Lake Park Healthcare Center
1850 Alice Street, Oakland, CA 94612 · For profit - Corporation · 35 certified beds · (510) 835-5511 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- 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
- the CMS record shows $17,996 in federal fines (most recent 2023-10-26)
- its payroll-based staffing rating is low (2/5)
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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.6% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.1% | 23.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 15.9% | 11.2% | 12.0% | worse |
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.
71.6% 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 153 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 64.1% 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 103 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.63 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 71.6%CMS range 63.4–78.2 | 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 | 10.1%CMS range 7.7–14.2 | 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 | 64.1% | 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 | 54.4% | 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 | 64.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.5% | 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 | 100.0% | 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 | 1.0% | 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 | 0.5% | 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 | 6.8%CMS range 4.0–11.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.22 | 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 35 beds and averages 31.4 residents a day — about 90% occupied, or roughly 4 beds typically open. It runs fairly full. 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 4.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.91 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.50 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 4.02 hrs/resident/day on weekends vs 4.87 on weekdays — 17% thinner on weekends. RN hours go from 1.00 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · Lcited before2023-10-26 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and records review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 18 out of 18 sample selected residents (Resident 234, 22, 30, 8, 237, 236, 10, 235, 21, 27, 17, 134, 137, 11, 135, 136, 31 and 138) who were residing at the facility and receiving food from the facility's kitchen when: 1. Facility did not ensure food temperatures were checked before serving to all 18 residents (IJ). 2. Multiple Dietary staff did not wear hair nets and beard nets while working in the kitchen. 3. A Dietary staff did not wash hands upon entering the kitchen. 4. 24 plated foods were stored in the refrigerator without covers and three of three-gallon tub ice creams with no lids were stored in the freezer. 5. Ice Cream freezer had frost around the rim and inside the freezer. 6. Multiple items in the walk-in freezer were undated and unlabeled. 7. [NAME] used water instead of nutrient fluids for making pureed food. These failures had the potential to result in the outbreak of foodborne…
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 · D2026-02-23 · tag F0635 — isolatedProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
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 1) of three sampled residents' hospital discharge orders were verified with admitting physician upon Resident 1's admission to the facility in accordance with professional standard of practice when Resident 1's admission order was not clarified and transcribed accurately and Resident 1 did not received medications as ordered.This failure resulted in Resident 1 not receiving medications as ordered by the physician for three days and Resident 1's transfer to the hospital for syncope (fainting or passing out). During a review of Resident 1's admission Record (AR), dated 2/13/26, the AR indicated Resident 1 was admitted to the facility in January 2025 with multiple diagnoses that included hemiplegia (paralysis that affects only one side of the body) and essential hypertension (high blood pressure).During a review of Resident 1's Progress Notes (PN), dated 1/30/26, PN indicated Resident 1's responsible party (RP) met with Director of Nursing (DON) and expressed concerns regarding missing medications on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-22 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 lunch menu was followed for 29 of 32 residents when:1. Kitchen served cheesecake instead of apple pie as posted on the menu.2. Registered Dietitian (RD) was not made aware of menu substitution in a timely manner.This failure resulted in 29 residents receiving dessert substitution during lunch, on 1/14/26, without the approval of the RD. A review of the posted undated weekly menu titled Fall/Winter 2025-2026, Week 3 indicated for Wednesday, Lunch included black bean soup, mixed green salad, turkey and Swiss sandwich, pasta salad, lettuce, tomato, and pickle, apple pie, 2% milk, hot tea, and coffee. During a concurrent observation and interview on 1/14/26, at 11:45 a.m., in the Dining/Activity Room, both residents, Resident 2 and Resident 3, ate lunch without assistance. Resident 3 stated the dessert was lemon cheesecake. During an interview and record review on 1/14/26, at 12:18 p.m., in the hallway next to the Dining/Activity Room, with the Certified Dietary Manager (CDM), there were two undated weekly…
