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WINDSOR ELK GROVE CARE AND REHABILITATION LLC

Elk Grove, CA · Sacramento County · For profit - Limited Liability company · 136 certified beds

📍 9461 Batey Avenue, Elk Grove, CA 95624  ·  📞 (916) 685-9525

Medicare ID: 055308  ·  Last Medicare inspection: Feb 6, 2026

Consumer Alert: Abuse Citation
This facility has been cited for potential issues related to abuse. CMS places this warning on facilities where inspectors identified concerns during their survey.
Overall Safety Score
44
out of 100
Concerning
Component Scores
11
Inspection
71
Staffing
52
Enforcement
Complaints
92
Quality
📋 Last inspected: February 6, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
11
Staffing
71
Enforcement
52
Complaints
0
Quality Outcomes
92

What the numbers mean

WINDSOR ELK GROVE CARE AND REHABILITATION LLC scored 44 out of 100 — 22 points below the state average of 66.

📋 Inspections: 65 citations over the last 36 months — 27 more than the state average (38). 3 were rated serious (G+) — inspectors found actual or potential harm to residents.

👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.

⚠️ Penalties & enforcement: CMS has recorded 1 enforcement action totaling $8,824 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

💚 Resident quality outcomes: This facility's star-rated quality measures are in the strong range. Key indicators like fall rates, antipsychotic use, and vaccination coverage compare favorably to national benchmarks — a positive signal for day-to-day resident care.

What inspectors found (last 3 surveys)

65
Total citations
State avg: 37.8
3
Serious (G+)
State avg: 1.1
0
Repeat findings

Top concern areas

65

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$8,824
Total federal fines
1
Enforcement action

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 52/100 — 19 points below the state average of 71/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.0% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
16.1% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
22.2% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
16.7% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 12, 2026.