★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle23
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$15,652
Beds98
Inspection findings
Inspectors recorded 47 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jun 22, 2026 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 26, 2026 |
| Mar 16, 2026 | Resident rights | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 21, 2026 |
| Dec 19, 2025 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Food and nutrition | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (F0803) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Abuse, neglect and exploitation | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm pattern | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
| Dec 19, 2025 | Resident rights | Give the resident's representative the ability to exercise the resident's rights. (F0551) | No harm, but a risk of harm isolated | Corrected: Dec 29, 2025 |
Earlier inspections (26)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Dec 11, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 18, 2025 |
| Dec 11, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 18, 2025 |
| Jul 2, 2025 | Nursing and physician services | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725) | No harm, but a risk of harm isolated · from a complaint | no plan of correction on file |
| Jul 2, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | no plan of correction on file |
| May 13, 2025 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 27, 2025 |
| May 13, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 27, 2025 |
| May 13, 2025 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 27, 2025 |
| Apr 14, 2025 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 25, 2025 |
| Dec 23, 2024 | Resident rights | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (F0622) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 14, 2025 |
| Aug 22, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 20, 2024 |
| Aug 22, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: Sep 20, 2024 |
| Sep 22, 2022 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Oct 22, 2022 |
| Sep 22, 2022 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Oct 22, 2022 |
| Sep 22, 2022 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated | Corrected: Oct 22, 2022 |
| Sep 22, 2022 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Oct 22, 2022 |
| Sep 22, 2022 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Oct 22, 2022 |
| Sep 22, 2022 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm pattern | Corrected: Oct 22, 2022 |
| Oct 11, 2019 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Food and nutrition | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (F0803) | No harm, but a risk of harm pattern | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
| Oct 11, 2019 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: Nov 1, 2019 |
Fines and payment denials
Federal fines in the last three years: $15,652 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Aug 22, 2024 | Fine | $15,652 |
Staffing
| Nurse staff hours per resident per day | 4.16 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.61 | California median: 0.52 |
| Nurse staff hours on weekends | 3.69 | California median: 3.85 |
| Nursing staff who left within a year | 43.7% | California median: 36.0% |
About this home
| Beds | 98 |
| Residents per day, average | 93.9 |
| Ownership | For-profit, limited liability company |
| Legal business name | Windsor Care Center National City Inc. |
| Chain | Windsor (22 homes) |
| In Medicare/Medicaid since | Aug 1, 1968 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error
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