Merced Behavioral Center

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.

Staffing

How full it usually is: this home is certified for 96 beds and averages 93.7 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below 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 3.01 hrs/resident/day on weekends vs 4.03 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.46 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 18% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · G2023-06-05 · 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 failed to follow the policy and procedure (P&P) titled, Weight Assessment and Intervention, to ensure residents with significant unplanned weight changes had updated care plan interventions and that those interventions were carried out and monitored for their effectiveness to avoid further weight changes for one of five sampled residents (Resident 73). This failure resulted in significant, unplanned weight changes for Resident 73 and had the potential to result in malnutrition (lack of proper nutrition, caused by not having enough to eat, not eating enough of the right things, or being unable to use the food that one does eat). Findings: During a review of Resident 73's medical record, undated, the medical record indicated, Resident 73 was admitted on [DATE] with diagnoses of schizophrenia (mental disorder that affects a person's ability to think, feel, and behave clearly) and anxiety (mental disorder that causes worry and fear about everyday…

  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 · F2023-06-05 · tag F0657 — failed to keep the care plan current — widespread
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 care plans were created and/or revised for four of 37 sampled residents (Resident 49, 296, 58 and 73), when: 1. Resident 49 and Resident 296 had a change of condition (a change in a person's health or functioning), and their care plans did not reflect the care the residents were currently receiving. 2. Resident 73 lost 20 pounds in 6 months and his care plan for weight loss did not provide current interventions to help the resident maintain his weight. 3. Resident 58 gained unplanned 10 pounds for one month. Interdisciplinary Team (IDT-a group of health care professionals from different fields who work toward a common goal for the resident) did not develop an individualized care plan and implement effective interventions. These failures had the potential for residents to not receive the care required to meet their needs. Findings: 1. During a review of Resident 49's admission Record (AR), dated 10/17/22, the AR indicated, Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-06-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure 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 and sanitary food preparation and storage practices for 93 of 93 residents who receive food from the kitchen when: 1. Ice machine was not kept in sanitary condition and put residents at risk for foodborne illness (stomach illness acquired from ingesting contaminated food). 2. The can opener in the kitchen was not kept in sanitary condition which could transfer to residents' foods. Dietary staff did not clean the can opener after use. This had the potential to cause foodborne illness and cross contamination. 3. The walk-in refrigerator had rusting storage shelves and had the potential to harbor bacterial growth. 4. Worn out green cutting board. 5. Hood filter above stove covered with grease and dust. 6. Dust: silver storage shelves stored clean kitchen ware in the dish washing area, light bulb grid in the walk-in refrigerator, steam table stainless storage shelves storage clean kitchen ware covered with dust. Vent above steam table, light above steam table. 7. Floor: walk in refrigerator under…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-06-05 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  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 observations, interviews, and record reviews the facility failed to ensure that dietary staff safely and effectively carried out the functions of food and nutrition services for 93 out of 93 sampled residents when: 1. [NAME] 1, [NAME] 2 and Dietary Supervisor (DSS) did not know they need to do cool down process (is an essential process used in food production to prevent foodborne illness. Bacteria grow best in food in the temperature range 135°F to 41°F, also referred to as the temperature danger zone. Cooked Foods not served immediately must be cooled quickly to minimize bacterial growth. If cooked foods left for improper cool down process, cooked foods can become unsafe to eat in a matter of hours) for cooked bean. (Cross referred 812) 2. Dietary Aide 1 did not follow manufacturer guideline time length to submerse kitchen ware into [NAME] (sanitizer) in the sanitizing sink. 3. [NAME] 1 did not follow manufacturer instructions time length to test the concentration of the [NAME] in the sanitizing sink.…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-06-05 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 its policy and procedure (P&P) titled, Pest Control, when the facility did not maintain an environment free of pests. This failure had the potential to result in illness related to cross contamination of food. Findings: During an observation on 5/30/23, at 3:16 p.m., a fly was noted flying above the steam table. During an observation on 5/30/23, at 3:17 p.m., a fly was noted flying near the two-compartment sink. Dietary Supervisor (DSS) saw the fly, attempted to swat it with her hand. During an observation on 5/30/23, at 3:23 p.m., there was a fruit fly inside a box of moldy cucumbers on the counter near the two-compartment sink. During a concurrent observation and interview on 5/31/23, at 9:40 a.m., a house fly landed on the prepared cups of ice water. DSS stated, she killed the fly from yesterday. During an observation on 5/31/23, at 10:28 a.m., a house fly landed on the steam table (table that uses steam to provide consistent heat that surrounds food pans, used to hold prepared foods at safe…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-05 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to honor a food request for one of one sampled residents (Resident 59), when a Licensed Vocational Nurse (LVN) denied his verbal request for a biscuit and did not offer him an alternative item. This failure resulted in Resident 59's individual preference or choice being devalued (reduce or underestimate the worth of importance of) and not being treated with honor or respect. Findings: During an observation on 5/30/23, at 12:10 p.m., in the resident dining room, Resident 59 asked licensed vocational nurse (LVN) 2 if he could have a biscuit instead of two pieces of toast on his plate. Three other residents at his table had biscuits. Resident 59 went and sat back down and five minutes later got up to ask again. Resident 59 was not given the biscuit and did not receive an alternative. During an interview on 5/30/23, at 12:16 p.m., with LVN 2, LVN 2 stated, if Resident 59 would like an alternative then he needed to finish his current meal first…

