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Windsor Vallejo Nursing & Rehabilitation Center

📍 2200 Tuolumne Street, Vallejo, CA 94589 📞 (707) 644-7401 🛏️ 166 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $161,100

$161,100
Apr 12, 2022

Fine

$0
Apr 12, 2022

Payment Denial

2020 1 penalties totaling $9,750

$9,750
Jun 2, 2020

Fine

2019 1 penalties totaling $6,923

$6,923
Feb 5, 2019

Fine

2018 1 penalties totaling $0

$0
Mar 14, 2018

Payment Denial

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Health Violations by Year

2025 11 violations

Tag 0658 D Apr 24, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 8, 2025
Tag 0609 D Mar 28, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 28, 2025
Tag 0557 D Mar 21, 2025

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Mar 24, 2025
Tag 0658 D Mar 5, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 10, 2025
Tag 0880 D Mar 5, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 10, 2025
Tag 0710 D Feb 19, 2025

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

✓ Corrected: Feb 28, 2025
Tag 0772 D Feb 19, 2025

Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

✓ Corrected: Feb 28, 2025
Tag 0880 E Feb 19, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 28, 2025
Tag 0684 D Feb 18, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 10, 2025
Tag 0694 D Feb 12, 2025

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Feb 19, 2025
Tag 0761 D Feb 12, 2025

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: Feb 19, 2025

2024 18 violations

Tag 0550 D Jul 15, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 16, 2024
Tag 0726 G Jul 15, 2024

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: Jul 16, 2024
Tag 0926 E Jul 15, 2024

Have policies on smoking.

✓ Corrected: Jul 16, 2024
Tag 0580 G Jun 5, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 2, 2024
Tag 0609 D Jun 5, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 2, 2024
Tag 0689 D May 6, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 6, 2024
Tag 0776 D May 1, 2024

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

✓ Corrected: May 21, 2024
Tag 0600 D Apr 12, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 15, 2024
Tag 0580 D Apr 10, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 3, 2024
Tag 0689 D Apr 10, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 3, 2024
Tag 0557 D Feb 6, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Feb 29, 2024
Tag 0610 D Feb 6, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Feb 29, 2024
Tag 0677 D Feb 6, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 29, 2024
Tag 0692 E Feb 6, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Feb 29, 2024
Tag 0842 E Feb 6, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 29, 2024
Tag 0677 G Jan 19, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 12, 2024
Tag 0812 E Jan 19, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 12, 2024
Tag 0609 D Jan 5, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 26, 2024
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2023 18 violations

Tag 0559 E Nov 14, 2023

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Dec 5, 2023
Tag 0609 D Nov 14, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Dec 5, 2023
Tag 0610 G Nov 9, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Dec 19, 2023
Tag 0676 D Nov 9, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Dec 7, 2023
Tag 0684 E Nov 9, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 19, 2023
Tag 0686 G Nov 9, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 7, 2023
Tag 0725 E Nov 9, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Dec 7, 2023
Tag 0684 E Sep 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 5, 2023
Tag 0688 E Sep 19, 2023

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.

✓ Corrected: Oct 5, 2023
Tag 0880 D Sep 19, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 5, 2023
Tag 0656 E Jun 6, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 24, 2023
Tag 0658 E Jun 6, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 24, 2023
Tag 0697 E Jun 6, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jul 24, 2023
Tag 0842 E Jun 6, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 24, 2023
Tag 0610 D May 2, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Jun 21, 2023
Tag 0656 E Mar 13, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 27, 2023
Tag 0689 E Mar 13, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 27, 2023
Tag 0658 D Feb 23, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 13, 2023

2022 27 violations

Tag 0641 D Oct 11, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 21, 2022
Tag 0561 D Oct 3, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Nov 2, 2022
Tag 0655 D Oct 3, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Nov 2, 2022
Tag 0676 D Oct 3, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Nov 2, 2022
Tag 0725 E Oct 3, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Nov 2, 2022
Tag 0835 E Oct 3, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Nov 2, 2022
Tag 0885 F Oct 3, 2022

Report COVID19 data to residents and families.

