Inspection citations
10’22
7’23
30’24
22’25
14’26
83 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 19, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Aug 19, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 19, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 4, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jul 23, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jul 23, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jul 23, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jul 7, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 16, 2026 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Apr 16, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 10, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Apr 10, 2026 | E · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Apr 10, 2026 | E · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Jan 27, 2026 | D · potential | 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. | Complaint |
| Dec 5, 2025 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Dec 5, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Dec 5, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 5, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 5, 2025 | F · potential | 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. | Routine |
| Dec 5, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 5, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 5, 2025 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Aug 15, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 15, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jul 2, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 24, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 28, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 21, 2025 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Mar 5, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 5, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 19, 2025 | D · potential | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Complaint |
| Feb 19, 2025 | D · potential | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Complaint |
| Feb 19, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 18, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 12, 2025 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Complaint |
| Feb 12, 2025 | D · potential | 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. | Complaint |
| Dec 5, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Dec 5, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Dec 5, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 5, 2024 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Dec 5, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 5, 2024 | E · potential | 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. | Routine |
| Dec 5, 2024 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Dec 5, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 5, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Dec 5, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 5, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 4, 2024 | D · potential | 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. | Complaint |
| Sep 4, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Sep 4, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 2, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jul 2, 2024 | E · potential | Have policies on smoking. | Complaint |
| Jun 5, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 6, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 1, 2024 | D · potential | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Complaint |
| Apr 12, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Apr 10, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 10, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 6, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Feb 6, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Feb 6, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Feb 6, 2024 | E · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Feb 6, 2024 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 19, 2024 | G · harm | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jan 19, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Jan 5, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Nov 14, 2023 | E · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Nov 14, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Nov 9, 2023 | G · harm | Respond appropriately to all alleged violations. | Complaint |
| Nov 9, 2023 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Complaint |
| Nov 9, 2023 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 9, 2023 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Nov 9, 2023 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Apr 12, 2022 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 12, 2022 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| Apr 12, 2022 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Apr 12, 2022 | H · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Apr 12, 2022 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Apr 12, 2022 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 12, 2022 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Apr 12, 2022 | E · potential | 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. | Routine |
| Apr 12, 2022 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 12, 2022 | F · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Solano Post Acute
2200 Tuolumne Street, Vallejo, CA 94589 · (707) 644-7401
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056238
- Certified beds
- 166
- Legal owner
- Windsor Vallejo Care Center, LLC
- Part of
- Windsor
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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Other nursing homes in Vallejo
- Springs Road Healthcare5 of 5 stars overall
- Heartwood Avenue Healthcare3 of 5 stars overall