★★★★★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 cycle31
Findings with harm or immediate jeopardy, 3 cycles5
Fines, 3 years$69,421
Beds120
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.
Inspection findings
Inspectors recorded 97 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 |
|---|---|---|---|---|
| Aug 30, 2026 | 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 · from a complaint | no plan of correction on file |
| Aug 13, 2026 | Building and environment | Ensure each resident room has a window to the outside that meets requirements (F0915) | No harm, but a risk of harm isolated · from a complaint | no plan of correction on file |
| Aug 13, 2026 | 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 isolated · from a complaint | no plan of correction on file |
| Aug 13, 2026 | 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 · from a complaint | no plan of correction on file |
| Jul 28, 2026 | Nursing and physician services | Observe each nurse aide's job performance and give regular training. (F0730) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 29, 2026 |
| Jul 28, 2026 | 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 pattern · from a complaint | Corrected: Jul 29, 2026 |
| Jul 28, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 29, 2026 |
Earlier inspections (90)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jul 10, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Administration | Have a plan that describes the process for conducting QAPI and QAA activities. (F0865) | No harm, but a risk of harm widespread | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Administration | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. (F0838) | No harm, but a risk of harm widespread | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Administration | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (F0835) | No harm, but a risk of harm widespread | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | 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: Jul 31, 2026 |
| Jul 10, 2026 | 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 pattern | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | 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 isolated | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm pattern | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm isolated | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | 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: Jul 31, 2026 |
| Jul 10, 2026 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident isolated · from a complaint | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Resident rights | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F0585) | No harm, but a risk of harm isolated | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | 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: Jul 31, 2026 |
| Jul 10, 2026 | Resident rights | Honor the resident's right to organize and participate in resident/family groups in the facility. (F0565) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Resident rights | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (F0563) | No harm, but a risk of harm widespread | Corrected: Jul 31, 2026 |
| Jul 10, 2026 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern | Corrected: Jul 31, 2026 |
| Jun 24, 2026 | 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 · from a complaint | Corrected: Jun 29, 2026 |
| Apr 29, 2026 | 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 · from a complaint | Corrected: May 21, 2026 |
| Apr 29, 2026 | 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 | Corrected: May 21, 2026 |
| Feb 25, 2026 | 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: Feb 26, 2026 |
| Sep 10, 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 · from a complaint | Corrected: Sep 15, 2025 |
| Sep 10, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 15, 2025 |
| Jul 11, 2025 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 18, 2025 |
| Jul 11, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 18, 2025 |
| Jul 11, 2025 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Infection control | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 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: Jul 18, 2025 |
| Jun 26, 2025 | Quality of life and care | Provide or get specialized rehabilitative services as required for a resident. (F0825) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 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 widespread | Corrected: Jul 18, 2025 |
| Jun 26, 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 isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 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: Jul 18, 2025 |
| Jun 26, 2025 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | 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: Jul 18, 2025 |
| Jun 26, 2025 | 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: Jul 18, 2025 |
| Jun 26, 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: Jul 18, 2025 |
| Jun 26, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Jul 18, 2025 |
| Jun 26, 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: Jul 18, 2025 |
| Jun 26, 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 pattern | Corrected: Jul 18, 2025 |
| Jun 26, 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: Jul 18, 2025 |
| Jun 26, 2025 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 26, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2025 |
| Jun 6, 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 isolated · from a complaint | Corrected: Jun 19, 2025 |
| Jun 6, 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 · from a complaint | Corrected: Jun 19, 2025 |
| Jun 6, 2025 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 19, 2025 |
| Jun 6, 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 · from a complaint | Corrected: Jun 19, 2025 |
| Mar 13, 2025 | Resident rights | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (F0626) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 13, 2025 |
| Jan 16, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 17, 2025 |
| Dec 24, 2024 | 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 · from a complaint | Corrected: Dec 30, 2024 |
| Dec 24, 2024 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 30, 2024 |
| Dec 10, 2024 | 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 · from a complaint | Corrected: Jan 2, 2025 |
| Dec 10, 2024 | Resident rights | Allow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 2, 2025 |
| Aug 8, 2024 | 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 · from a complaint | Corrected: Aug 22, 2024 |
| Aug 8, 2024 | 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: Aug 22, 2024 |
| Aug 6, 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: Aug 7, 2024 |
| Jun 28, 2024 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Infection control | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887) | No harm, but a risk of harm pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm isolated | Corrected: Aug 9, 2024 |
| Jun 28, 2024 | 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: Jul 19, 2024 |
| Jun 28, 2024 | 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: Jul 19, 2024 |
| Jun 28, 2024 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | 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: Jul 19, 2024 |
| Jun 28, 2024 | 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 | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Quality of life and care | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (F0688) | Actual harm to a resident isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | 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: Jul 19, 2024 |
| Jun 28, 2024 | 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 pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, minimal risk pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Abuse, neglect and exploitation | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (F0606) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Resident rights | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F0585) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | 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 pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: Jul 19, 2024 |
| Jun 28, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Jul 19, 2024 |
| May 21, 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: Jun 14, 2024 |
| Jan 19, 2024 | 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 | Corrected: Feb 16, 2024 |
| Jan 19, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 16, 2024 |
| Dec 12, 2023 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 11, 2024 |
Fines and payment denials
Federal fines in the last three years: $69,421 (2). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Feb 25, 2026 | Fine | $10,358 |
| May 21, 2024 | Fine | $59,063 |
| May 21, 2024 | Payment denial | 64 days |
Staffing
| Nurse staff hours per resident per day | 3.91 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.38 | California median: 0.52 |
| Nurse staff hours on weekends | 3.68 | California median: 3.85 |
| Nursing staff who left within a year | 50.5% | California median: 36.0% |
About this home
| Beds | 120 |
| Residents per day, average | 91.5 |
| Ownership | For-profit, limited liability company |
| Legal business name | S&F Market Street Healthcare LLC |
| Chain | Windsor (22 homes) |
| In Medicare/Medicaid since | Aug 27, 1970 |
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
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