Jerold Phelps Comm Hosp SNF

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show 0.03 therapist hours per resident per day in 2026Q1 — more than 1% 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.

Staffing

How full it usually is: this home is certified for 17 beds and averages 7.9 residents a day — about 46% occupied, or roughly 9 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 7.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.28 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.66 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 7.25 hrs/resident/day on weekends vs 7.94 on weekdays — 9% thinner on weekends. RN hours go from 1.28 to 1.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Dcited before2026-03-23 · tag F0609 — failed to report abuse allegations — isolated
  Timely 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 interviews and records reviews, the facility did not ensure that an allegation of financial abuse was reported within two hours of notification of the abuse to the State Survey Agency (California Department of Public Health (CDPH)) for one resident (Resident 1).This failure decreased the facility's potential to meet the minimum standards of reporting abuse and ensure Resident 1 would be free from further financial abuse.A review of Resident 1's Face Sheet indicated she was admitted to the facility on [DATE] with a diagnosis of Dementia (a progressive state of decline in mental abilities) associated with Parkinson's disease (a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise movements).On 2/23/26 at 4:49 p.m., CDPH received a fax from the facility of a Report of Suspected Dependent Adult/Elder Abuse form (SOC 341). The SOC 341 was dated 2/20/26 and completed by the facility's Director of Nursing (DON), and indicated Resident 1 was an alleged victim 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-09-12 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure a Registered Nurse (RN) worked at least 8 consecutive hours a day, seven days a week for a census of 8 residents. This failure contributed to staffing shortfalls: there were no RNs on duty for 7 days between January 2025 and March 2025, thereby creating the potential that residents would not receive RN-specific care such as assessments and intravenous medication administration. Cross reference F838.Findings: During a concurrent interview and record review on 9/11/25 at 4:10 p.m., the DON (Director of Nursing) reviewed the facility nurse staffing schedules dated, January 2025, February 2025, March 2025 and April 2025. The DON confirmed the facility did not have an RN scheduled to work on the following dates: 1/25/25, 3/1/25, 3/9/25, 3/16/25, 3/23/25, 3/27/25, and 3/30/25. The DON stated an RN who was working at the hospital on those dates was assigned to be a hospital float nurse (an RN who provides various duties including working different units like the Emergency Department or general hospital, assisting 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-09-12 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct 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

