Alta Healthcare Center of Camarillo
6000 Santa Rosa Road, Camarillo, CA 93012 · For profit - Limited Liability company · 45 certified beds · (805) 388-8086 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $43,407 in federal fines (most recent 2024-06-13)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.1% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 94.5% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 17.6% | 23.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.0% | 11.2% | 12.0% | better |
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
53.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 582 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 44.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 232 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 1.86 therapist hours per resident per day in 2026Q1 — more than 100% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 53.7%CMS range 48.8–58.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 13.2%CMS range 10.4–15.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 44.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 51.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 62.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 99.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.7% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 5.2–9.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 45 beds and averages 43.1 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.32 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.63 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.68 hrs/resident/day on weekends vs 5.59 on weekdays — 16% thinner on weekends. RN hours go from 0.78 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.
- Actual harm · G2024-06-13 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure its Abuse/Injuries of Unknown Origin policies and procedures were implemented when one of two residents (Resident 1) was found by the responsible party (RP) and family with unreported injuries of unknown origin (abrasion to right shoulder and skin discoloration/bruise on the chin and on the left cheek) This failure had the potential for abuse and injuries to occur with no monitoring and follow up, thereby placing the residents at risk for increased abuse, injuries, or harm. Findings: During an observation on 5/16/24 at 3:06 p.m., Resident 1 was observed in her room, in bed, awake, responsive, and covered with a blanket from neck to lower extremities. Resident 1's bed was in a low position with bilateral floor mattresses folded by the wall. Three family members (FM) were at the bedside visiting. Resident 1 was further observed with reddish, purplish skin discoloration under the chin, about the size of a quarter and greenish yellowish skin discoloration on the left cheek. During an interview on 5/16/24…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-31 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure 2 of 3 sampled residents (Resident 1 and Resident 2) had their call light responded to timely.This failure had the potential to result in residents' needs not being met.Findings:During a concurrent observation and interview on 7/11/24 at 2:00 p.m. in Resident' room (Resident 2). Resident 2 stated that on most occasions, it took a while for her call light to be answered and sometimes as long as 45 minutes for staff to respond. Resident 2 further explained that this was the only means to communicate her needs to the staff while in the room and in bed. The call light was then pushed while in Resident 2's room and waited 15 minutes and no staff responded.During a concurrent observation and interview on 7/11/25 at 2:20 p.m. with licensed nurse (LN 2). There were approximately 6 staff members at the nurse's station observing Resident 2's room call light on and signing above outside of doorway and no one was seen approaching to respond to the call light. When asked about how the call light system and ow it…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered plan of care for 2 of 13 sampled residents (Residents 7 & 193) when: 1. Resident 7 had missing care plans for pressure injuries (an injury that breaks down the skin and underlying tissue) on the sacral (tail bone) and left heel and a wound on the right anterior (in front of) leg. 2. Resident 193's bed rail was used while in bed. These failures placed the residents at risk of not having their care needs met. Findings: 1. During facility tour observation on 5/19/25 at 9:30 a.m. in room [ROOM NUMBER], Resident 7 was wheeled inside the room by the Certified Nursing Assistant (CNA 1). Resident 7 was observed with multiple skin discoloration on both upper and lower extremities and a dry dressing on the right leg. During a review of Resident 7's electronic record, the Minimum Data Set (MDS - standardized resident assessment in the nursing home) record was reviewed. The MDS record indicated,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0700 — isolatedTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to assess the risk of entrapment (the state of being caught in between something) prior to the use of bilateral bedrails for 1 of 13 sampled residents (Resident 193). This failure had the potential to result in avoidable injuries to the resident. Findings: During a review of Resident 193's admission Record (AR), the AR indicated, Resident 193 was admitted to the facility on [DATE] with diagnoses that included, unspecified psychosis (a condition where a person experiences