  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 · D2023-06-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to inventory personal property for one of one sampled residents (Resident 14) when Resident 14's hand-held radio was not inventoried (item entered in to a list). This failure resulted in Resident 14's property being lost or stolen and the facility not replacing it. Findings: During a concurrent observation and interview on 5/30/23, at 9:46 a.m., with Resident 14, in Resident 14's room, a small black hand-held radio was seen on his nightstand next to his bed. Resident 14 stated, he had a box sized radio missing a year or so ago and was not replaced. Resident 14 stated, it was a boom box. Resident 14 stated, the small radio on the nightstand was a different radio and his other boom box size radio was never replaced. During a review of Resident 14's Minimum Data Set (MDS- a resident assessment tool used to identify resident cognitive and physical function) assessment dated [DATE], Resident 14's MDS assessment indicated Resident 14's Brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-05 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 allow residents to submit grievances (complaints) anonymously (not being named or identified) for one of four sampled residents (Resident 60) when the grievance box was inaccessible (not able to be accessed) for residents to submit grievances anonymously. This failure resulted in Resident 60 not being able to voice concerns without discrimination, or fear of reprisal (retaliation). Findings: During an interview on 5/31/23, at 11:38 p.m., with Resident 60, the Resident 60 stated, handing the grievance form to a staff member to place in the grievance box would no longer make him anonymous. Resident 60 stated, I want to stay anonymous, so that I feel safe. Resident 60 stated, if staff knew it was him making the complaint, he would be embarrassed and get upset. During a review of Resident 60's Minimum Data Set (MDS - a resident assessment tool used to identify resident cognitive and physical function) assessment dated [DATE], Resident 60's MDS…

  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 before2023-06-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the Minimum Data Set (MDS- assessment of healthcare and functional needs) assessment accurately reflected the resident's status for one of five sampled residents (Resident 3) when Resident 3 had an open skin wound and was coded with intact skin in the MDS assessment. This failure resulted in an inaccurate assessment of Resident 3's skin condition and had the potential for Resident 3's needs to go unmet. Findings: During a review of Resident 3's face sheet titled admission Record, undated, the face sheet indicated, resident 3 was admitted to the facility on [DATE], with diagnoses which included schizophrenia (a serious mental disorder in which people interpret reality abnormally) and anxiety disorder (a mental disorder in which people have persistent and excessive worry that interferes with daily activities). During a review of Resident 3's MDS assessment, dated 5/15/23, the MDS assessment indicated Resident 3's Brief Interview 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-06-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 it was free of accident hazards when they did not use a wet floor sign to identify a hallway floor that was wet from mopping. This failure had the potential to result in residents, staff, and visitors slipping on the wet floor and sustaining a fall or injury. Findings: During a concurrent observation and interview on 6/1/23, at 3:10 p.m., with the Infection Preventionist (IP), in the Program Building hallway, wet floor was noted with no sign to indicate that the floor was wet. IP stated, there was no sign to indicate that the floor was wet. IP stated, housekeeping would come to mop after the residents have had their snacks. IP stated, She [housekeeper] knows better than to leave it [floor] wet like that without putting up a wet floor sign. During an interview on 6/2/23, at 2:09 p.m., with the Housekeeping Manager (HKM), HKM stated, housekeepers are supposed to have the wet floor sign up before they start mopping. They were only supposed to mop half of the hallway at a time because residents and staff…

  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 · D2023-06-05 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  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 a performance evaluation of a nurse aide at least every 12 months for one of two sampled Certified Nurse Assistant (CNA 7), when CNA 7 did not have a performance evaluation review. This failure had the potential to result in residents to not receive the appropriate care and services performed by CNA 7. Findings: During a concurrent interview and record review on 6/5/23, at 10:42 a.m., with the Director of Staff Development (DSD), CNA 7's Employee File (EF), dated 4/24/22 was reviewed. The DSD stated, the EF indicated, CNA 7 was hired on 4/24/22. The DSD stated, the EF indicated CNA 7's annual Performance Evaluation (PE) was not in the file and should have been completed in April 2023. The DSD stated, CNA 7's PE form could be with the Director of Nursing (DON), who was responsible for the completion of direct care staff evaluations. During an interview on 6/5/23, at 3:15 p.m., with the DON, the DON stated his expectations of staff annual PEs were that they should be completed within the month the staff was hired…

  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

“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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in CA