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 before2026-01-22 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, facility staff failed to ensure dietary needs for one of three sampled residents (Resident 1) were updated and care planned. Registered Dietitian (RD) and Dietary staff were made aware of Resident 1's food preference and requested copy of weekly menu and this information was not addressed in a timely manner. This failure had the potential for Resident 1 to lose weight due to decreased consumption and/or anger/depression when resident's dietary requests were not met. A review of Resident 1's admission Record, printed 1/14/26, indicated Resident 1 was admitted to the facility with diagnoses that included status post (s/p) joint replacement surgery, Type II diabetes mellitus (T2DM, high blood sugar), and depression. A review of Resident 1's Minimum Data Set (MDS, a resident assessment tool used to provide care), dated 12/27/26, indicated Resident 1 had Intact cognition, was understood and was able to understand others. A review of Resident 1's Order Summary Report, active orders as of 1/14/26, diet order start date 12/25/25, 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 · E2024-11-07 · 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 secure medications and sharp instruments when one treatment cart was left unlocked and unsupervised, in an area where residents could access it. This failure had the potential for accidental medication administration, ingestion or injury to residents residing in the facility. During an observation on 11/05/24, at 7:46 a.m., with Licensed Vocational Nurse 1 (LVN 1) in the hallway, a treatment cart containing topical medications, ointments, scissors, nail clippers, and other treatment supplies was observed unlocked. The treatment cart was situated in between six resident bedrooms and the activity/dining room, and multiple residents passed the treatment cart during this time. The cart remained unlocked while LVN 1 went in four separate resident bedrooms to administer medications, until 11:30 a.m. In an interview on 11/5/24, at 11:30 a.m., with LVN 1, LVN 1 stated the treatment cart contained prescribed medications. During an interview on 11/5/24, at 2:07 p.m., with the Director of Nursing (DON), the DON…
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 before2024-11-07 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared under safe and sanitary conditions when: 1. Dry food items were stored less than 6 inches above the floor. 2. Refrigerated and frozen food items were unlabeled, and undated. 3. Dry food items were past their use by date. 3. Raw pork was stored directly over ready to eat shrimp. 4. There was dark brownish matter inside the resident ice machine, above the ice bin. These failures had the 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 have resulted in infection or spread of infection. Findings: During an observation on 11/04/24, at 9:40 a.m., the kitchen refrigerator had an opened container of raw pork directly above and an opened container of ready to eat shrimp. During a concurrent observation and interview on 11/4/24, at 10:13 a.m., with Registered Dietician (RD), the kitchen and food storage were observed. The dry storage had three bulk boxes of cereal…
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 · D2024-11-07 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to follow appropriate infection control practice when reusable resident-care equipment was not cleaned/disinfected in between residents. This failure had the potential to cause resident infection via cross-contamination. During a concurrent observation and interview on 11/5/24, at 7:46 a.m., in the resident bedroom hallway with Licensed Vocational Nurse 1 (LVN 1), LVN 1 took the blood pressure machine out of the drawer, did not sanitize the cuff and stated it was the first blood pressure she took that day. LVN 1 obtained resident 84's blood pressure reading, laid the blood pressure machine/cuff on the cart, prepared Resident 84's medications, and administered them. LVN 1 then obtained Resident 19's blood pressure (taken earlier by the Certified Nursing Assistant), then prepared and administered Resident 19's medications. LVN 1 then picked up the blood pressure machine/cuff and obtained Resident 11's (a resident on Enhanced Barrier Precautions [infection control interventions designed to reduce transmission 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 · E2023-10-26 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
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 the necessary services to maintain good personal hygiene for three of 22 sampled residents (Resident 30, Resident 234, and Resident 11). This failure resulted in Resident 30, Resident 234, and Resident 11's missed scheduled showers and a potential to cause low self-esteem and embarrassment to the residents. Findings: 1. A review of Resident 30's admission Record, dated 10/25/23, indicated Resident 30 was admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy (a condition in which brain function is disturbed), prostate cancer, and muscle weakness. A review of Resident 30's clinical record titled, Brief Interview for Mental Status (3.0 BIMS - a brief screener that aides in detecting cognitive impairment), dated 10/9/23, indicated a score of 9 (moderately intact). A review of Resident 30's clinical record titled, Plan of Care (POC) Response History, subtitled, Task: SELF CARE: Shower/Bathe Self and mobility:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-10-26 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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: 1. maintain an accurate accountability sheet that documented the number of controlled substances (Diazepam