Windsor Skyline Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 19 Google reviews
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What this means for your family
This facility is a strong choice for rehabilitation and long-term care due to its highly praised physical therapy and nursing teams. However, families should closely monitor administrative accuracy regarding medical records and verify that laundry protocols are being strictly followed.
Google Reviews
Google Reviews
19 reviews analyzed“Families can expect professional and caring nursing and physical therapy staff, with several reviewers highlighting the facility's ability to assist with rehabilitation and daily needs. However, there are significant concerns regarding administrative errors with medical paperwork and occasional issues with laundry and cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Professional and caring nursing staff
- Exceptional physical therapy services
- Helpful administrative and social work staff
- Safe and dog-friendly environment
Concerns
- Administrative errors regarding medical paperwork
- Issues with laundry and lost clothing
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy services; could you tell us more about how that is integrated into a resident's daily routine?
- 2How does your team ensure that medical paperwork and important health updates are communicated accurately to family members?
- 3What steps are being taken to ensure the dining experience and meal quality meet the needs of all residents?
- 4With such a high rating for your nursing staff, how do you ensure that level of care remains consistent during shift changes?
- 5Could you describe your process for managing laundry and ensuring that residents' personal clothing stays organized and accounted for?
- 6What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“I stayed there to have physical therapy for broken pelvis, and it saved my life. With the exception of one nurse practitioner, the staff was wonderful. The nurses, aids and especially the physical therapists are still heroes, & in my prayers.”
“Windsor Skyline Care Center has been a great place for my mom to receive the care she requires. Nursing staff has been professional and caring to my mom. She has received prompt assistance from Mona, social worker to navigate with many details required.”
“During this stay here I have been met with nothing but comfort and concern by staff. I would like to give 5 stars up too the p.m. staff for their concern ability and professionalism of doing their job to meet clients needs.”
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 with depression symptoms
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
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 has a concerning pattern of recurring deficiencies across multiple areas, with families filing complaints that triggered 7 investigations. The most persistent problems involve accident prevention and safety hazards, medication management, and fire safety systems. Food safety and infection control also appear repeatedly across surveys. While all deficiencies show correction dates, the recurrence of similar issues in safety, pharmacy services, and environmental controls suggests ongoing challenges with maintaining consistent standards.
Apr 9, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 14, 2025Routine10
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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.
Construction Deficiencies
Use approved construction type or materials.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Jan 26, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 30, 2023Complaint1
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Jul 28, 2023Routine25
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Meet other general requirements that are deficient.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Implement 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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 28, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Mar 14, 2025
$63,850
Ownership & Operations
Who Operates This Facility
Windsor Skyline Care Center
for profit
Chain Affiliation
Windsor
19 facilities nationwide
Chain avg rating: 2.3/5 · Rank 6 of 19
Ownership & Management
Owners
Antelope Realty Holdings I, LLC
Owner · Organization
Windsor Norcal 13 Holdings LLC
Owner · Organization
Antelope Holdings I, LLC
Owner (parent company) · Organization
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
19 reviews from families & visitors
Official Website
Visit windsorskyline.com
Medicare data downloads
Original nursing home datasets
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