  Based on administrative interview and record review, the facility failed to ensure a comprehensive facility-wide assessment (evaluation process assessing the resident population and the resources needed to provide competent care) was updated annually and included a staffing plan that ensured Registered Nurse's (RN) worked 8 consecutive hours per day, seven days a week.This failure contributed to staffing shortfalls: there were no RNs on duty for 7 days between January 2025 and March 2025, thereby creating the potential that residents would not receive RN-specific care such as assessments and intravenous medication administration. Cross reference F727.Findings:During an interview on 9/11/25 at 2:45 p.m., the Director of Nursing (DON) stated she did not have an updated facility assessment and provided a facility assessment tool dated, which was last updated 10/5/23. The DON stated the facility was currently working on updating the facility assessment.During a concurrent interview and record review on 9/11/225 at 4:10 p.m., the DON reviewed the facility nurse staffing schedules dated,…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-12 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure 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 interviews and record reviews, the facility failed to ensure professional standards of practice were conducted for two residents (Resident 3, and Resident 9) of eight sampled residents when insulin orders did not include blood sugar parameters (levels that indicate when blood sugar is considered too high or too low).This failure placed residents at risk for ineffective monitoring of insulin usage and worsening of their Diabetes Mellitus (DM, a disorder characterized by difficulty in blood sugar control and poor wound healing).Findings:During a review of Resident 3's untitled facility document indicated, the resident was a [AGE] year-old female admitted to the facility on [DATE], with a medical diagnosis that included DM.During a review of Resident 3's physician order report dated 5/28/25 indicated, Insulin glargine (a long-acting type of insulin used to manage blood sugar levels in people with diabetes) pen (a prefilled injection device containing insulin) 100 units/milliliter (specifies 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-12 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure 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 interview and record review, the facility failed to ensure Medication Review (MRR) policy and procedures were developed and maintained for scheduled medication reviews and oversight of medication administration.This failure put residents at risk for ineffective monitoring of medications and side effects that could go undetected by licensed staff and delay for the physician to act upon irregularities.Findings:During an interview on 9/11/25 at 11:15 a.m., the facility Pharmacist J (PharmD J) stated he had monthly MRR reviews for each of the residents and reported to the physician and Director of Nursing (DON). PharmD J stated during his MRR reviews he expected a response to any of his recommendations from a physician right away or within 48 hours.Pharm D J stated standard of practice for insulin administration included parameters and blood sugar checks in the orders. Pharm D J stated parameters should be ordered for residents depending on the type of insulin administered. Pharm D J also verified he did not review the residents that received insulin and if parameters were…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-12 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 upon observation, interview, and record review, the facility failed to ensure insulin pens stored in the medication cart were dated with an opened date for three residents (Resident 3, Resident 4, and Resident 8) of a sample of eight residents.This failure increased the facility's potential to administer expired medication and decrease the resident's opportunity to benefit from the full effect of the medication.Findings:During an observation of the Medication Cart and concurrent interview with Licensed Staff K (LSK) on [DATE], at 11:30 a.m., Insulin Pens (Insulin pens are convenient and discreet devices used to administer insulin for managing type 2 diabetes) did not have open dates for three residents. Resident 1's Lantus insulin pen was labeled with a beyond-use-date of [DATE]; Resident 2's Lantus insulin pen was labeled with a beyond-use-date of [DATE]; and, Resident 3 Humalog Kwik pen was labeled with a beyond-use-date of [DATE]. During a concurrent interview, (LS K) verified the insulin pens did 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility's two consulting Registered Dietitians (RD A and RD B) did not provide nutritional assessments and reassessments, per policy and procedure, for one resident (Resident 6) of eight sampled residents and the facility did not have documentation of an admission nutrition Nursing Care Plan (a document that contains essential information about a patient's condition, diagnosis, goals, interventions, and outcomes) for Resident 6. These deficiencies caused Resident 6 to receive his first post-admission RD nutritional assessment almost two months later which potentially delayed the timely implementation of nutritional interventions designed to assist Resident 6 in attaining his highest practicable physical, mental, and psychosocial well-being.Findings:A review of Resident 6's hospital document titled, Initial Nutritional Assessment, dated 7/30/24 indicated the Registered Dietician A (RD A) had documented, . Low appetite reported. Intake: (less than) 25% .…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-17 · tag F0607 — failed to have anti-abuse policies — widespread
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure their policy regarding resident abuse indicated the person responsible for investigating abuse allegations was to submit allegations of resident abuse within 2 hours of being made aware and submit an investigation summary within 5 business days to the California Department of Public Health (CDPH). These failures decreased the facility's potential to protect a census of 8 residents from abuse and take appropriate corrective action. Findings: A review of the facility ' s policy and procedure (P&P) titled Abuse and Neglect Investigation printed on 4/17/25 was conducted on 4/28/25. Upon review, the P&P did not indicate the facility was to report allegations of resident abuse within 2 hours of the facility ' s awareness to CDPH nor did it indicate a summary of the investigation was to be submitted to CDPH within 5 business days. On 4/28/25 at 10:13 a.m., the CDPH Surveyor requested a copy of the facility ' s P&Ps regarding reporting allegations of abuse to CDPH. The documents were received by CDPH on 4/28/25 at 3:39 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor 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 interview and record review, the facility failed to ensure one resident (Resident 1) of three sampled residents was treated with respect and dignity when Certified Nursing Assistant A (CNA A) shaved Resident 1's pubic hair without Resident 1's consent. This failure had the potential to cause risks like cuts, infections, and skin irritations to Resident 1. Findings: A review of Resident 1's Minimum Data Set (MDS- is a standardized assessment tool that measures health status in nursing home residents) dated 1/26/25, indicated Resident 1: -had a Brief Interview for Mental Status (BIMS- an assessment tool used by facilities to screen and identify memory, orientation, and judgement status of the resident) score was 5 which indicated he had severe cognitive (the mental process involved in knowing, learning, and understanding things) impairment; - was dependent on staff for toileting hygiene; - has dementia (a progressive state of decline in mental abilities), Parkinson's disease (a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-17 · tag F0609 — failed to report abuse allegations — isolated
  Timely 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 interviews and record reviews, the facility failed to ensure: 1. An allegation of abuse was reported to the California Department of Public Health (CDPH) within 2 hours of awareness of the allegation for one resident (Resident 1) of three sampled residents when Certified Nursing Assistant D (CNA D) and Licensed Nurse E (LN E) did not report when CNA A shaved Resident 1 ' s pubic hair without medical reason and without consent; and, 2. The facility submitted the investigation summary within 5 business days to CDPH. These failures decreased the facility's potential to protect Resident 1 and other residents from abuse and take appropriate corrective action. Cross reference F607. Findings: 1. A review of Resident 1's Minimum Dats Set (MDS- is a standardized assessment tool that measures health status in nursing home residents) dated 1/26/25, indicated Resident 1: -had a Brief Interview for Mental Status (BIMS- an assessment tool used by facilities to screen and identify memory, orientation, and judgement status of the resident) score was 5 which indicated he had severe…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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