Elk Grove Post Acute
9461 Batey Avenue · Elk Grove, CA · 95624 · 9166859525
136 certified beds For profit - Limited Liability company Chain: Windsor
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 6 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.82 | 0.55–0.75 |
| Weekend hours / resident-day | 3.56 | ≈ weekday level |
| Nursing turnover / year | 19% | median 45% |
| Fines (3-yr window) | 1 · $8,824 |
Inspection citations (77 in the current record)
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Potential for harm · D March 30, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 11, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 6, 2026 · found via complaint
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.
Corrected February 10, 2026 · Resident Rights
-
Potential for harm · D February 6, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 10, 2026 · Infection Control
-
Potential for harm · D February 5, 2026 · found via complaint
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.
Corrected February 6, 2026 · Resident Rights
-
Potential for harm · D January 29, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 30, 2026 · Resident Rights
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Potential for harm · D January 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2026 · Quality of Life and Care
-
Potential for harm · D January 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 24, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 25, 2025 · Resident Rights
-
Potential for harm · D November 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2025 · Quality of Life and Care
-
Potential for harm · D November 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 13, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Potential for harm · D June 19, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D June 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
-
Potential for harm · D June 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2025 · Quality of Life and Care
-
Potential for harm · D June 4, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025 · found via complaint
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.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · D May 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 12, 2025 · Infection Control
-
Potential for harm · D April 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025 · found via complaint
Provide appropriate foot care.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 19, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 16, 2024 | Fine | $8,824 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055308 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.