psychotic symptoms but does not meet the full criteria for any specific psychotic disorder), dementia (a term for a decline in mental ability severe enough to interfere with daily life) with other behavioral disturbance and need for assistance for personal care. During an observation on 5/19/25 at 11:45 a.m., in Resident 193's room, the resident's bed was observed with small bilateral bedrails in a raised position. During a concurrent record review and interview with the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the order for pain medication management (Tylenol and Hydrocodone-Acetamenophen) was clarified with the physician with the correct pain parameters in relation to pain level in 1 of 13 sampled residents (Resident 201). This failure had the potential for Resident 201's pain to be mismanaged. Findings: During a concurrent observation and interview on 5/20/25 at 11:04 a.m. with Resident 201, Ressident 201 was observed in bed, alert and oriented to time, place, and situation. Resident 201 stated is having chronic back and leg pain and had multiple spinal surgeries and is on multiple pain medications. During a review of Resident 201's Face Sheet, dated 5/18/25, the Face Sheet indicted, Resident 201 was admitted to the facility on [DATE] with diagnoses that included, Spondylolisthesis (a condition where one vertebra in the spine slips out of place) and Personal history of other diseases of the Musculoskeletal system and connective tissue.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment for 1 of 13 sampled residents (Resident 35) when oxygen and nebulizer tubings in use were not labelled and dated to determine when next to change the tubings. This failure had the potential to result in the transmission of infection to the resident. Findings: During a review of Resident 35's admission Record (AR), the AR indicated, Resident 35 was admitted on [DATE] with diagnoses that included, pulmonary embolism (a blood clot that blocks and stops blood flow to an artery in the lung) and dependence on supplemental oxygen and nebulizer treatment. During a concurrent observation and interview on 5/19/25 at 9:50 a.m., with a licensed nurse (LN5) in Resident 35's room, Resident 35's nasal cannula (a small plastic tube, which fits into the person's nostrils for providing supplemental oxygen) connected to an oxygen concentrator (a medical…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-10 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to follow its policy and procedure when a care plan was not developed for a suprapubic catheter (is a hollow flexible tube that is used to drain urine from the bladder through a cut in the abdomen) for one of two sampled residents (Resident 1). This failure had the potential to delay Resident 1's care and treatment needed. Findings: During a review of Resident 1's Baseline Admission/readmission Screen (BARS), dated 9/25/23, the BARS indicated, Resident 1 was admitted on [DATE] due to septic shock (serious condition when body respond poorly to an infection) and had a suprapubic catheter (an organ that stores urine). During a review of Resident 1's History & Physical (H&P), dated 9/26/23, the H&P indicated, Resident 1 had diagnoses including, status post (s/p) septic shock, suprapubic abscess (a pocket of infected fluid and pus), urinary tract infection (an infection in any part of the urinary system) and pressure ulcer (an injury that breaks down the skin…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-10 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to complete an individualized care plan for a pressure ulcer (an injury that breaks down the skin and underlying tissue) on the sacrum (tail bone) for one of two sampled residents (Resident1). This failure had the potential for health, safety and care needs to go unmet if Resident 1's condition changed. Findings: During a review of the facility's policy and procedure (P&P) titled, Care Plans - Baseline, dated 3/2022, the P&P indicated, A baseline plan of care to meet the resident's immediate health and safety needs is developed for each resident within forty-eight hours of admission. 1. The baseline care plan includes instructions needed to provide effective, person-centered care of the resident that meets professional standards of quality care and must include the minimum healthcare information necessary to properly care for the resident including, but not limited to the following: a. Initial goals based on admission and discussion with the resident/representative; b. Physician's orders; c. Dietary orders; d. Therapy…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-20 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to report to the State Agency (Department) and the Ombudsman in a timely manner when injuries/abrasions of unknown origin were noted on Resident 1. This failure had the potential to result in further harm to the resident and to other residents. Findings: On 5/14/24 the facility submitted a report to the Department regarding an injury of unknown origin for Resident 1. The facility's investigation indicated, On Thursday morning 5/8/24, Director of Staff Development (DSD) noticed a skin abrasion on (Resident 1) shoulder. DSD checked for documentation and did not see anything reported, so DSD cleaned abrasion with normal saline, placed a bandage on the site, and reported finding during morning clinical meeting . That same morning . Director of Nursing (DON) delegated skin check to Treatment Nurse, who noted the 1.5cm x 1cm x 0.1 skin abrasion on right shoulder and also noted skin discoloration developing on chin, measuring 0.2cm x 0.2cm. The facility did not report Resident 1's injuries of unknown origin until…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-04-11 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to maintain an effective infection prevention and control program when: 1. A hand washing sink area was not accessible for staff use in a resident room identified as requiring transmission-based precautions (TBP - precautions put in place to prevent or control infections). 