St. John's Hospital Camarillo D/P SNF
2309 Antonio Avenue, Camarillo, CA 93010 · For profit - Corporation · 99 certified beds · (805) 389-5848 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- 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
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 | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 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 | 5 of 5 |
| Long-stay residentspeople who live here | 5 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 4 to 5 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 |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.7% | 10.2% | 15.4% | typical |
| Long-stay residents who lose too much weight | 3.9% | 4.0% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.7% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.7% | 7.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 3.8% | 0.4% | 0.1% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 0.0% | 1.6% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 0.0% | 9.8% | 16.1% | check this* — see note marked star below the table |
| Long-stay residents on antianxiety or hypnotic medication | 26.7% | 13.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 21.7% | 4.3% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 0.7% | 10.2% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 1.1% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 95.2% | 93.2% | 79.4% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
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.
62.2% 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 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show <0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 | 62.2%CMS range 49.5–74.6 | 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 | 10.5%CMS range 6.9–16.8 | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.06 | 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 99 beds and averages 73.1 residents a day — about 74% occupied, or roughly 26 beds typically open. It usually has some room. 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 8.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.51 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 7.94 hrs/resident/day on weekends vs 9.19 on weekdays — 14% thinner on weekends. RN hours go from 1.98 to 1.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 23% is below 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 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · D2025-04-10 · 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 staff failed to ensure the Physician was notified of a Weight variance of five pounds or more for 1 of 23 sampled residents (Resident 25's) when the weight record was examined and noted that the resident experienced a significant 14 percent weight loss in less than two months. This failure resulted in a delay in the need to alter treatment significantly to Resident 25. Findings: During a review of Resident 25's admission Record (AR), dated 4/7/25, the AR indicated, Resident 25 was admitted on [DATE] with diagnoses that includes Amyotrophic Lateral Sclerosis (progressive disease that causes muscle weakness and paralysis), Quadriplegia ( paralysis that affects all a person's limbs and body from the neck down), and Ileus (intestine can't push food and waste out of your body). During a review of Resident 25's Weight Record, the weight record indicated, on 2/24/25, Resident 25's weight was recorded as 69 kilograms. The resident refused to be weighed in March, and on…
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 before2025-04-10 · 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 observation, interview, and record review the facility failed to ensure care plan interventions were implemented for one of 23 sampled residents (Resident 25). This failure had the potential to result in Resident 25 needs not being met. Findings: During a review of the facility's policy and procedure (P&P) titled, Comprehensive Person Centered Care Plan, dated 3/2025, the P&P indicated, Discipline providing care, treatment or services to the residents are required to review and contribute to the resident's care plan . the comprehensive person centered care plan will address: the services that are to be furnished to attain or maintain the residents highest practicable physical, mental and psychosocial well-being. During a review of Resident 25's admission Record (AR), dated 4/7/25, the AR indicated, Resident 25 was admitted in Long Term Care (LTC) on 2/24/25 with diagnoses including but not limited to, Amyotrophic Lateral Sclerosis (progressive disease that causes muscle weakness and paralysis), quadriplegia ( paralysis that affects all a person's limbs and body from 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 · D2025-04-10 · 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
The facility failed to ensure medication is correctly labelled according to the physician's order and was sent to the pharmacy when medication discrepancy is found for 1 of 3 unsampled residents (Resident 64). This failure had the potential to result in a medication administration error. Findings: During a review of Resident 64's Physician Progress Notes (PPN), dated 4/7/25, the PPN indicated, Resident 64 had a diagnosis of Diabetes (a condition where the body cannot regulate blood sugar properly). Complicated by Retinoplathy (any disease of the retina, the light-sensitive tissue at the back of the eye). During a review of Resident 64's Active Order Profile (AOP), dated 4/4/25, the AOP indicated, Resident 64 is to receive 25 Units (unit of measurement) subcutaneously injection BID. During the medication observation on 4/4/25, at 8:00 a.m. with the Licensed Vocational Nurse (LN 1), LN 1 picked up the bottle of Insulin (a medication that helps to process sugar from food to energy) inside the medication cart, and then read the eMAR (electronic Medication Administration Record). 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 · D2025-04-10 · tag F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