tablets) that should be available for destruction and 2. provide pharmaceutical services including the provision of routine medications to meet the needs of one of seven (Resident 19) sampled Residents. These failures had the potential to cause diversion of controlled medication (illegal use of medication not intended by the provider) and adverse health outcomes related to incorrect medication administration. Findings: 1. A review of Resident 19's Controlled Drug Record indicated that Resident 19 was discharged from the facility on 10/10/23 with sixteen tablets of diazepam (controlled medication for treatment of anxiety) 5 mg tablets. During a concurrent observation and interview on 10/24/23, at 2:32 pm, with the DON (Director of Nursing), in the DON's office, it was observed there were additional diazepam tablets for Resident 19 stored in her office cabinet for destruction. The DON counted a total of 30…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-10-26 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
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 document reviews, the facility failed to ensure its medication error rate was less than 5% for two of seven sampled residents (Resident 22 and Resident 234) when the medication error rate was 16/67%. This failure had the potential for adverse health outcomes related to incorrect medication administration. Findings: 1. During an observation on 10/23/23, at 10:06 a.m., Licensed Vocational Nurse 1 (LVN 1) administered a Multi-vitamin with Mineral Tablet, Aspirin (reduces pain, swelling and inflammation) 81 mg chewable tablet to Resident 22, but did not administer Solifenacin Succinate (used to treat bladder problems) Oral Tablet 5 mg to Resident 22. During a record review of Resident 22's Order Summary Report, dated 10/23/23, the Order Summary Report indicated, Multivitamin & Mineral Oral Liquid (1 ml by mouth one time a day), Solifenacin Succinate Oral Tablet (5 mg by mouth one time a day), and [NAME] Aspirin Oral Tablet (no strength in mg noted, 1 tablet by mouth one time a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-10-26 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure the annual Minimum Data Set (MDS, an assessment tool used to guide resident care) was completed within the required timeframes for one of 22 sampled residents (Resident 21). Resident 21's annual MDS was not completed within 14 days of the Assessment Reference Date (ARD, a date set to establish a uniform look-back period for all the responses to MDS coding items). This deficient practice had the potential to result in Resident 21 not receiving the appropriate care and services needed based on the resident's current health status. Findings: A review of Resident 21's admission Record, printed 10/26/23, indicated Resident 21 was admitted to the facility in 2022 with diagnosis of hypertension (high blood pressure). During a concurrent interview and record review on 10/26/23, at 10:06 a.m., with the MDS Coordinator, Resident 21's MDS Assessments were reviewed. The MDS Coordinator stated a comprehensive MDS should have been completed and submitted no later than 14 days from the ARD. MDS Coordinator stated Resident 21 had…
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 10 citations
- Potential for harm · D2023-10-26 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 months.
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 the quarterly Minimum Data Set (MDS, an assessment tool used to guide resident care) were completed and submitted within the required timeframes for three of 22 sampled residents (Resident 17, Resident 20, and Resident 21). Resident 17, Resident 20, and Resident 21's quarterly MDS' were not completed within 14 days of the Assessment Reference Date (ARD, a date set to establish a uniform look-back period for all the responses to MDS coding items) and were not submitted within 14 days from the completion of the MDS Assessments. These deficient practices had the potential to result in Resident17, Resident 20, and Resident 21 not receiving the appropriate care and services needed based on their current health status. Findings: A review of Resident 17's admission Record, printed 10/26/23, indicated Resident 3 was admitted to the facility in 2022 with diagnosis of rheumatoid arthritis (a chronic disease that causes severe inflammation of the joints). A review of Resident 20's admission Record, dated 10/26/23, 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 · D2023-10-26 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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 the Discharge Assessment Minimum Data Set (MDS, an assessment tool used to guide resident care) were completed no later than 14 calendar days after the discharge date and submitted no later than 14 days after the MDS completion for four of 22 sampled residents (Resident 3, Resident 16, Resident 20, and Resident 23). This failure resulted in delayed completion and submission of Resident 3, Resident 16, Resident 20, and Resident 23's MDS Discharge Assessments. Findings: A review of Resident 3's admission Record, printed 10/26/23, indicated Resident 3 was admitted to the facility in 2020 with diagnosis of heart disease. A review of Resident 16's admission Record, printed 10/26/23, indicated Resident 16 was admitted to the facility in April 2023 with diagnosis of metabolic encephalopathy (a condition in which brain function is disturbed). A review of Resident 20's admission Record, printed 10/26/23, indicated Resident 20 was admitted to the facility in 2022 with diagnosis of dementia (memory loss). A review of 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.
