Starfile / California

Solano Post Acute

2200 TUOLUMNE STREET, VALLEJO, CA 94589 · CCN 056238

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$73,177

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (79)4 actual harm

1. DF0584Honor 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.2026-01-27 · Health · corrected 2026-02-23

   Potential for more than minimal harm

2. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

3. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

5. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

6. FF0761Ensure 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.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

8. EF0880Provide and implement an infection prevention and control program.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

9. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-12-05 · Health · corrected 2025-12-18

   Potential for more than minimal harm

10. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-15 · Health · corrected 2025-09-03

    Potential for more than minimal harm

11. DF0610Respond appropriately to all alleged violations.2025-08-15 · Health · corrected 2025-09-03

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-02 · Health · corrected 2025-07-04

    Potential for more than minimal harm

13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-24 · Health · corrected 2025-05-08

    Potential for more than minimal harm

14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-28 · Health · corrected 2025-03-28

    Potential for more than minimal harm

15. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-03-21 · Health · corrected 2025-03-24

    Potential for more than minimal harm

16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-05 · Health · corrected 2025-03-10

    Potential for more than minimal harm

17. DF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-03-10

    Potential for more than minimal harm

18. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-02-19 · Health · corrected 2025-02-28

    Potential for more than minimal harm

19. DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2025-02-19 · Health · corrected 2025-02-28

    Potential for more than minimal harm

20. EF0880Provide and implement an infection prevention and control program.2025-02-19 · Health · corrected 2025-02-28

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-18 · Health · corrected 2025-03-10

    Potential for more than minimal harm

22. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-12 · Health · corrected 2025-02-19

    Potential for more than minimal harm

23. DF0761Ensure 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.2025-02-12 · Health · corrected 2025-02-19

    Potential for more than minimal harm

24. EF0558Reasonably accommodate the needs and preferences of each resident.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

25. DF0641Ensure each resident receives an accurate assessment.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

26. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

27. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

28. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

29. EF0761Ensure 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.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

30. EF0803Ensure 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.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

31. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

32. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

34. EF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2024-12-10

    Potential for more than minimal harm

35. DF0584Honor 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.2024-09-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

37. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-02 · Health · corrected 2024-07-16

    Potential for more than minimal harm

39. EF0926Have policies on smoking.2024-07-02 · Health · corrected 2024-07-16

    Potential for more than minimal harm

40. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-05 · Health · corrected 2024-07-02

    Potential for more than minimal harm

41. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-06 · Health · corrected 2024-05-06

    Potential for more than minimal harm

42. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-05-01 · Health · corrected 2024-05-21

    Potential for more than minimal harm

43. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-12 · Health · corrected 2024-04-15

    Potential for more than minimal harm

44. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-10 · Health · corrected 2024-05-03

    Potential for more than minimal harm

45. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-10 · Health · corrected 2024-05-03

    Potential for more than minimal harm

46. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-06 · Health · corrected 2024-02-29

    Potential for more than minimal harm

47. DF0610Respond appropriately to all alleged violations.2024-02-06 · Health · corrected 2024-02-29

    Potential for more than minimal harm

48. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-06 · Health · corrected 2024-02-29

    Potential for more than minimal harm

49. EF0692Provide enough food/fluids to maintain a resident's health.2024-02-06 · Health · corrected 2024-02-29

    Potential for more than minimal harm

50. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-06 · Health · corrected 2024-02-29

    Potential for more than minimal harm

51. GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-19 · Health · corrected 2024-02-12

    Actual harm

52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-19 · Health · corrected 2024-02-12

    Potential for more than minimal harm

53. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-05 · Health · corrected 2024-01-26

    Potential for more than minimal harm

54. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-11-14 · Health · corrected 2023-12-05

    Potential for more than minimal harm

55. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-14 · Health · corrected 2023-12-05

    Potential for more than minimal harm

56. GF0610Respond appropriately to all alleged violations.2023-11-09 · Health · corrected 2023-12-19

    Actual harm

57. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-11-09 · Health · corrected 2023-12-07

    Potential for more than minimal harm

58. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-09 · Health · corrected 2023-12-19

    Potential for more than minimal harm

59. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-09 · Health · corrected 2023-12-07

    Actual harm

60. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-09 · Health · corrected 2023-12-07

    Potential for more than minimal harm

61. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-19 · Health · corrected 2023-10-05

    Potential for more than minimal harm

62. EF0688Provide 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.2023-09-19 · Health · corrected 2023-10-05

    Potential for more than minimal harm

63. DF0880Provide and implement an infection prevention and control program.2023-09-19 · Health · corrected 2023-10-05

    Potential for more than minimal harm

64. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-06 · Health · corrected 2023-07-24

    Potential for more than minimal harm

65. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-06 · Health · corrected 2023-07-24

    Potential for more than minimal harm

66. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-06 · Health · corrected 2023-07-24

    Potential for more than minimal harm

67. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-06 · Health · corrected 2023-07-24

    Potential for more than minimal harm

68. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-13 · Health · corrected 2023-04-27

    Potential for more than minimal harm

69. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-13 · Health · corrected 2023-04-27

    Potential for more than minimal harm

70. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-12 · Health · corrected 2022-05-10

    Potential for more than minimal harm

71. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2022-04-12 · Health · corrected 2022-05-10

    Potential for more than minimal harm

72. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-12 · Health · corrected 2022-07-07

    Potential for more than minimal harm

73. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-12 · Health · corrected 2022-06-08

    Actual harm

74. DF0730Observe each nurse aide's job performance and give regular training.2022-04-12 · Health · corrected 2022-07-07

    Potential for more than minimal harm

75. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-04-12 · Health · corrected 2022-07-07

    Potential for more than minimal harm

76. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-04-12 · Health · corrected 2022-05-13

    Potential for more than minimal harm

77. EF0758Implement 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.2022-04-12 · Health · corrected 2022-05-13

    Potential for more than minimal harm

78. DF0759Ensure medication error rates are not 5 percent or greater.2022-04-12 · Health · corrected 2022-05-10

    Potential for more than minimal harm

79. FF0880Provide and implement an infection prevention and control program.2022-04-12 · Health · corrected 2022-07-07

    Potential for more than minimal harm

Ownership

Other facilities in VALLEJO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.