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 patient care equipment in safe operating condition when a residue build up was found inside of the ice machine panels. This failure had the potential for residents to Waterborne diseases (illnesses caused by consuming contaminated water). Findings: During a concurrent observation on 04/08/25 at 11:20 a.m. with the kitchen manager (KM), inspection of the ice machine was done and a pink residue and dark streaks of residue was observed in the panels of the ice machine using the white paper towel. The KM acknowledged and stated that there should be no residue found on panels. During a concurrent observation and interview on 04/08/25 at 02:25 p.m. with the Facility Maintenance Director ([NAME]), [NAME] acknowledged residue and stated that the filter needed to be changed. During a review of the facility's policy and procedure titled, Ice Machine Preventative Maintenance Procedure, undated, the policy and procedure indicated 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 · D2025-04-10 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 a safe, functional, and comfortable environment for 1 out of 23 sampled residents (Resident 36). When an extension cord with six sockets was mounted on the right upper side rail, approximately 12 inches from Resident 36's head while lying in bed. This failure creates an unsafe environment for the resident. Findings: During an observation on 4/7/26 at 10:09 a.m., in room W222-01, Resident was seen lying in bed with a blue extension cord with six sockets mounted on the right upper side rail, approximately 12 inches from Resident 36's head. Four bulky adapter devices were plugged into the extension cord, and the cord's power indicator light was lit, indicating that it was active. During a concurrent observation and interview on 4/7/25 at 11:00 a.m. with Maintenance (MT) in Residents 36's room, MT stated that the blue extension cord is used for medical equipment and not intended for the resident's personal use. MT further stated that no extension cord should be mounted on the side rail, as it poses…
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 before2024-08-29 · 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 one resident (Resident 1) was not exposed to pathogens carried by flies resulting to formation of maggots (the larvae of flies that are typically found in decaying organic matter). Maggots were found in the tracheostomy (an opening in the neck and into the windpipe to help a person breathe) site of the resident . This failure placed Resident 1 at risk for parasitic infection (Myiasis). Findings: During a review of Resident 1 ' s history and Physical (H/P) dated 09/22/21 indicated, an admission date of 09/22/21, with diagnosis that included past medical history (PMH) of coronary artery disease (CAD), Type 2 diabetes mellitus (DMII) and Depression (symptoms that affect how a person feels, thinks, and handles daily activities) who was initially admitted to Surgical Assessment Unit (SAU) Status Post S/P left (Middle Cerebral Artery) (MCA) infarct with resultant expressive Aphasia (Loss of ability to understand or express speech) and Right Hemiplegia (paralysis of the right side of the body after injury to…
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 · D2024-07-23 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide evidence that an allegation of abuse was thoroughly investigated for one of three residents (Resident 1). This failure had the potential for further abuse to occur to residents. Findings: During a review of Resident 1's History and Physical (H&P), dated June 29, 2024, the H&P indicated the following diagnoses: atrial fibrillation (irregular and fast heart rhythm), cancer at base of tongue, metastatic (spreads to other areas) squamous cell carcinoma (cancer that starts on skin surface) to head and neck, palliative care (specialized medical care for people with incurable illness), percutaneous endoscopic gastrostomy tube (a tube to allow a person to get nutrition through the stomach), trismus (mouth remains tightly closed). During a review of Resident 1's Nursing Progress Note (NPN), dated 7/12/24 at 11:00 p.m., the NPN indicated, in part, Patient reported to nurse during rounds that (Resident 1) feels everyone here hates (Resident 1), and (Resident 1) feels (Resident 1) does not deserve to be treated that way, but…
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 before2024-03-07 · 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 sanitary conditions within the food service operation when: 1. A nutrition assistant (NA 1) removed dirty gloves after handling dirty dishes, and put on a new pair of gloves, without washing her hands. 2. The high temperature dish machine manufacturer's guidelines were not followed. 3. Posted manufacturer's guidelines for contact time of food service equipment immersed in the sanitizer solution at the three (3) compartment sink was not followed. Failure to ensure proper hand washing and implementing manufacturer's guidelines for cleaning and sanitizing of the dishes had the potential to place five of 70 residents (Residents 52, 58, 61, 1, and 3) who received food from the kitchen at an increased risk of a foodborne illness. Findings: 1. During a concurrent observation and interview on 03/05/24 at 2:31 p.m. with Nutrition Assistant (NA) 2 in the kitchen, in the presence of the Certified Dietary Manager (CDM), NA 2 was wearing gloves while scraping dirty dishes and to move a large garbage bin closer to…