2. C-DIFF (Clostridium Difficile - an infection from a bacterium that causes diarrhea) feces contaminated briefs were discarded in the same trash can intended for doffing (removal) of personal protective equipment [(PPE) isolation gowns and gloves]. 3. A clean medication preparation area on the medication cart was contaminated when a jacket, personal supply bag, and blood pressure (BP) cuff were stored on it. 4. A BP cuff removed from a room requiring TBP was placed on top of the clean PPE supply cart for cleaning. 5. Medication cart trash was overflowing. 6. Water management test kits in use were expired. 7. Dirty laundry was transported through the clean laundry area.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-04-11 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure: 1. Food was stored properly in accordance with professional standards of food service safety when a box of raw ground hamburger was stored above pork cutlets in the walk-in refrigerator. 2. Cooked pasta, a TCS (Time-Temperature Control for Safety - food that requires time-temperature control to prevent the growth of bacteria) food, was documented on the cool down log. 3. There was an appropriate air gap between the dish machine drain and the floor sink drain to prevent contaminated water from backing up into the dish machine should a problem arise with the floor drain. 4. The high temperature dish machine manufacturer guidelines were followed. These failures had the potential to place residents at an increased risk of a foodborne illness. Findings: 1. During an observation on 4/8/24 at 09:55 with the Food Service Director (FSD) in the main kitchen, inside the walk-in refrigerator was an open box of raw ground beef stored above a shelf that had a box of raw pork cutlets. During concurrent observation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 11 citations
- Potential for harm · Dcited before2024-04-11 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 138) had a care plan developed and implemented for foley catheter (a tube inserted into the bladder to drain urine) use. This failure resulted in interventions not being established to guide the provision of high-quality care and had the potential to result in unrecognized complications. Findings: During an observation on 4/9/24 at 11:03 a.m. in Resident 138's room, a foley catheter bag was laying on the floor next to the bed. During a concurrent interview and record review on 4/10/24 at 3:37 p.m. with Infection Preventionist (IP), Resident 138's electronic medical record (eMR) was reviewed. IP stated there was no doctor order or care plan for a foley catheter. IP further stated she had a list of all the residents who had a foley catheter and Resident 138 was not on the list. During a concurrent observation and interview on 4/10/24 at 3:49 p.m. with IP in Resident 138's room, IP observed the foley catheter and stated, She does have a foley catheter. During a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 138) received appropriate care and services to manage an indwelling catheter (a tube inserted into the bladder to drain urine). This failure had the potential for Resident 138 to have an increased risk for an infection. Findings: During an observation on 4/9/24 at 11:03 a.m. in Resident 138's room, a foley catheter bag was laying on the floor next to the bed. During a concurrent interview and record review on 4/10/24 at 3:37 p.m. with Infection Preventionist (IP), Resident 138's electronic Medical Record (eMR) was reviewed. IP stated there was no doctor order or care plan for a foley catheter. IP further stated she has a list of all the residents who have foley catheters and Resident 138 is not on the list. During a concurrent observation and interview on 4/10/24 at 3:49 p.m. with IP in Resident 138's room, IP observed the foley catheter and stated, She does have a foley catheter. During a review of the facility's policy and procedure (P&P) titled, Catheter Care,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-11 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to consistently document the quantity consumed of nutrition intervention (purposely planned action) supplement (nutritional product added to the diet) for two of 12 sampled residents (Resident 30 and Resident 143) ensuring the accuracy of nutrition assessments and ability to monitor effectiveness. This failure had the potential to ineffectively evaluate and delay timely revision of interventions needed to meet residents' nutrition needs. Findings: 1. During a review of resident 30's Nutritional Screen and Assessment (NSA), dated 3/16/24, the NSA indicated Resident 30's most recent weight was 150 pounds and was re-admitted with a 16-pound weight loss prior to arrival due to severe protein-calorie malnutrition (an energy deficit due to deficiency of protein) with poor meal intake in hospital prior to arrival. The NSA indicated further, .Estimated Nutrient and Energy Needs ([NAME]) . [NAME] not met with PO (oral intake of food) and diet…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-04-11 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure: 1. Expired items in the medication storage room and treatment cart were discarded and not readily available for staff use. 2. Medications and biologicals in locked compartments were stored at proper temperature controls. These failures had the potential for residents to receive expired and ineffective medications and supplies. 