The Reutlinger Community
4000 Camino Tassajara, Danville, CA 94506 · Non profit - Corporation · 60 certified beds · (925) 648-2800 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — 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)
- 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
- a high number of inspection citations overall (21) — 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 | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 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 | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 held steady at 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 | 26.0% | 10.2% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.8% | 4.0% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.3% | 0.8% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.5% | 1.2% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.9% | 7.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 7.3% | 1.6% | 3.3% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents whose ability to walk worsened | 13.5% | 9.8% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 18.6% | 13.7% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 96.7% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.4% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 8.4% | 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 | 11.5% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.3% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 90.8% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 29.3% | 23.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 12.9% | 11.2% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.83 | 2.25 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.87 | 1.57 | 1.80 | better |
‡ 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.
57.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 298 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 43.3% 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 178 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
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 | 57.9%CMS range 54.0–62.7 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.1%CMS range 9.1–15.2 | 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 | 43.3% | 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 | 50.0% | 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 | 38.8% | 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 | 31.4% | 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 | 98.1% | 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 | 2.4% | 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 | 1.4% | 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 | 5.3%CMS range 3.1–10.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.77 | 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 60 beds and averages 45.5 residents a day — about 76% occupied, or roughly 14 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 4.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.80 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 4.07 hrs/resident/day on weekends vs 5.14 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.30 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 55% 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 more than at the previous inspection — worsening. 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.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · D2026-06-01 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 provide one of four sampled Residents (Resident 1) adequate notice of Medicare Non-Coverage. This failure had the potential to negatively impact Resident 1's right to an appeal process.During record review of Resident 1's admission record, printed on 5/21/26, Resident 1 was admitted on [DATE].During record review of Resident 1's Minimum Data Set (MDS, an assessment tool used to guide care), dated 4/14/26, indicated Resident 1's Brief Interview for Mental Status (BIMS, an assessment tool used to assess mental status) score was 15 out of 15, which indicated Resident 1's cognition was intact. During record review of Resident 1's Notice of Medicare Non-Coverage (NOMNC), dated 4/11/2026, Resident 1's name was incorrectly spelled and indicated, Medicare Coverage of your current skilled nursing services will end on 4/13/2026. The NOMNC indicated Refused to sign on the 'signature of patient or representative' line and under that line was 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 before2026-06-01 · 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 one of four sampled Residents (Resident 1) had complete and accurate documentation recorded in the electronic health record regarding the Notice of Medicare Non-Coverage (NOMNC) document. This failure had the potential to negatively impact Resident 1's right to an appeal process. During record review of Resident 1's admission record, printed on 5/21/26, Resident 1 was admitted on [DATE].During record review of Resident 1's Minimum Data Set (MDS, an assessment tool used to guide care) dated 4/14/26, indicated Resident 1's Brief Interview for Mental Status (BIMS, an assessment tool used to assess mental status) score was 15 out of 15, and indicated Resident 1's cognition was intact.During record review of Resident 1's Notice of Medicare Non-Coverage (NOMNC) dated 4/11/2026, Resident 1's name was incorrectly spelled and indicated Medicare Coverage of your current skilled nursing services will end on 4/13/2026. The 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 · D2026-04-02 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to report an injury of unknown origin for one of three sampled Residents (Resident 1) in a timely manner when Resident 1's left middle fingernail came off on 3/6/26, and no staff knew what had caused it. This failure placed Resident 1 at risk of continued injury, as the lack of timely reporting could delay the