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 · D2024-03-07 · 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 interview and record review, the facility failed to report to the California Department of Public Health (CDPH) a bruise on the forearm of unknown origin and allegation of abuse for one of one resident (Resident 22).within 2 hours of discovery. This failure had the potential to delay investigation and affect physical and psychosocial well-being of the resident. Findings: On 2/27/24 at 5:30 p.m., CDPH received a facsimile (FAX) letter from Quality Assurance (QA). The letter was to inform CDPH of bruising identified on Resident 22's forearm noted on 2/26/24 at 11:20 p.m. Initial interviews were completed, unable to identify contributing cause to bruising. During a review of Resident 22's Nursing Progress Note, dated 2/26/24, the Nursing Progress Note indicated, . discoloration on her left forearm just below left AC (Antecubital, the space inside the crook of the elbow), . asked her if somebody hit her and she nod yes. During an interview on 3/6/24 at 3:48 p.m. with QA, QA confirmed the mandated report of injury/allegation of abuse was not reported to CDPH within 2 hours of…
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 before2024-03-07 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 one of one sampled resident (Resident 72) had an accurate Minimum Data Set ((MDS) a standardized assessment tool designed to identify potential problems). This failure resulted in Resident 72 not having a care plan ((CP) a tool that outlines the interventions (actions) to be taken to meet the resident's needs) developed for their discharge goal of returning home. Findings: During a review of Resident 72's admission MDS, Section Q, dated 11/14/23, the MDS indicated, neither Resident 72 nor his spouse participated in the assessment and Resident 72's goal was to remain in the facility. During a review of Resident 72's Resident Care Team Meeting, Social Work Review (CTM), dated 11/16/23 at 11:30 a.m., the CTM indicated, Patient is a [AGE] year old, English speaking married male. Patient was transferred from [hospital name] on 11/08/2023 for deconditioning [decreased strength and/or balance] due to sepsis [the body's extreme response to an…
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 12 citations
- Potential for harm · Dcited before2024-03-07 · 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 develop individualized care plans for 2 of 18 sampled residents (Residents 34 and 63): 1. For Resident 34, the facility failed to develop an individualized care plan that reflected specific target weight range with measurable goals and timeframe's, and failed to update and revise the care plan when there were changes to the tube feeding (providing nutrition through a tube to the stomach) order. 2. For Resident 63, the facility failed to develop an individualized care plan for a resident with a urinary catheter. This failure resulted in lack of individualized care plans that reflected specific care and measurable goals which impedes the IDT (interdisciplinary team) from effectively monitoring, evaluating and revising the care plan, as appropriate, to ensure care needs would not go unrecognized and unmet. Findings: 1. During an observation on 3/4/23 at 12:50 p.m. in Resident 34's room, Resident 34's tube feeding pump was observed to be providing Glucerna (formula to provide nutrition and help manage blood sugar)…
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 · D2024-03-07 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
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 one of one sampled resident (Resident 72), had a care plan ((CP) a tool that outlines the interventions (actions) to be taken to meet the resident's needs) developed for their discharge goal of returning home. Findings: During a review of Resident 72's admission MDS, Section Q, dated 11/14/23, the MDS indicated, neither Resident 72 nor his spouse participated in the assessment and Resident 72's goal was to remain in the facility. During a review of Resident 72's Resident Care Team Meeting, Social Work Review (CTM), dated 11/16/23 at 11:30 a.m., the CTM indicated, Patient is a [AGE] year old, English speaking married male. Patient was transferred from [hospital name] on 11/08/2023 for deconditioning [decreased strength and/or balance] due to sepsis [the body's extreme response to an infection], osteomyelitis [inflammation of bone] left hip . The patient is looking forward to returning home . Prior to being admitted he was independent with ADL's…
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 · D2024-03-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 20 sampled residents (Resident 62), had their head of bed (HOB) elevated to 30 degrees or greater per physician order, due to being on a ventilator by a tracheostomy. This failure had the potential to result in respiratory distress. Findings: During a review of Resident 62's MDS (The Minimum Data Set is part of the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes) which indicated, Resident 62 had diagnoses including, limited range of motion, tracheostomy (surgically created hole (stoma) in your windpipe (trachea) that provides an alternative airway for breathing) and connected to a ventilator (breathing machine that helps keep your lungs working). During a concurrent observation and interview on 3/4/24 at 4:14 PM with Licensed Nurse 1 (LN 1), in Resident 62's room, Resident 62 was observed with HOB at approximately 10 degrees. LN 1 stated HOB was less than 30 degrees and should be at 30 degrees. During a concurrent interview and…
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 before2024-03-07 · 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
