Rancho Seco Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 10 Google reviews
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What this means for your family
This facility presents significant risks regarding medication safety and wound care management. If you choose this facility, you must implement rigorous daily checks of medication logs and physical wound dressings, as multiple reports indicate critical failures in these areas.
Google Reviews
Google Reviews
10 reviews on Google“Families should exercise extreme caution as multiple reviewers report severe issues with medication errors, neglect, and unprofessional staff behavior. While one reviewer noted high standards of cleanliness and friendly staff, other reports of falsified documents and failure to provide wound care are deeply concerning.”
Quality Themes
Tap a score for detailsStrengths
- Clean and odor-free environment
- Occasional friendly and caring staff members
Concerns
- Medication errors and mismanagement (mentioned by 2 reviewers)
- Unprofessional staff behavior and gossiping (mentioned by 2 reviewers)
- Neglect regarding wound care and hygiene (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 10 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 2How does the nursing team manage wound care and daily hygiene routines to ensure every resident's skin health is closely monitored?
- 3Can you tell me more about how the staff communicates important health updates or changes in condition to family members?
- 4What steps are being taken to foster a professional and supportive culture among the caregiving team?
- 5What kind of daily activities or social engagement programs are available to keep residents active and connected with one another?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“Aside from that the one thing I noticed that sets this place apart is how clean it is! There is no smell, which is an indication that the clients are kept clean and any soiled materials are dealt with.”
“They give the wrong medication. At the wrong time and falsify documents, physical therapy. They said my mom was able to walk 3 feet and I went to visit her she cant even get out of bed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints about this facility, triggering 44 of 121 total deficiencies across 36 surveys. The most recurring issues involve protection from abuse and neglect, safety hazards, and medication management. While all deficiencies show correction dates, the pattern of repeated abuse protection violations (appearing 15+ times in complaint investigations) raises serious concerns about resident safety and quality of care that families should carefully consider.
Feb 19, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 8, 2026Routine20
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Dec 10, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 25, 2025Complaint1
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Nov 22, 2025Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nov 20, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Nov 25, 2025
$12,095
Fine
Feb 24, 2025
$478,110
Fine
Jun 20, 2023
$7,443
Ownership & Operations
Who Operates This Facility
Rancho Seco Care Center
for profit
Chain Affiliation
Ajc Healthcare
14 facilities nationwide
Ownership & Management
Owners
Swc CA Opco 2 LLC
Owner · Organization
Chesley, Aaron
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit ranchosecocare.org
Medicare data downloads
Original nursing home datasets
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