- Potential for harm · D2023-10-26 · tag F0727 — failed to provide required RN coverage — isolatedHave 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 provide the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week when the facility did not have RN in all weekends since August/2023. This failure resulted in not following the CMS regulation and not having RNs to do the staff supervision, emergency coordinator, physician liaison, as well as direct resident care. Findings: A review of RN schedule for weekends indicated the RN was missing on the schedule for four days on the weekends for the dates of 10/21/23, 10/14/23, 10/7/23 and 10/8/23. During an interview on 10/25/23, at 11:14 a.m., with the Director of Nursing (DON), DON stated that they did not have RN coverage for some days on the weekends. DON stated having an RN is important every day because they need to have supervision of the other facility staff, and that is a requirement of the Centers of Medical and Medicare Services (CMS). DON also stated the facility policy follows the CMS requirement. A review of CMS regulation for the facility's RN schedule indicated §483.35(b)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-10-05 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 food that accommodated resident ' s preferences for one of four sampled residents (Resident 1). This failure had the potential to result in inadequate food intake, weight loss, and emotional distress. Findings: During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses that included fracture of the right second metatarsal bone (long bone of the second toe), anemia (lower than normal amount of healthy red blood cells), and chronic migraine. During a review of Resident 1's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan.) dated 9/6/23, the MDS indicated a 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) score 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 before2022-08-11 · tag F0636 — patternAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure four of nine sampled residents' (Resident 112, 107, 1, and 157) admission (an assessment within 14 calendar days after admission) or Annual Minimum Data Set (MDS, a comprehensive assessment of each residents' functional capabilities and helps nursing home staff identify health problems) assessments were completed when: 1. Resident 112's admission MDS assessment was not completed, 2 Resident 107's Annual MDS assessment was not completed, 3. Resident 1's MDS Section C (Cognitive Patterns) was not completed, and 4. Resident 157's admission MDS assessment was not completed. These failures had the potential for Residents 112, 107, 1, and 157 to not receive individualized plan of care based on their physical, mental, and emotional needs. Findings: 1. A review of the Resident 112's Admission MDS assessment, dated 7/18/22, with an observation end date of 7/25/22, indicated the following sections were not filled and fully completed: Section C-Cognitive…
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 · E2022-08-11 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 document review, the facility failed to follow its pneumonia vaccine policy and procedure for four of nine sampled residents (Resident 109, 110, 112, 113) when Residents 109, 110, 112, and 113 were not offered the pneumonia vaccination and their immunization records were not updated. This failure had the potential for vulnerable residents in the facility to become exposed to bacteria that causes serious infections in the lungs, ears, sinuses, brain/spinal cord tissue, and blood. Findings: Review of the facility's Resident Immunization Record, indicated Resident 113 received a pneumococcal vaccine on 7/13/2016 at the acute care hospital, Resident 109 received the pneumococcal vaccine on 11/24/14 at the acute care hospital, Resident 112 received the pneumococcal vaccine on 1/15/15 at the acute care hospital, and Resident 110 received the pneumococcal vaccine on 3/28/16 at the acute care hospital. During an interview on 8/10/22, at 11:15 a.m., with the Infection Preventionist (IP), the IP…
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 before2022-08-11 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and document reviews, the facility failed to be free of medication error rate of five percent or greater for two medication errors observed out of 27 opportunities when gloves were not worn during the administration of a Lidocaine patch (medication used for pain) and eye drop medication administration policies and procedures were not followed. The medication error rate was calculated as followed: two divided by 27 then multiplied by 100, which was equal to 7.4 percent. This failure had the potential for the spread of infection and a decreased medication therapeutic effect for the affected residents. Findings: A review on the facility's the policy and procedure, dated 5/16, titled, Medication Administration Transdermal Delivery Systems (Patches) indicated, the patch is in place and maintaining proper placement of the patch and care of the application sites .PROCEDURES .Perform hand hygiene .Put on gloves . During an observation on 08/09/22, at 8:30 a.m., Licensed Vocation Nurse (LVN) 1 was observed not putting on gloves prior to the administration…