✓ Corrected: Nov 2, 2022
Tag 0584 D Sep 28, 2022

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: Nov 2, 2022
Tag 0624 D Sep 28, 2022

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Nov 2, 2022
Tag 0686 D Sep 28, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 2, 2022
Tag 0760 D Sep 9, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 28, 2022
Tag 0658 D Jun 15, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 12, 2022
Tag 0725 E Jun 15, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jul 12, 2022
Tag 0692 E Jun 8, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 28, 2022
Tag 0806 E Jun 8, 2022

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jul 28, 2022
Tag 0550 E Apr 12, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 10, 2022
Tag 0559 D Apr 12, 2022

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: May 10, 2022
Tag 0677 E Apr 12, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 7, 2022
Tag 0689 H Apr 12, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 8, 2022
Tag 0730 D Apr 12, 2022

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jul 7, 2022
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2021 11 violations

Tag 0624 D Oct 18, 2021

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Nov 30, 2021
Tag 0677 D Oct 18, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 30, 2021
Tag 0686 G Oct 18, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 30, 2021
Tag 0697 G Oct 18, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Nov 30, 2021
Tag 0689 D Sep 10, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 18, 2021
Tag 0760 E Aug 20, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 18, 2021
Tag 0600 D Jul 13, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Oct 18, 2021
Tag 0553 D May 25, 2021

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Jun 14, 2021
Tag 0656 D May 11, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 18, 2021
Tag 0557 D Apr 21, 2021

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: May 19, 2021
Tag 0759 D Mar 30, 2021

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 11, 2021

2020 9 violations

Tag 0552 D Nov 10, 2020

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jan 14, 2021
Tag 0580 D Nov 10, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 14, 2021
Tag 0880 E Nov 10, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 14, 2021
Tag 0880 D Oct 28, 2020

Provide and implement an infection prevention and control program.

Tag 0584 D Sep 30, 2020

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: Jan 5, 2021
Tag 0806 E Sep 30, 2020

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jan 5, 2021
Tag 0880 E Jun 2, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 8, 2020
Tag 0684 D May 21, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 14, 2020
Tag 0584 E Feb 20, 2020

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: Sep 30, 2020
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2019 28 violations

Tag 0656 D Oct 14, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 3, 2020
Tag 0842 D Oct 14, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 3, 2020
Tag 0689 D Jun 5, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 26, 2020
Tag 0880 E Jun 5, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 26, 2020
Tag 0919 D Apr 24, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Aug 23, 2019
Tag 0550 D Apr 12, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jun 12, 2019
Tag 0574 E Apr 12, 2019

The resident has the right to receive notices in a format and a language he or she understands.

✓ Corrected: Jun 12, 2019
Tag 0584 D Apr 12, 2019

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: Jun 12, 2019
Tag 0623 D Apr 12, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jun 12, 2019
Tag 0641 D Apr 12, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 12, 2019
Tag 0655 D Apr 12, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 12, 2019
Tag 0656 E Apr 12, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 12, 2019
Tag 0657 D Apr 12, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jun 12, 2019
Tag 0658 E Apr 12, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 12, 2019
Tag 0675 D Apr 12, 2019

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Jun 12, 2019
Tag 0676 D Apr 12, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jun 12, 2019
Tag 0686 E Apr 12, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 12, 2019
Tag 0695 E Apr 12, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 12, 2019
Tag 0725 E Apr 12, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 12, 2019
Tag 0804 E Apr 12, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 12, 2019

2018 9 violations

Tag 0660 D Oct 4, 2018

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Jan 28, 2019
Tag 0584 D Mar 14, 2018

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: Jul 3, 2018
Tag 0677 F Mar 14, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 3, 2018
Tag 0684 F Mar 14, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 3, 2018
Tag 0725 F Mar 14, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jul 3, 2018
Tag 0804 F Mar 14, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jul 3, 2018
Tag 0812 F Mar 14, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 3, 2018
Tag 0867 F Mar 14, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jul 3, 2018
Tag 0880 E Mar 14, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 3, 2018
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2017 15 violations

Tag 0223 D Oct 5, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Dec 12, 2017
Tag 0151 E Jun 19, 2017

Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States.

✓ Corrected: Jul 7, 2017
Tag 0221 D Jan 13, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 13, 2017
Tag 0241 D Jan 13, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Mar 13, 2017
Tag 0309 E Jan 13, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Mar 13, 2017
Tag 0323 E Jan 13, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Mar 13, 2017
Tag 0325 E Jan 13, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Mar 13, 2017
Tag 0353 F Jan 13, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Mar 13, 2017
Tag 0361 F Jan 13, 2017

Hire a qualified dietician.

✓ Corrected: Mar 13, 2017
Tag 0362 F Jan 13, 2017

Hire sufficient dietary support personnel.

✓ Corrected: Mar 13, 2017
Tag 0363 E Jan 13, 2017

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

✓ Corrected: Mar 13, 2017
Tag 0366 E Jan 13, 2017

Offer other nutritional food to each resident who will not eat the food served.

✓ Corrected: Mar 13, 2017
Tag 0371 F Jan 13, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Mar 13, 2017
Tag 0431 D Jan 13, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Mar 13, 2017
Tag 0518 D Jan 13, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

✓ Corrected: Mar 13, 2017
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