1. During a concurrent observation and interview on [DATE] at 2:37 p.m., in the facility's medication storage room with the Director of Nursing (DON), a sealed First Aid Kit (FAK - a set of materials and tools used for giving emergency treatment) was noted without a visible expiration date label. DON was asked how staff would verify if the contents of the kit were still usable. DON opened the kit and revealed a label indicating the FAK expired in 2022. During a concurrent observation and interview on [DATE] at 3:16 p.m., with licensed nurse (LN) 1, the facility's treatment cart was inspected. The cart was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-11 · tag F0813 — isolatedHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the facility policy and procedure (P&P) for foods brought in by family/visitors was implemented when staff were unaware of the P&P and there lacked clear guidance on location of a designated refrigerated area for this purpose. This deficient practice had the potential to deny residents, family, and visitors their right to store outside food safely for later consumption. Findings: During an interview on 04/08/24 at 2:29 p.m. with a Certified Nursing Assistant (CNA) 1, CNA 1 stated, I do not know if family can bring in food from home to be stored for a resident. CNA 1 verbalized that if family did bring in food, they usually come during mealtime and no food is stored. CNA 1 verbalized that she has not had training regarding storing foods brought in from home. During an interview on 04/08/24 at 2:30 p.m. with CNA 2, CNA 2 stated the facility allows food from outside brought by family. CNA 2 verbalized the Food Service Director (FSD)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-04-11 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure resident medical records were kept confidential when the Discharge Summary (DS) of one unsampled resident (Resident 8) was found attached to the DS of one sampled resident (Resident 140). This failure resulted in a breach of protected health information for Resident 8 and the inaccurate discharge information for Resident 140 . Findings: During a review of Resident 140's clinical record, a document titled Discharge Summary, dated 3/25/24 under Resident 8's name was found attached to Resident 140's DS, also dated 3/25/24. During a concurrent interview and record review on 4/9/24 at 3:36 p.m., with the Director of Nursing (DON), Resident 140's DS, dated 3/25/24, was reviewed. The DON indicated that the DS of Resident 8 was attached to Resident 140 electronic medical information and agreed that Resident 8's discharge information was mistakenly scanned in Resident 140's clinical record. During a review of the facility's policy and procedure (P&P) titled, Release of Information, dated 11/09, the P&P indicated in part, Our…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-06 · tag F0559 — isolatedHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide written notice for one of two sampled residents (Resident 1) to the resident's responsible party (RP - person designated as being responsible for another person's medical and/or financial decisions) and provide an explanation why the resident was going to be moved to another room before the resident was moved. This failure resulted in Resident 1 being moved to another room without RP knowledge. Findings: During a review of Resident 1's admission Record (AR), dated 1/8/24, the AR indicated, Resident 1 was 93-years old, with diagnoses including, dementia (loss of thinking, remembering, and reasoning skills), hyperlipidemia (high fats in the blood), and urinary tract infection (infection in the bladder). The AR further indicated, Resident 1's daughter was the designated responsible party. During a review of Resident 1's Minimum Data Set (MDS-an assessment tool), dated 12/2/23, the MDS indicated, Resident 1 had a brief interview of mental status…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-04 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the family member or contact person of one of three sampled residents (Resident 1), was notified appropriately and in a timely manner, of the resident's significant change in condition requiring an emergency room transfer. This failure had the potential to result in physical and emotional trauma to both resident and family member. Findings: During a review of Resident 1's, admission Record (AR), dated 6/21/23, the AR indicated in part, Resident 1 was a [AGE] year-old male resident, who was admitted to the facility on [DATE] and discharged [DATE]. The AR also indicated, Resident 1 as the primary contact person but has named (name and telephone number) as a second contact person. During a review of Resident 1's, Minimum Data Set (MDS) Assessment (a health status screening and assessment tool used for all residents of long term care facilities), dated 6/28/23, Section C - Cognitive Patterns of the assessment indicated, Resident 1 had a Brief…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-05-19 