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 before2022-08-11 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 store and label food safely when Refrigerator #1 (Ref #1) had two boxes of lactose free milk and one soy original milk with no labeled open dates and times. This deficient practice placed the residents at risk for food borne illnesses. Findings: During a concurrent observation and interview on 8/8/22, at 9:25 a.m., with Director of Dining Services (DSS), in the kitchen, it was observed that in Ref #1, there were two opened boxes of lactose free milk and one opened box of original soy milk that did not have the open date and time on it. DSS stated they put the date received on the boxes but do not put the open date and time on the milk. DSS stated they follow the manufacturer's best by date indicated in the box to determine when it would be discarded. During a concurrent interview and policy review, on 8/9/22, at 10:37 a.m., with DSS, the facility's document titled, Food Safety Management System: PQA-Food Product Shelf-Life Guidelines, dated 01/28/2022 was reviewed. The Food Safety Management System: PQA-Food…
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 · D2022-08-11 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and document review, for one of nine sampled residents (Resident 1), the facility failed to ensure a resident was monitored during the use of antibiotic (medication used to treat bacterial infections) when Resident 1 was prescribed amoxicillin (antibiotic medication) and was not monitored. This failure resulted in the potential for prolonged and unnecessary use of the antibiotic for Resident 1. Findings: During an interview on 8/9/22, at 1:08 p.m., with Licensed Vocational Nurse (LVN) 1, LVN 1 stated there were two residents currently on antibiotics LVN 1 was aware of, a resident who had surgery and the other resident had a tooth procedure. LVN 1 stated she received the antibiotic order from the doctor, and the doctor tells her when to start and stop the medication. LVN 1 stated she was not responsible to do a review of infections treated with antibiotics. LVN 1 stated there were two residents currently on antibiotics, one resident received antibiotic for surgery and the other for a tooth procedure. During an interview on 8/9/22, at 2:43 p.m., with the Infection…
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 · D2022-08-11 · tag F0888 — isolatedEnsure staff are vaccinated for COVID-19
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and document review, the facility failed to develop policies and procedures to address COVID-19 (an infectious disease spread by person to person through respiratory droplets) vaccinations for their nursing registry staff. This failure had the potential for registry staff to spread COVID-19 infection to the residents and the facility's regular staff. Findings: During an interview on 8/8/22, at 10:30 a.m., with Licensed Vocational Nurse (LVN) 2, LVN 2 stated she was from the registry and worked on-call at the facility to work eight or 12 hour shifts. During an interview 8/10/22, at 11:00 a.m., with the Administrator (ADM), the ADM stated the facility used a lot of registry personnel (licensed nurses and certified nurse assistants) and did not keep a log or verify their COVID-19 vaccination statuses. ADM stated the registry agency checked vaccination statuses of the registry personnel beforehand and sent them to work at the facility. During an interview on 8/9/22, at 10:30 a.m., with the Infection Preventionist (IP), IP stated she was new and started 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.
“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
$17,996 in federal fines across 2 penalties.
- $4,963 — penalty dated 2023-10-26
- $13,033 — penalty dated 2023-10-26
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to ASPEN SKILLED HEALTHCARE — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.7 | -0.7 vs chain |
| Health inspection | 3 of 5 | 3.1 | -0.1 vs chain |
| Staffing | 2 of 5 | 3.9 | -1.9 vs chain |
| Quality measures | 4 of 5 | 4.5 | -0.5 vs chain |
The other 34 homes this chain runs (chain average 3.7★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| AOAS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 09/12/2023 |
| BRADSHAW, PETER | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| ELSNER, ERIC | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| KIRKWOOD, JARED | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| ORGILL, CRAIG | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| PARTI, RAJESH | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| PARTI, SHRUTY | Individual | INDIRECT OWNERSHIP INTEREST | — | since 09/12/2023 |
| PAXMAN, MARCUS | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 09/12/2023 |
| BRADSHAW, JEFFREY | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 03/18/2022 |
| BRADY, VERN | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 03/18/2022 |
| CASE, RYAN | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 03/18/2022 |
| RAWE, COLTON | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/12/2023 |
| BROWN, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/12/2023 |
| DHUGGA, GURPREET | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2025 |
| ASPEN HEALTHCARE SERVICES LLC | Organization | ADP OF THE SNF | — | since 09/12/2023 |
| EAST WEST BANK | Organization | ADP OF THE SNF | — | since 09/12/2023 |
| MOSS ADAMS LLP | Organization | ADP OF THE SNF | — | since 09/12/2023 |
| SEQUOIA HEALTHCARE GROUP LLC | Organization | ADP OF THE SNF | — | since 09/12/2023 |
| WELLS FARGO BANK, NATIONAL ASSOCIATION | Organization | ADP OF THE SNF | — | since 09/12/2023 |
| JURADO, FRANK | Individual | ADP OF THE SNF | — | since 09/12/2023 |
CMS files one row per role, so the 30 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.
6 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 $160K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CA
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the California Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 555113. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-07, 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.