investigation and the implementation of necessary protective measures. A review of Resident 1's Face Sheet (FS, a summary document in a resident's medical record that contains key identifying and administrative information), printed on 4/2/26, indicated Resident 1 was admitted to the facility on [DATE]. A review of Resident 1's Progress Notes (PN), subtitled admission History and Physical (H&P), dated 3/26/26, indicated Resident 1 to have diagnoses of Stroke (blood flow to part of the brain stops and causes problems with movement, speaking, or thinking) with left side hemiplegia (paralysis of the arm, leg, and trunk on one side of 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 · D2026-01-13 · 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 care plan for Resident 1 to assess and maintain psychosocial well-being.This failure had the potential to negatively impact Resident's safety, psychosocial well-being and quality of life. During a record review of admission record, printed on 1/13/26, Resident 1 was admitted on [DATE].During a record review of Resident 1's Minimum Data Set (MDS, an assessment used to guide care), dated 9/23/25, the MDS indicated Resident 1's Brief Interview for Mental Status (BIMS, an assessment used to assess mental status) score was 3 out of 15, which indicated Resident 1's cognition was severely impaired.During an interview on 1/13/26, at 1:02 p.m., Director of Nursing (DON) stated there was no care plan initiated after verbal abuse was observed by Resident 1's Family Representative (FR) 1 on 10/04/2025. DON stated because abuse was not committed by staff or another Resident, a care plan was not…
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 · D2025-02-12 · tag F0838 — failed to assess facility resources and resident needs — isolatedConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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 follow the Facility Assessment Tool (a document with facility-wide assessment to determine what resources are necessary to care for its residents competently during day-to-day operations), prior to accepting one of three sampled residents (Resident 1) at the facility. Facility did not ensure a Registered Nurse (RN) was available to care for Resident 1, who required continuous Antibiotic Intravenous Therapy (IV ATB- administration of antibiotic medications directly into the bloodstream through a vein to treat infection) for a period of three weeks. This failure resulted in Resident 1 to experience discomfort, frustration; an unplanned, and an avoidable discharge back to the hospital after three (3) days of being at the facility. Findings: During a review of Resident 1 ' s admission Record (a document with resident ' s basic personal information) printed on 2/12/25, the record indicated Resident 1 was admitted to the facility on [DATE] and discharged 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 · F2024-11-21 · tag F0726 — failed to have competent, trained nursing staff — widespreadEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to complete annual performance review and maintain competency/skills records for 17 of 17 sampled Licensed Nurses (LN's). A licensed nurse is a healthcare professional who has met requirements by state board of nursing to practice nursing skills within defined scope. This failure placed residents residing at the facility at risk to receive care from incompetent LN's. Findings: During a concurrent interview and record review with Director of Staff Development (DSD) on 11/20/24, at 12:17 p.m., an untitled, undated facility's document with facility's active employee names, date of hire, job title, employee ID was reviewed. The document indicated facility had 17 LN's including: nine (9) active Licensed Vocational Nurses (LVNs) and eight (8) active Registered Nurses (RNs). The DSD then provided a binder containing wound competency checklist completed for all LNs on 7/11/24. The DSD stated she was able to locate LN's competency checks completed for skin and wound care only. During a review of facility's undated document titled…
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 · E2024-11-21 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 Drug Regimen Reviews (DRR- review of all medications the residents were using in order to optimize therapy, identify any potential drug reactions, ineffective drug therapy or duplicate drug therapy) by the Consultant Pharmacist (CP, a pharmacist with specialized training to review safety aspects of medication use) were acted upon on a monthly basis for two of four sampled residents (Residents 4 and Resident 34). This failure had the potential to result in not addressing medication safety irregularities in a timely manner and/or help optimize the drug therapy for Resident 4 and Resident 34. Findings: During a review of the facility's document titled, Drug Regimen Review (DRR) binder, the DRR binder did not include the CP's monthly recommendations for June through October 2024. During an interview on 11/21/24, at 8:09 a.m., with the Director of Nursing (DON), the DON stated she did not have the DRR for the months of June through October 2024 because she did not receive them from the CP. During a phone…
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 before2024-11-21 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
Based on observation, interview, and record review, the facility failed to properly store drugs for one out of 12 sampled Residents (Resident 18). These failures had the potential for Resident 18 to take expired, less effective and discontinued medication. Findings: During a review of Resident 18's admission Record, printed 11/20/24, indicated, Resident 18 was admitted to the facility in 2024 with multiple diagnosis which included, Pneumonitis (swelling and irritation of lung tissue) due to inhalation of food and vomit, and Type 2 diabetes mellitus (a long-term disease in which the body cannot regulate the amount of sugar in the blood) with diabetic chronic kidney disease (when diabetes damages the kidneys, causing them to filter waste less effectively). During a concurrent observation and interview on 11/19/24, at 12:23 p.m., with Registered Nurse (RN) 2, Medication Cart A was observed. The medication cart had Residents 18's Lantus (a long-acting insulin that helps control blood sugar levels in people with diabetes 100 unit/ml (milliliter) inject 25 units Sub-Q (subcutaneous -…
