Rancho Seco Care Center — Galt, CA
This page sets out what the federal inspection record says about Rancho Seco Care Center, a 99-bed nursing home at 144 F Street, Galt, California. Every figure below is copied from data the Centers for Medicare & Medicaid Services (CMS) publishes about nursing homes that take Medicare or Medicaid. We have not added our own judgment to it.
The record at a glance
| Federal ID (CCN) | 055858 |
| Legal business name | Rancho Seco Care Center LLC |
| Listed chain or group | Ajc Healthcare |
| Address | 144 F Street, Galt, CA 95632 |
| Phone listed with CMS | (209) 745-1537 |
| Ownership type | For profit – Individual |
| Certified beds | 99 |
| Average residents per day | 94.9 |
| Certified since | December 12, 1967 |
| Overall CMS rating | Not rated |
| Health inspection rating | Not rated |
| Staffing rating | Not rated |
| Quality measures rating | Not rated |
| Total nursing staff turnover | 43.7% |
| Most recent standard inspection | January 8, 2026 |
CMS scores nursing homes from one to five stars. The health inspection rating is set relative to other nursing homes in the same state, so a one-star home is in the bottom fifth in California, not the bottom fifth nationally. Staffing and quality measure ratings are scored against national thresholds.
Federal penalties
CMS’s penalty file lists 2 federal penalties against this facility: 2 fines totalling $490,205. A denial of payment means CMS stopped paying the home for residents admitted after a set date until the problem was fixed.
Flags CMS has placed on this facility
- Abuse icon. CMS marks this facility with the abuse icon on Care Compare. CMS applies that icon to homes cited for “abuse that led to harm of a resident within the past year” or “abuse that could have potentially led to harm of a resident in each of the last two years.” CMS updates the list monthly and removes homes that no longer meet the criteria.
- Special Focus Facility. CMS has placed this home in the Special Focus Facility program, which is for a small number of homes in each state with a persistent record of serious problems. Homes in the program are inspected about twice as often as usual.
Inspectors have cited this home 70 times since January 2024
3 of those were at severity level G or above — what CMS calls actual harm. 2 reached immediate jeopardy, CMS’s most serious category. 37 came from complaints rather than routine inspections. Every one of them is listed below, with its date and what the rule required.
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Inspection citations since January 2024
CMS records 70 health citations at this facility from inspections between February 5, 2024 and February 19, 2026.
| Inspected | Tag | What the rule requires | Scope and severity | Status |
|---|---|---|---|---|
| Feb 19, 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Feb 25, 2026 |
| Jan 8, 2026 | F0761 | 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. | E — Pattern, Potential for more than minimal harm | Correction date Feb 7, 2026 |
| Jan 8, 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D — Isolated, Potential for more than minimal harm | Correction date Feb 7, 2026 |
| Jan 8, 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D — Isolated, Potential for more than minimal harm | Correction date Feb 7, 2026 |
| Jan 8, 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D — Isolated, Potential for more than minimal harm | Correction date Feb 7, 2026 |
| Jan 8, 2026 | F0656 | Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured. | D — Isolated, Potential for more than minimal harm | Correction date Feb 7, 2026 |
| Feb 24, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (complaint) | K — Pattern, Immediate jeopardy | Correction date Mar 11, 2025 |
| Feb 24, 2025 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (complaint) | L — Widespread, Immediate jeopardy | Correction date Mar 11, 2025 |
| Mar 13, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | G — Isolated, Actual harm | Correction date Apr 8, 2024 |
The wording in the third column is CMS’s own plain-language summary of the federal rule that was cited, not a description of what happened. This table shows every one of the 3 citations at actual-harm level or above, plus the 6 most recent of the rest. The other 61 are in the CMS file linked below.
How to read scope and severity
Every citation gets a letter from A to L. The letter carries two things at once: how serious the problem was, and how many residents it reached.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm | G | H | I |
| No actual harm, potential for more than minimal harm | D | E | F |
| No actual harm, potential for minimal harm | A | B | C |
“Immediate jeopardy” is CMS’s term for a situation that has caused, or is likely to cause, serious injury, harm, impairment or death. It requires the home to act at once.
What this page does not tell you
- A citation is an inspector’s finding against a federal rule. It is not a court judgment, and the facility may be disputing it. Citations marked “under dispute” above are in CMS’s formal review process.
- Citation counts partly reflect how often a home was inspected and how many complaints were filed about it. A home with more citations has not automatically given worse care than one with fewer.
- Bigger homes have more residents, more staff and more inspections, so they tend to accumulate more citations.
- None of this says anything about the care any one resident received. A home with a clean record can still fail somebody, and a home with a bad record can be caring for your mother well.
- This is a snapshot. CMS updates these files monthly, and the figures here are from the file dated August 1, 2026.
Where this comes from
- Ratings, ownership, beds and penalties: CMS Provider Information dataset (4pq5-n9py), file dated August 1, 2026.
- Citations: CMS Health Deficiencies dataset (r5ix-sfxw), file dated August 1, 2026, filtered to inspections on or after January 1, 2024.
- This facility on the government’s own site: Medicare Care Compare.
- Retrieved August 29, 2026. Our method is set out in Editorial policy and How we count.
For the facility
If anything on this page is wrong, out of date or missing context, we will correct it. Rancho Seco Care Center and anyone acting for it can reach the watchdog team through our corrections and right of reply page. We publish the response alongside the record.
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