The facility failed to maintain the infection control program when staff left an unflushed suction catheter (a tube used to clear the airway by removing secretions from the oropharynx with the aid of a rigid suction tip) resulting in secretions dripped on top of the nightstand for one of six residents (Resident 50) with a tracheostomy tube. This failure placed Resident 50 at risk for the spread of healthcare-associated infection. Findings: During a review of the facility's policy and procedure (P&P) titled, Infection Prevention and Control Plan, dated 4/06, the P&P indicated, VI. Prevention Strategies A. The Infection Prevention and Control Program includes prevention strategies, including but not limited to: . 2. Cleaning, disinfection (process to remove microorganisms by liquid chemicals) and sterilization (a process to destroy microorganism with the use of heat, radiation or chemical agent) . 6. Compliance to Infection Prevention and Control Program. During a review of the P&P titled, Use of Closed System Suction Apparatus, dated 6/14, the P&P indicated, Equipment Suction source,…
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 before2023-10-19 · 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 interview and record review, the facility failed to maintain complete and accurate medical records for 1 of 3 sampled residents (Resident 1), who had a treatment consisting of ear irrigation for ear wax removal and the facility did not document the resident's response to treatment. This failure had the potential to result in complications in the resident's care as it was unknown if the outcome was desired or further intervention was required. Findings: During a review of the facility's policy and procedure (P&P) titled, Documentation: Nursing dated 8/20, the P&P indicated, All resident/patient care data collection, treatment and interventions performed, resident/patient responses to treatment, and any other information relating to the resident's/patient's condition are recorded in the EMR. During a review of Resident 1's Physician's Orders dated 8/5/23, the Physician Orders indicated Debrox 6.5% otic (ear drops used to treat earwax buildup. It helps to soften, loosen, and remove the earwax) to be given five drops in both ears, two times a day for five days. Then irrigate…
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 · D2023-09-15 · tag F0835 — failed to run the facility competently — isolatedAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
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 implement their policy and procedure for posting the level of assistance required by one of two sampled residents (Resident 1) in such a way to communicate safe handling by the staff during position changes. This failure had the potential for physical injury to residents and staff. Findings: During a review of the facility's policy and procedure titled, Safe Patient Handling and Mobility, dated December 13, 2017, indicated in part . The level of assist and type of equipment will be posted in such a way to communicate to the patient care team what is required to safely handle the patient. During a review of the Minimum Data Set (MDS - a tool for implementing standardized assessment and for facilitating care management in nursing homes), for Resident 1, dated 3/21/2023, indicated in part . Section G Functional Status Bed mobility . Total dependence . Two person physical assist . During an interview on 9/13/23 at 11:40 AM with the Administrator (ADM), and Nurse Manager (NM), both ADM and NM agreed that the board…
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 · E2023-03-24 · tag F0636 — patternAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 accurately assess and document 13 out of 18 sampled residents' (8, 71, 53, 59, 41, 4, 25, 65, 35, 63, 43, 34, and 48) Minimum Data Set (MDS- assessment tool to assess all residents' functional capabilities and facilitate care management in nursing homes) assessments for Section P (Physical Restraints) when quarter siderails were used and were coded as zero (not used). This facility failure resulted in inaccurate comprehensive assessments for 16 residents with restraints and had the potential for physical harm. Findings: During a review of the facility's policy and procedure (P&P) titled, Assessment Instrument, Resident/Patient, last reviewed 8/20, the P&P indicated, in part . Purpose: to produce a comprehensive, accurate, standardized, reproducible assessment of each resident's/patient's functional capacity .the assessment is done on each resident/patient initially and periodically .The assessment is based on a uniform data set used to describe the resident's/patient's capabilities to perform daily life…
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 before2023-03-24 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 initiate and implement care plans for six out of 18 residents when: 1. Resident 35's care plan for position and mobility was not implemented. 2. Resident 35' has no careplan for the use of the medication Doxycline (an antibiotic/medication used to treat infections). 3. Resident 48's care plan for position and mobility was not implemented. 4. a.) Resident 4's care plan for pressure ulcer was not implemented. b.) Resident 25's care plan for pressure ulcer was not implemented. 5. Resident 48's care plan for refusal of SCDs (sequential compression device- wraps placed around the patient's lower legs in order to decrease the chance of blood clot formation) was not initiated. 6. Resident 8's and Resident 53's care plan for position and mobility was not implemented. These facility failures had the potential for health complications due to developing pressure sores for not documenting resident's position, pressure sore worsening when care plan interventions are not implemented, potential blood clot formation for…