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 · E2024-11-21 · tag F0790 — failed to provide dental care — patternProvide routine and 24-hour emergency dental care for each 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 observation, interview and record review, the facility failed to intervene for one of the sampled residents (Resident 34), when his dentures were not fitting properly for over a month. This failure resulted in Resident 34 feeling frustrated, awful, and placed him at risk for unintended weight loss. Findings: During a review of Resident 34's admission Record (a document used to communicate basic information about a resident) printed on 11/20/24, the record indicated Resident 34 was admitted to the facility on [DATE] and was readmitted on [DATE]. A review of Resident 34's Minimum Data Set (MDS, an assessment used to plan care), dated 11/8/24, indicated, Resident 34 was able to understand others and was able to make himself understood. During a review of Resident 34's Order summary report, dated 3/30/24, the order indicated to perform dental exam and treatment as indicated. A review of Resident 34's Nutrition/Hydration care plan, revised on 11/8/24, indicated Resident 34 was at high risk 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 · E2024-11-21 · tag F0808 — failed to follow doctor-ordered diets — patternEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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 therapeutic diet ordered by the physician were followed for two of four sampled residents (Resident 7 and Resident 35) during a dining observation when: 1. Resident 35, who was on mechanical soft diet (a texture-modified diet that consists of foods that are easy to chew and swallow) with ground meats received a piece of meat, not in bite size as indicated on the meal ticket. 2. Resident 7, who was on a mechanical soft diet received a regular texture of snap peas vegetable. This failure had the potential for Resident 7 and Resident 35 to choke and/or aspirate (inhalation of a foreign object into the airway or lungs). Findings: 1. During a review of Resident 35's admission Record (AR) (a document used to communicate basic information about a resident), dated 11/18/24, AR indicated Resident 35 was admitted to the facility on [DATE]. During a concurrent observation and interview in Resident 35's room on 11/18/24, at 12:07 p.m.,…
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 · Ecited before2024-11-21 · 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 food was stored and prepared under sanitary conditions when: 1. Freezer had plant-based patties that were soft to touch and had beyond use date. 2. A tabletop can opener had brownish matter. 3. There was black matter on the ice sweep part of the residents' ice machine. These failures had potential to put residents at risk for food borne illness and cross-contamination (transfer of bacteria or other microorganisms from one substance to another) that could result in infection or spread of infection. Findings: 1. During a concurrent observation and interview on 11/18/24, at 9:39 a.m., with the Director of Dietary Services (DDS), the kitchen freezer had a bag of plant-based patties in a box that were soft to touch and had a label that indicated, Defrosting Food and Use by date: 11/2/24 at 8:11 a.m. The DDS touched the plant-based patties and stated they were completely defrosted. 2. During a concurrent observation and interview on 11/18/24, at 9:59 a.m., with the DDS, the tabletop can opener stored in 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 · D2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 7) was treated with respect and dignity when Resident 7 was not promptly assisted during lunch on 11/18/24. This failure had the potential to affect Resident 7's psychosocial well-being and nutritional needs. Findings: During a record review of Resident 7's admission Record (AR), printed on 11/21/24, the AR indicated Resident 7 was admitted to the facility in October 2024 with multiple diagnoses that included sepsis (life-threatening complication of infection) and metabolic encephalopathy (damage or disease that affects the brain). During a record review of Resident 7's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 10/29/24, Resident 7's Brief Interview for Mental Status (BIMS, a scoring system used to determine the resident's cognitive status in regard to attention, orientation, and ability to register and recall information) was 3 out of 15, which 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 · D2024-10-17 · 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
Based on observation, interview and record review, the facility failed to ensure completion of a physician ' s order of stat (immediate) lab draw for one of the residents (Resident 1) for eight hours. This failure resulted in Resident 1 having a delay in the completion of a physician ' s order of stat blood draw which potentially impacted Resident 1 ' s treatment and well-being. Findings: During a record review of Resident 1 ' s face sheet, undated, Resident 1 was admitted in November 2022 with diagnoses of essential hypertension (high blood pressure without identifiable cause). During a record review of Progress Notes written on 11/16/22 at 1715 (5:15 p.m.), the note indicated a physician telephone order at 3:00 p.m. for stat blood draw for complete blood count (CBC-measures number and size of different cells in the blood), basic metabolic panel (BMP-measures glucose, calcium, sodium, potassium, carbon dioxide and chloride levels in the blood and kidney functioning), urinalysis (UA-detects urinary tract infections, kidney disease and diabetes) and culture & sensitivity (C&S-detects…
