Rancho Seco Care Center
144 F Street · Galt, CA · 95632 · 2097451537
99 certified beds For profit - Individual Chain: Ajc Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $490,205 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
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.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$490,205 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.61 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $497,648 |
Inspection citations (74 in the current record)
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Potential for harm · D February 19, 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 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 8, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 7, 2026 · Resident Rights
-
Potential for harm · D January 8, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 8, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 7, 2026 · Quality of Life and Care
-
Potential for harm · D January 8, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 7, 2026 · Pharmacy Service
-
Potential for harm · D January 8, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 7, 2026 · Pharmacy Service
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Potential for harm · E January 8, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 7, 2026 · Pharmacy Service
-
Potential for harm · E January 8, 2026
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.
Corrected February 7, 2026 · Pharmacy Service
-
Potential for harm · E January 8, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 7, 2026 · Nutrition and Dietary
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Potential for harm · E January 8, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 7, 2026 · Nutrition and Dietary
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Potential for harm · E January 8, 2026
Provide and implement an infection prevention and control program.
Corrected February 7, 2026 · Infection Control
-
Potential for harm · D December 10, 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 December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 22, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 9, 2025 · Environmental
-
Potential for harm · D November 20, 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 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 30, 2025 · Resident Rights
-
Potential for harm · D June 20, 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 June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 19, 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 June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 18, 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 June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 27, 2025 · Resident Rights
-
Potential for harm · D April 30, 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 May 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · E April 11, 2025
Provide activities to meet all resident's needs.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 7, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 25, 2025 | Fine | $12,095 |
| February 24, 2025 | Fine | $478,110 |
| June 20, 2023 | Fine | $7,443 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055858 · certified since December 12, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.