MyLivingChoice

Windsor Elk Grove Care and Rehabilitation Center

9461 Batey Avenue

3(69 ratings)· Elk Grove average: 4.4

Windsor Elk Grove Care and Rehabilitation Center, photo 11 / 5

Quick Facts

Total units
136
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
136
Hospital affiliation
Affiliated with Kaiser Permanente hospital system
Cooling system
No air conditioning, relies on oscillating fans

What Families Think

Reviews of Windsor Elk Grove Care and Rehabilitation Center are overwhelmingly negative, with families repeatedly describing an unclean facility, slow or unresponsive staff, and troubling gaps in communication about residents' medical care. Multiple reviewers reported missing belongings, medication mishandling, and long waits for basic assistance like bathroom help.

The Good

  • Provides skilled nursing and long-term care services
  • Located in Elk Grove, California
  • Affiliated with the Kaiser Permanente hospital network

The Bad

  • Multiple reports of a dirty facility with stained floors and linens
  • Several reviewers describe long wait times for basic staff assistance
  • One report of a resident's belongings going missing after an ER transfer
  • Reviewers cite poor communication about medication and health updates
  • No air conditioning reported, only oscillating fans for cooling

AI-generated from reviews and community data.

Windsor Elk Grove Care and Rehabilitation Center is a senior living community in Elk Grove, California offering Skilled Nursing / Long Term Care. Amenities include Emergency Call System, Wheelchair Accessible and 24-Hour Staff. Families rate it 3.0 out of 5 across 69 reviews.

About Windsor Elk Grove Care and Rehabilitation Center

Windsor Elk Grove Care and Rehabilitation Center is a skilled nursing / long term care community in Elk Grove, California. The community is licensed for up to 136 residents.

Families rate Windsor Elk Grove Care and Rehabilitation Center 3 out of 5 based on 69 Google reviews.

Contact the community directly to ask about availability, pricing, and tours, or browse the photos and reviews here to see if it could be the right fit for your family.

Types of Care at Windsor Elk Grove Care and Rehabilitation Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Wheelchair Accessible

Community Amenities

  • 24-Hour Staff
  • Medication Management
  • On-Site Nurse (RN)

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Reviews of Windsor Elk Grove Care and Rehabilitation Center

3overall · 69 ratings combined

3★ on Google (69)

Stephanie Spellman

Mar 2026

via Google

I thought this was a place until my mom was so doped up on medication she refused everyone’s service. So I had her go to the ER. She ended up having a UTI so she was delusional the entire time she was in the facility maybe 2weeks. They told me when she went to the ER she would hv the bed/room for 7 days. My brother went to pick up her belongings on the 5th day and everything was missing and the e bed was occupied with another patient. Where is my mom’s belongings???? She definitely will not return is this is how you treat your patients.

Chase

Sep 2025

via Google

My grandfather in law spent two weeks in this facility after he broke his arm. Not only did the staff refuse to give him his essential medications, they also did not bathe him for the two weeks and did not communicate any of this to my father in law. They also didnt keep my FIL up to date the entire two weeks so we were in the dark the entire time on his health and needs.

kathy vessels

Aug 2025

via Google

If I could give a -10 start it would be right on the money! Horrible place! My dad had a stroke in the PT area and I yelled for a nurse, she took forever to show up. I videoed his stroke and they told me I couldn’t, I told them, oh yes I am, he has the right. I wasnt videoing anyone else. When EMT’s arrived they told them, “well he’s DNR” I told the EMT’s to take him, I wanted verification of what happened and if it’s available to be reversed. I told them I want to know what quality of life would be if he recovered.

Ashley “Elizabeth” Slaton

May 2024

via Google

First off the things that these ppl are posting on account of Windsor Elk Grove Care, are true!! It's dirty, there is little to no air flow through that place so it smells. The hallways are carpeted, and the rms are linoleum so they look disgusting & are stained from only Lord knows what at this point. !Just For Sanitary Reasons, All Flooring Should Be Linoleum! My relative called for a 'nurse' for a 1hr ½ to get help W/the potty. Finally, a 'nurse' showed up, too little too late, unfortunately. Someone though was having a good ol' time down the hall @ the 'nurses' station @ 10 p.m. from the hooteren & hollering they were doing it was someone's birthday party or something more exciting than doing their jobs. But no one else could hear anything from the sick & elderly that the 'nurses' were supposed to be taking care of @ 10 p.m. I'm all for the 'this land is my land, this land is your land' thing but when I, the voice of my sick family member who could not speak for themselves @ that moment, is not understanding you because you're now deciding to speak in a foreign language to your colleagues, apparently abt what I had just asked you. They standing next to both of us; their English was just fine, I assure you. That's just disrespectful & not classy. I've spoken with W/a few Kaiser nurses, (Kaiser is affiliated W/Windsor) upon their discharge from this place & none of them, not one has had anything even remotely nice to say abt that place. The 'nurse' didn't know how to reset the call light, located on the wall behind the beds, in the middle of the other occupant. These pictures & video were from the beginning of May so it wasn't too awfully hot outside yet but I was starting to perspire just sitting there visiting, so to know that the oscillating floor fan is the only real air circulation that the patients get is or should be an issue. The bigger air circulation 'system' you can see in the picture only circulates the air already inside the building. No open or cracked windows', why because if one of their patients were to fall out of their windows they would have a major lawsuit on their hands. The windows' should be up to code for that sort of thing. Wouldn't ya think? In fact, the only nice thing I have read or heard come from there is from the ppl who work there. The pictures say a thousand words...