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 before2024-10-17 · 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 observation, interview and record review, the facility failed to provide accurate patient records when one resident (Resident 1) was transferred to a hospital. This failure resulted in Resident 1 not having the correct records at the hospital which potentially delayed identification and treatment. Findings: During a record review of Resident 1 ' s face sheet, undated, Resident 1 was admitted in August 2024 with diagnoses of urinary tract infection (UTI - an infection in the bladder/urinary tract) and unspecified atrial fibrillation (irregular, often heart rate that commonly causes poor blood flow). During a record review of Progress Notes: Health Status Note written on 8/17/24 at 1509 (3:09 p.m.), the note indicated Resident 1 was transported to the hospital at 12:30 p.m. for further evaluation as Resident 1 tested positive for Covid. Per the note, Resident 1 was lethargic (drowsy, not alert), had poor oral intake, and low blood pressure. During an interview on 9/10/24, at 10:29 a.m., with Unit Manager (UM), UM stated when Resident 1 was transferred to the hospital, 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 before2024-10-17 · 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 interview and record review, the facility failed to notify one resident ' s (Resident 1) emergency contact family member of a Covid outbreak at the facility. This failure resulted in Resident 1 ' s family member not receiving Covid exposure status of Resident 1. Resident 1 subsequently tested Covid positive and was hospitalized . Findings: During a record review of Resident 1 ' s face sheet, undated, Resident 1 was admitted in August 2024 with diagnoses of urinary tract infection (UTI - an infection in the bladder/urinary tract) and unspecified atrial fibrillation (irregular, often heart rate that commonly causes poor blood flow). During an interview on 9/6/24, at 9:52 a.m., with Infection Preventionist (IP), IP stated when a resident tested Covid positive, notifications were made to family members listed on the face sheet. Per IP, Administrator (ADM) would send mass email notifications to residents ' family members. During a record review of the facility ' s Covid status tracking sheet, the Covid status tracking sheet indicated a Covid outbreak on 8/11/24. Resident 1…
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 before2022-11-17 · 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 safe food storage and preparation when: 1. Frozen fish products were stored on the same level as frozen poultry products. 2. Staff did not perform hand hygiene when switching between tasks. 3. Personal items were stored in the dried food storage area. These failures placed residents at risk for food borne illness. Findings: 1. During a concurrent observation and interview on 11/14/22, at 12:05 p.m., with [NAME] 1 (CK 1), two boxes of frozen tilapia, one box of frozen salmon and a tub of frozen turkeys in original packaging were observed on the same shelf on a rack in a refrigerator. CK 1 stated that the boxes of frozen fish were not stored properly and should be on a higher level than the thawing turkeys. CK 1 moved the boxes of frozen fish products to the shelf with other frozen fish above the turkeys. During an interview on 11/16/22, at 2:15 p.m., with Registered Dietitian (RD), RD stated cooks were responsible for proper thawing and separation of meats and other frozen food products from each other.…
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 before2022-11-17 · 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, for two of two sampled residents (Resident 22 and Resident 7), the facility failed to implement infection prevention and control practices when: 1. Licensed Vocational Nurse 2 (LVN 2) did not wear gloves prior to Resident 22's eye drop administration to both eyes. 2. LVN 1 did not perform hand hygiene and glove changes on two occasions; did not set up a clean area for the treatment supplies; did not sanitize reusable scissors after use; and did not dispose and/or sanitize contaminated supplies after performing Resident 7's wound care to top of head, right heel, and left heel. These failures created a risk for cross-contamination (transfer of bacteria or other microorganisms from one substance to another) that could result in infection or spread of infection. Findings: 1. A review of Resident 22's admission Record, dated 4/28/22, indicated Resident 22 was admitted to the facility in 2021 with diagnosis of Glaucoma (a group of eye conditions that causes blindness). A review of Resident 22's Physician Order with a start date 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 · Ecited before2019-05-09 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
Based on observation, interview, and record review, the facility stored 37 of 37 vials of various vaccines in an unlocked refrigerator with no method of monitoring temperature control, comingled with staff food items, and in a shared office with the social worker (SW) who was not a nurse, and was not licensed to have access to vaccines. These failures had the potential for the medications to become ineffective, contaminated, or diverted for unauthorized use. Findings: During an observation in the shared office of the social worker (SW) and the Director of Staff Development (DSD) on 5/9/19 at 8:46 a.m., a mini-refrigerator contained the following vaccines: two boxes of influenza (flu) vaccine [Fifteen vials of 0.5 ml (milliliter)]; one tuberculin vial [5 tu(tuberculin unit)/0.1ml]; five vials of hepatitis b vaccines, and one vial of pneumococcal 13-valent conjugate vaccine. During an observation and concurrent interview with the Director of Nursing (DON) in the shared office of SW and DSD, on 5/9/19 at 9 a.m., DON stated the mini-refrigerator was used by the social worker to store…
