryDeficiencySeverity
06/13/2012Protect each resident from all abuse, physical punishment, and involuntary separation from others. D

Quality Measures: WINDSOR CARE CENTER OF SACRAMENTO
Quality Measures National Average California Average WINDSOR CARE CENTER OF SACRAMENTO
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% 33.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 6.5%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 4.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 5.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 27.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 1.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 5.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% 7.4%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 7.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 71.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 80.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 41.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% 14.9%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% 8.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% 57.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% 27.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% %

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