Windsor the Ridge Rehabilitation Center

Name: Windsor the Ridge Rehabilitation Center
Address: 350 IRIS DRIVE, Salinas, CA, 93906, US
Telephone: 8314491515

350 Iris Drive, Salinas, CA 93906 · Monterey County · 103 certified beds · avg 96 residents/day · certified since Mar 28, 1977

Part of chain: WINDSOR (22 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.27

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (51)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 25, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Nov 25, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Nov 25, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 25, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 25, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 17, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Mar 29, 2024	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Mar 29, 2024	E · Potential for harm, repeated	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Mar 29, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 29, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 29, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Mar 29, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 19, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 22, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Aug 6, 2021	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 6, 2021	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Aug 6, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 6, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Aug 6, 2021	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 6, 2021	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Aug 6, 2021	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Aug 6, 2021	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 6).

Year	Citations	Worst severity that year
2021	21	E
2023	1	D
2024	22	E
2025	7	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.27	4.31	3.95	top 40% in California; top 30% in the U.S.
Registered Nurse hours	0.53	0.61	0.69	top 42% in California; bottom 42% in the U.S.
Weekend total nurse staffing	4.06	3.90	3.50	top 30% in California; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.51	0.48	top 43% in California; top 46% in the U.S.
Total nursing staff turnover (%)	30.6	36.7	45.8	top 31% in California; top 15% in the U.S.
RN turnover (%)	45.5	38.1	42.9	bottom 34% in California; bottom 43% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.83, RN 0.47, weekend 3.64. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Antelope Holdings I, LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/30/2023
Robin, Aaron	Individual	5% or Greater Indirect Ownership Interest	—	06/30/2023
Tress, Avrohom	Individual	5% or Greater Indirect Ownership Interest	—	06/30/2023
Windsor Norcal 13 Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/30/2023
350 Iris Dr Proco, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/15/2025
Antelope Realty Holdings I, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/15/2025
Bruton, Rachyl	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2003
Bruton, Rachyl	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2025
Newgen Administrative Services, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/30/2023
Newgen Administrative Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/15/2025
Patton, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	07/02/2014
Patton, Robert	Individual	ADP of the SNF	NOT APPLICABLE	07/02/2014
Shaw, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	06/30/2023
Shaw, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	06/30/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you explain health changes and treatment options to residents and their families?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Coastal Post Acute	0.0 mi	Salinas, CA	★★★★☆	3/5
Katherine Healthcare	2.2 mi	Salinas, CA	★★☆☆☆	2/5
Salinas Valley Post Acute	2.6 mi	Salinas, CA	★★★☆☆	3/5
Pacific Coast Post Acute	2.6 mi	Salinas, CA	★★★★☆	3/5
Carmel Hills Care Center	12.8 mi	Monterey, CA	★★★☆☆	2/5
Oceanview Post Acute	14.8 mi	Pacific Grove, CA	★★★★★	4/5
Westland House	14.9 mi	Monterey, CA	★★★☆☆	4/5
Forest Hill Manor Health Center	15.4 mi	Pacific Grove, CA	★★★★☆	3/5
Canterbury Woods	15.4 mi	Pacific Grove, CA	★★★★★	5/5
Cypress Ridge Care Center	16.0 mi	Monterey, CA	★★★★☆	3/5
Monterey Post Acute	16.0 mi	Monterey, CA	★★★★☆	3/5
Manresa Healthcare Center	16.6 mi	Watsonville, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Salinas →

Facility data as of CMS processing date 2026-08-01. CCN 555060.

The Care File

Visit checklist — Windsor the Ridge Rehabilitation Center

350 Iris Drive, Salinas, CA 93906 · 8314491515

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555060 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)