April Sullivan

Oct 2023

via Google

They need an option to give zero stars. This place needs to be shut down. It's extremely dirty. When we arrived my Dad had been signed up with them for 2 days by the hospital. The transport was 2.5 hours late, yet when we got there they didn't have any information on my Dad and the intake nurse was MIA. There was one lady who had an RN on her tag but that is highly debatable - I told her there were registration forms I needed to sign and she didn't know where they were and said she would get the intake nurse. I waited and then she turned to me and said can I help you with something? This happened 3 times before I lost it. She was walking around saying so many things are going on right now, there was nobody around and she was just sitting at a desk. She told me they had 7 people coming in that day and I looked around and said I'm the only person at this front desk and you aren't doing anything and you don't even seem to know what is going on. My Dad's room was dirty, used gloves were on the floor, wrappers from some kind of medicine were on the floor, the sheets were stained, no pillow was provided, his dinner was there in his room when we got there which was 8pm so I had no idea how long that had been sitting there. He is bed ridden and had to go to the bathroom and we couldn't get anyone to help us, I had to ask the "RN" lady at the front desk for a plastic urinal and she looked lost. We only got someone to help when I started throwing a fit. One patient was wheeling his chair down the hallway asking a nurse to turn on this tiny oscillating fan that was attached to the wall about 8 feet up and looked like it was from the WWII era and said it only cost pennies to run it and they could afford to run the fan. There is no A/C, they had some awful portable AC unit in one of the hallways. Red flag at the door was a notice posted asking everyone to go and write 5 star reviews and then they would get a taco party. When we checked the place out earlier that day the guy giving the tour took us to the communal area where people are supposed to eat or spend time with family, there was something wet on the floor and he just looked at it and said "well that's a workers comp claim right there" and then proceeded with the rest of the tour. I highly doubt that mess will get cleaned up. This is a case of taking insurance money and I would guess the owners are using it to take a yacht cruise or something because no money is being spent on staff or the facility much less the patients.

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Government Inspection History

28 inspection visits in the last three years, 101 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

May 14, 2026Fire Safety StandardHealth ComplaintHealth Standard16 citations
  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 22, 2026

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 2026

  • Install corridor and hallway doors that block smoke.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 19, 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

  • Keep all essential equipment working safely.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

  • Dispose of garbage and refuse properly.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 4, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

  • Ensure 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

  • Ensure proper usage of power strips and extension cords.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 19, 2026

  • Provide a written emergency evacuation plan.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2026

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2026

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 4, 2026

Mar 30, 2026Health Complaint1 citation
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2026

Mar 11, 2026Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 27, 2026

Feb 6, 2026Health Complaint2 citations
  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 10, 2026

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 10, 2026

Feb 5, 2026Health Complaint1 citation
  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 6, 2026

Jan 29, 2026Health Complaint1 citation
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 30, 2026

Jan 20, 2026Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 26, 2026

Jan 13, 2026Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 26, 2026

Nov 24, 2025Health Complaint3 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 25, 2025

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 25, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 25, 2025

Nov 13, 2025Health Complaint2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 16, 2025

Jul 21, 2025Health Complaint2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 1, 2025

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 1, 2025

Jun 19, 2025Health Complaint1 citation
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 3, 2025

Jun 12, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 20, 2025

Jun 5, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 6, 2025

Jun 4, 2025Health Complaint2 citations
  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 13, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 13, 2025

May 6, 2025Health Complaint1 citation
  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 12, 2025

Apr 17, 2025Health Complaint2 citations
  • Provide appropriate foot care.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025

Apr 8, 2025Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 9, 2025

Feb 27, 2025Fire Safety StandardHealth Standard21 citations
  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 14, 2025

  • Keep all essential equipment working safely.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 19, 2025

  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

  • Provide activities to meet all resident's needs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 19, 2025

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 21, 2025

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 11, 2025

  • Ensure proper usage of power strips and extension cords.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 21, 2025

  • List the names and contact information of those in the facility.

    Severity C of L: potential for minimal harm, widespreadCorrected Mar 21, 2025

Jan 14, 2025Health Complaint1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

Jan 2, 2025Health Complaint1 citation
  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 23, 2025

Nov 12, 2024Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 25, 2024

Jun 27, 2024Health Complaint1 citation
  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 26, 2024

Mar 13, 2024Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 13, 2024

Showing the 24 most recent of 28 inspection visits.

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Windsor Elk Grove Care and Rehabilitation Center offer?

Windsor Elk Grove Care and Rehabilitation Center offers Skilled Nursing / Long Term Care.

Where is Windsor Elk Grove Care and Rehabilitation Center located?

Windsor Elk Grove Care and Rehabilitation Center is located at 9461 Batey Avenue in Elk Grove, California.

What do families say about Windsor Elk Grove Care and Rehabilitation Center?

Reviews of Windsor Elk Grove Care and Rehabilitation Center are overwhelmingly negative, with families repeatedly describing an unclean facility, slow or unresponsive staff, and troubling gaps in communication about residents' medical care. Multiple reviewers reported missing belongings, medication mishandling, and long waits for basic assistance like bathroom help.

How did Windsor Elk Grove Care and Rehabilitation Center do on recent health and safety inspections?

Windsor Elk Grove Care and Rehabilitation Center had 28 government inspection visits in the last three years, with 101 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Windsor Elk Grove Care and Rehabilitation Center?

Submit the Request Information form on this page to connect with Windsor Elk Grove Care and Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Windsor Elk Grove Care and Rehabilitation Center? Claim this listing to update photos, pricing, and details. It's free.

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