Solano Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 58 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (17 vs median 13.0)
- High RN turnover (62%)
Below average in CA · Below recommended RN staffing · $73,177 in fines
What this means for your family
While the facility has some excellent physical therapists and helpful administrative staff, the recurring reports of hygiene neglect and understaffing are deeply concerning. If you choose this facility, you must be extremely proactive in monitoring your loved one's hygiene, skin integrity, and response to call lights.
Google Reviews
Google Reviews
58 reviews on Google“Families considering Solano Post Acute should exercise extreme caution due to frequent and severe reports of patient neglect, including failure to change incontinence products and lack of basic hygiene. While some reviewers praise specific rehabilitation therapists and certain administrative staff, the facility is plagued by recurring allegations of understaffing, poor sanitation, and inadequate communication.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Helpful administrative and business office staff
- Compassionate individual nurses and CNAs
Concerns
- Neglect regarding hygiene and incontinence care (mentioned by 6 reviewers)
- Severe understaffing and slow response to call lights (mentioned by 4 reviewers)
- Poor facility cleanliness and unpleasant odors (mentioned by 3 reviewers)
- Inadequate communication from management and nursing (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
The owner responds to all reviews with a professional and empathetic tone. While they acknowledge specific details in some cases, they primarily use a standardized approach to redirect serious grievances to private communication.
Questions for Your Tour
- 1I noticed some great feedback regarding your physical and occupational therapy teams; could you tell me more about how those therapists work with residents on a daily basis?
- 2How does the nursing team ensure that hygiene and personal care needs are met promptly for every resident throughout the day?
- 3What specific steps is the facility taking to improve the cleanliness of the resident rooms and the overall dining experience?
- 4With the recent health inspection results, what specific changes has management implemented to address the identified deficiencies?
- 5How does the administrative team ensure that families are kept informed and updated on any changes in a resident's medical status?
- 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“The Physical Therapy & Occupational Therapy are 5- Stars, CNAs, Social Workers are awesome, the Dietician is very kind and good hearted (Nurses too), also my Doctor is awesome, and the Wound Care Specialist is the best!”
“The nurses and CNA’s and all employees were so helpful to my grandfather! The place doesn’t look like much inside but the service was great.”
“My 2 Stars are because of the horrific pissy smell which can be controlled. I’ve been to many of these facilities. Why are some so nice no smell etc… they are NOT letting Patients sit in their pee forever.”
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
2
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families repeatedly filing complaints that led to federal violations. The most frequent issues involve accident prevention and safety supervision, medication management, and infection control. While all deficiencies show correction dates, the high volume of complaint-triggered violations (52 out of 107 total) and recurring problems in critical care areas like safety supervision and medication handling suggest ongoing quality concerns that families should carefully evaluate during visits.
Apr 16, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 10, 2026Complaint3
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 27, 2026Complaint1
Resident Rights Deficiencies
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.
Dec 5, 2025Routine15
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Dec 5, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 15, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal Penalties
Fine
Apr 10, 2024
$19,474
Fine
Nov 9, 2023
$53,703
Ownership & Operations
Who Operates This Facility
Solano Post Acute
for profit
Chain Affiliation
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 11 of 19
Ownership & Management
Owners
Antelope Realty Holdings I, LLC
Owner · Organization
Windsor Norcal 13 Holdings LLC
Owner · Organization
9560 Pico LLC
Owner (parent company) · Organization
Antelope Holdings I, LLC
Owner (parent company) · Organization
Pico Ar LLC
Owner (parent company) · Organization
Robin, Aaron
Owner (parent company)
Tress, Avrohom
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
58 reviews from families & visitors
Official Website
Visit windsorvallejo.com
Medicare data downloads
Original nursing home datasets
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