Solano Post Acute
2200 Tuolumne Street · Vallejo, CA · 94589 · 7076447401
166 certified beds For profit - Limited Liability company Chain: Windsor
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.69 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 2 · $73,177 |
Inspection citations (82 in the current record)
-
Potential for harm · D April 16, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 16, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 10, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 5, 2026 · Quality of Life and Care
-
Potential for harm · E April 10, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 5, 2026 · Quality of Life and Care
-
Potential for harm · E April 10, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 5, 2026 · Environmental
-
Potential for harm · D January 27, 2026 · found via complaint
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.
Corrected February 23, 2026 · Resident Rights
-
Potential for harm · E December 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 18, 2025 · Resident Rights
-
Potential for harm · D December 5, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 18, 2025 · Quality of Life and Care
-
Potential for harm · D December 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2025 · Quality of Life and Care
-
Potential for harm · F December 5, 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.
Corrected December 18, 2025 · Pharmacy Service
-
Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2025 · Nutrition and Dietary
-
Potential for harm · E December 5, 2025
Provide and implement an infection prevention and control program.
Corrected December 18, 2025 · Infection Control
-
Potential for harm · E December 5, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 18, 2025 · Environmental
-
Potential for harm · D December 5, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 18, 2025 · Pharmacy Service
-
Potential for harm · D August 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 4, 2025 · Quality of Life and Care
-
Potential for harm · D April 24, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 8, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 28, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 21, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 24, 2025 · Resident Rights
-
Potential for harm · D March 5, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
-
Potential for harm · D February 19, 2025 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected February 28, 2025 · Nursing and Physician Services
-
Potential for harm · D February 19, 2025 · found via complaint
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected February 28, 2025 · Administration
-
Potential for harm · E February 19, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 10, 2024 | Fine | $19,474 |
| November 9, 2023 | Fine | $53,703 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056238 · certified since July 29, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.