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure safe food handling and sanitation were implemented when the ice machine was not maintained in a sanitary manner. This failure had the potential to place the residents at an increased risk of foodborne illness. Findings: During a review of FDA (Food & Drug Administration) Food Code and Food Code Annex, 2017, the FDA Food Code indicated, Equipment food-contact surfaces .shall be clean to sight and touch, and nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and other debris .,and nonfood-contact surfaces shall be cleaned at a frequency necessary to preclude accumulation of soil residues .The presence of food debris or dirt on nonfood-contact surfaces may provide a suitable environment for the growth of microorganisms which employees may inadvertently transfer to food. (4-601.11, 4-602.13, 4-602.13 Annex) During a review of the facility's policy and procedure (P&P), titled, Ice Machine, dated 10/18/2018, the P&P indicated, Frequency: Weekly .Make sure…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facilty failed to ensure: 1. An opened tube of eye lubricant found in the medication storage room was labeled and dated. 2. Expired supplies in the treatment cart were discarded and not available for use. These failures had the potential to cause harm to the residents as a result of unsafe medication dispensing and use of ineffective treatment supplies. Findings: 1. During a concurrent observation and interview, on [DATE], at 3:30 p.m., with the Director of Nursing (DON), at the facility's medication storage room, an unlabeled, opened tube of GenTeal Tears (an eye lubricant) was found in one of the wall cabinets. The DON verified the finding and acknowledged the eye lubricant should have been properly labeled with the resident's name and the date it was opened. 2. During a concurrent observation and interview, on [DATE], at 10:45 a.m., with the Director of Staff Development (DSD), the facility's treatment cart was inspected. According to DSD, the cart was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure proper hand hygiene was performed during an active outbreak of Clostridium difficile [CDI- is a germ (bacterium) that causes diarrhea and colitis (an inflammation of the colon] infection for one of three sampled residents (Resident 96). This facility failure had the potential to cause a mass outbreak in facility, which can result to dehydration, malnutrition, and death. Findings: During a review of the facility's policy and procedure (P&P), titled, Clostridium Difficile dated October 2018, the P&P indicated, Measures are taken to prevent the occurrence of Clostridium Difficile (CDI) among residents. Precautions are taken while caring for residents with C. Difficile to prevent transmission to other residents .Steps toward prevention and early intervention include: d. Frequent handwashing with soap and water by staff and residents and e. Wearing gloves when handling feces or articles contaminated with feces. During a review of Resident 96's admission Record, dated 5/19/23, the record indicated, Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$43,407 in federal fines across 1 penalty.
- $43,407 — penalty dated 2024-06-13
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to ASPEN SKILLED HEALTHCARE — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.7 | +0.3 vs chain |
| Health inspection | 4 of 5 | 3.1 | +0.9 vs chain |
| Staffing | 4 of 5 | 3.9 | +0.1 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 34 homes this chain runs (chain average 3.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ACSR, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 11/03/2021 |
| ASPEN SKILLED HEALTHCARE INC | Organization | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| SACC LLC | Organization | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| BRADSHAW, PETER | Individual | INDIRECT OWNERSHIP INTEREST | — | since 07/07/2023 |
| ELSNER, ERIC | Individual | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| KIRKWOOD, JARED | Individual | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| ORGILL, CRAIG | Individual | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| PARTI, RAJESH | Individual | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| PARTI, SHRUTY | Individual | INDIRECT OWNERSHIP INTEREST | — | since 11/03/2021 |
| PAXMAN, MARCUS | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 01/01/2023 |
| CASLMON, TIMOTHY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2023 |
| THOMPSON, STEPHEN | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2023 |
| BEJARANO, JAVIER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/01/2023 |
| KEAWEKANE, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/01/2023 |
| TAVARI, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2024 |
| ASPEN HEALTHCARE SERVICES LLC | Organization | ADP OF THE SNF | — | since 01/01/2023 |
| BRADSHAW, JEFFREY | Individual | ADP OF THE SNF | — | since 01/01/2023 |
| BRADY, VERN | Individual | ADP OF THE SNF | — | since 01/01/2023 |
| CASE, RYAN | Individual | ADP OF THE SNF | — | since 01/01/2023 |
| JURADO, FRANK | Individual | ADP OF THE SNF | — | since 01/01/2023 |
CMS files one row per role, so the 30 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $606K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CA
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the California Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 555876. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.