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 before2019-05-09 · 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 follow food service safety measures by: 1. Cooking staff did not wash hands between glove changes during tray line service. 2. Ice machine filters had layers of gray particulate matter. 3. The nursing station ice machine drip tray had layers of foreign substances. These failures placed residents at risk to acquire food borne illness and infection. Findings: 1. During an observation in the kitchen on 5/8/19 at 11:30 a.m., [NAME] (CK) 1, a member of the kitchen tray line staff, wore gloves on both hands while he scooped food onto each resident plate. During tray line service, CK 1 removed his gloves, used the gloves to wipe his hands and forearms, then donned new gloves without performing hand hygiene. During an interview on 5/8/19 at 12:30 p.m., the Director of Dining Services (DDS) stated kitchen staff were required to wash their hands after removing gloves and before donning new gloves. During an interview with Infection Control Nurse (ICN) on 5/9/19 at 9:59 a.m., ICN stated it was possible for a tray line…
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 · D2019-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, for one (Resident 5) of four residents with pressure ulcers (A pressure ulcer develops when one or more layers of skin and tissue are damaged as a result of continuous pressure to the area.), the facility failed to follow Resident 5's care plan to turn and reposition to avoid further breakdown of Resident 5's Stage II pressure injury. This failure had the potential for Resident 5's Stage II pressure ulcers to worsen. Findings: Review of Resident 5's medical record indicated that Resident 5 had a Stage II pressure injury located on his right buttock. During an interview on 5/7/19, at 1:25 p.m., Responsible Party (RP) 1 stated that nursing staff did not position Resident 5 correctly and it was not right that Resident 5 was positioned on his back, which was on top of the pressure ulcer. During an observation and concurrent interview on 5/8/19, at 8:25 a.m., Resident 5 was observed in the supine position in his bed. Resident 5's daughter stated that Resident 5 was in the supine position when she had arrived around 8 a.m. Certified Nurse…
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.
- No harm found · B2019-05-09 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, nursing staff did not have readily accessible information for the treatment decisions documented in the Physician Order for Life-Sustaining Treatment (POLST, an approach to end-of-life planning where patients choose what treatments they do or do not want and their wishes are documented as physician orders) for one (Resident 201) of six sampled residents with POLST orders. For Resident 201, the failure to include her POLST in her medical record had the potential to result in provision of unwanted resuscitation (treatment to restore breathing and/or circulation) if her breathing and heart were to cease functioning. Findings: A review of Resident 201's admission Record indicated the facility admitted Resident 201 on 4/24/19, with an included diagnosis of fracture of the thoracic vertebra (broken spine). During an interview with Licensed Vocational Nurse (LVN) 2 and concurrent review of Resident 201's clinical record on 5/7/19 at 9:52 a.m., LVN 2 stated Resident 201's clinical record did not have a POLST. LVN 2 stated she would provide resuscitation…
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.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ESKATON | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 04/21/2020 |
| BAIK, GINNA | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 01/01/2024 |
| HEFFERNAN, NANCY | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 08/15/2021 |
| HEWITT, MAUREEN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 08/15/2021 |
| LINDEMAN, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 04/21/2020 |
| MUNOZ, MARY | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 01/01/2025 |
| PEIFER, SHERI | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/21/2020 |
| ROSE, JORDAN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 04/21/2020 |
| SHELDON, MARIANN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 08/15/2021 |
| UNNAVA, HANUMANTHA | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 01/01/2024 |
| YOTOPOULOS, AMY | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 04/21/2020 |
| GARBERSON, THOMAS | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/01/2023 |
| JENKINS, MARK | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/21/2020 |
| ESKATON PROPERTIES INCORPORATED | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/21/2020 |
| HANSEN HUNTER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/25/2021 |
| KALLIO, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/21/2021 |
| KAZEMI, MUSTAFA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/15/2019 |
| SAROYA, HARMANDEEP | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/31/2025 |
| MOSS ADAMS LLP | Organization | ADP OF THE SNF | — | since 01/01/2011 |
| SOUTH PACIFIC REHABILITATION SERVICES, INC | Organization | ADP OF THE SNF | — | since 09/05/2024 |
CMS files one row per role, so the 41 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.
5 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 $459K 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
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 055534. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-21, 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.