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 before2023-03-24 · 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 maintain safe food storage practices when food was available for use past the facility's use by date (a date determined by the facility to dispose of opened food items). This failure had the potential to result in foodborne illnesses. Findings: During a concurrent observation and interview, on 3/21/03, at 9:34 a.m., with Nutrition Services Product Manager (NSPM), and Quality Manager (QM), in the kitchen, the following opened, partially used food items were found, available for use, past their use by date: 1 bag feta cheese, use by 3/10/23 1 bag parmesan cheese, use by 3/12/23 1 bag swiss cheese, use by 3/13/23 1 bag monterey jack cheese, use by 3/13/23 1 bag corn tortillas, use by 3/17/23 1 jar dijon mustard, use by 3/2/23 1 bag corned beef, use by 11/27/22 1 bag corned beef, use by 10/26/22 1 container of matzo ball, use by 1/1/23 1 bag cabbage, use by 3/9/23 1 container peeled potatoes, use by 3/16/23 1 bottle balsamic vinegar, use by 3/2/23 1 bottle rice vinegar, use by 10/13/22 1 container baking powder,…
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 before2023-03-24 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard 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 observation, interview, and record review, the facility failed to ensure their policy and procedure for restraints use was followed for 14 of 18 sampled residents (Residents 63, 43, 8, 53, 1, 48, 25, 4, 35, 41, 34, 65 and 59) for the use siderails were with incomplete consents and no consent for siderail use on Resident 327. This facility failure placed residents at risk for being restrained with no proper and complete consents. Findings: During a review of the facility's policy and procedure (P&P) titled, Safety And Physical Restraints; Patient/Resident, last reviewed 8/20, the P&P indicated in part . The purpose is to control a patient's/resident's physical activity by seclusion or mechanical devices in order to protect the patient/resident or others from injury .Physical Restraint: Any manual, physical or mechanical device, or equipment attached or adjacent to the resident's/resident's body that the patient/resident cannot remove easily which restricts freedom of movement or normal access to his body .examples of physical restraints include: .bedside rails used to keep 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 · Dcited before2023-03-24 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 Minimum Data Set (MDS-a computerized assessment tool),was correctly coded for one of 18 sampled residents, (Resident 71), when the resident was reported to be taking insulin (hormone to lower glucose [sugar] in the blood) injections with no diagnosis with diabetes (a disease when your body does not make enough insulin) and not taking insulin. This failure resulted in the facility reporting inaccurate data on Resident 71 on medical status. Findings: During a review of Resident 71's health record, the record indicated, Resident 71 is a [AGE] year-old, with an admitting diagnosis of left Hip Nailing (surgery to repair a broken bone and keep it stable) after a fall. During an interview on 03/21/23, at 03:22 p.m., with Resident 71, Resident 71 verbalized, not diagnosed with diabetes and does not take insulin. During a concurrent interview and record review, on 03/22/23, at 11:00 a.m., with MDS Coordinator (MDS 1), Resident 71's…
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 · D2023-03-24 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
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 follow physician orders for two out of 18 sampled residents (Resident 4 and Resident 48) when: 1. Resident 4's Restorative Nursing Assistant (RNA) services were not done five times a week. 2. Resident 4's wound care treatments were not done twice a day. 3. Resident 48's tracheostomy (a hole that surgeons make through the front of the neck and into the windpipe, a tube is placed in the hole so a patient can breathe) care treatments were not getting done once a shift. 4. Resident 48 was not wearing an air boot (device to keep pressure off heels when residents spend time in bed). 5. Resident 48's infusion rate, for the water flush, did not match the physician's order. These facility failures had the potential to not meet Resident 4 and 48's care needs by affecting position and mobility, wound healing, skin integrity, respiratory care, and hydration. Findings: During a review of Potter & [NAME] Fundamental of Nursing, 7th Edition, page 336,…
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
No federal fines in the current CMS record.
Part of a chain
This home belongs to COMMONSPIRIT HEALTH — 18 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 | 5 of 5 | 2.7 | +2.3 vs chain |
| Health inspection | 5 of 5 | 2.6 | +2.4 vs chain |
| Staffing | 4 of 5 | 3.1 | +0.9 vs chain |
| Quality measures | 5 of 5 | 3.7 | +1.3 vs chain |
The other 17 homes this chain runs (chain average 2.7★, 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 |
|---|---|---|---|---|
| DIGNITY HEALTH | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 02/19/1993 |
| COMMONSPIRIT HEALTH | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 100% | since 02/01/2019 |
| PETERSDORF, JOHN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | — | since 02/01/2019 |
| SCHARMANN, STEVEN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | — | since 02/01/2019 |
| CARSWELL, SCOTT | Individual | CORPORATE DIRECTOR | — | since 01/24/2021 |
| MELFI, MITCH | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 01/27/2021 |
| O'QUINN, MARVIN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 01/27/2021 |
| SHIH, ELIZABETH | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 01/27/2021 |
| MORISSETTE, DANIEL | Individual | CORPORATE OFFICER | — | since 02/01/2019 |
CMS files one row per role, so the 15 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
2 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.
What families pay in CA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the California Medicaid page.
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 555223. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-10, 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.