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Rancho Seco Care Center

144 F Street, Galt, CA 956322097451537Ownership: For profit - IndividualCertified beds: 99Avg. daily residents: 95Chain: Ajc Healthcare (14 facilities)County: Sacramento
Special Focus Facility — CMS currently lists this facility in its program for nursing homes with a history of serious quality issues; it is inspected about twice as often as other facilities until it graduates or is terminated from Medicare.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Rancho Seco Care Center, a Medicare & Medicaid–certified nursing home in Galt, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
Not rated
CMS’s composite of the three ratings below.
Health inspection
Not rated
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
Not rated
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
Not rated
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
CMS has published limited rating data for this facility. That is common for newly certified facilities and does not by itself indicate a problem. Nursing staff turnover of 44% is well above the California average of 37%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $490,205 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.16 total nurse staff hours per resident per day
below the state average (4.52)
0.29 RN hours per resident per day
below the state average (0.67)
3.75 weekend nurse staff hours per resident per day
43.7% total nursing staff turnover
above the state average (36.7)
44.4% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

January 8, 2026 most recent standard health inspection
14 health deficiencies cited in the most recent inspection cycle
below the state average (15.6)
48 health deficiencies in the two prior cycles combined
$490,205 in federal fines across 2 penalties (last 3 years)
above the state average ($24,666)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 19, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
January 8, 20260759Ensure medication error rates are not 5 percent or greater.E · Potential for more than minimal harm
January 8, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
January 8, 20260804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E · Potential for more than minimal harm
January 8, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
January 8, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
January 8, 20260558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm
January 8, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm
January 8, 20260676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D · Potential for more than minimal harm
January 8, 20260756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting…D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.