No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Community Memorial Continuing Care Center

1306 Maricopa Highway, Ojai, CA 93023 · Non profit - Corporation · 75 certified beds · (805) 640-2280 Medicare & Medicaid certified

Call the home — (805) 640-2280 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (27% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
1125 Maricopa Hwy · (805) 646-4361 · Call to confirm hours
Grocery
987 W Ojai Ave · (805) 600-2600 · Call to confirm hours
Park
W Ojai Avenue · (805) 646-5581 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.4%10.2%15.4%better
Long-stay residents who lose too much weight3.4%4.0%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection1.2%1.2%2.0%better
Long-stay residents with depressive symptoms0.0%7.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.4%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.0%1.6%3.3%worse than state — see note marked double-dagger below the table
Long-stay residents whose ability to walk worsened14.8%9.8%16.1%typical
Long-stay residents on antianxiety or hypnotic medication10.1%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine85.3%98.2%95.3%worse
Long-stay residents with pressure ulcers5.8%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control7.3%10.2%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table9.0%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine98.6%93.2%79.4%better
Short-stay residents rehospitalized after admission19.2%23.0%22.6%better
Short-stay residents with an outpatient ER visit7.9%11.2%12.0%better
Long-stay hospitalizations per 1,000 resident days0.662.251.67better
Long-stay outpatient ER visits per 1,000 resident days1.691.571.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.1% 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 83 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.1%U.S. median 51.5%
Got home and stayed home
11.1%U.S. median 10.7%
Went back to hospital
53.9%U.S. median 56.6%
Met the expected recovery
0.22U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 53.9% 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 52 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 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 58% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF62.1%CMS range 53.9–70.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.1%CMS range 7.8–17.710.7%Oct 2022–Sep 2024no 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 discharge53.9%56.6%Oct 2024–Sep 2025CMS 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 discharge57.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge44.2%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting29.7%100.0%Oct 2024–Sep 2025CMS 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.1%CMS range 5.2–16.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.831.02Oct 2022–Sep 2024CMS 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

1.58
RN hours/ resident / day
0.64
LPN hours/ resident / day
3.01
Aide hours/ resident / day
5.23
Total nurse hours/ resident / day
1.22
RN hoursweekends
26.7%
Total nursing turnover
10.7%
RN turnover

How full it usually is: this home is certified for 75 beds and averages 71.9 residents a day — about 96% occupied, or roughly 3 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 5.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.01 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 4.86 hrs/resident/day on weekends vs 5.38 on weekdays — 10% thinner on weekends. RN hours go from 1.73 to 1.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 27% 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

3
deficiencies at the latest standard inspection (2026-01-16)
1
at the previous standard inspection (2025-01-16)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · Ecited before2026-01-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure food items stored in the refrigerators were clearly labeled and dated to support safe storage practices when:Multiple perishable food items had unclear or incomplete date stamps, preventing staff from determining the appropriate use-by/discard timeframe.A perishable sandwich containing meat and cheese was stored without a label identifying the contents/type of the sandwich. These failures had the potential for residents to consume expired or contaminated food and increase the risk of allergen exposure due to unidentified ingredients, placing residents at risk for foodborne illness and allergic reactions.During an observation and concurrent interview on 1/13/25 at 9:37 a.m. with the Director of Food and Nutrition Services (DFNS) in the facility kitchen's walk-in refrigerator, the following food items were observed, diced watermelon in a 2-ounce (oz) clear plastic container with lid, sour cream in a 2-oz clear plastic container with…

    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 · D2026-01-16 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    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 a physicians order was obtained for urinary catheter change and care for one of 18 sampled residents (Resident 1).This failure resulted in Resident 1 receiving care without a physician's order.During a review of Resident 1's Face Sheet (FS), dated 1/15/26, the FS indicated, Resident 1 was admitted to the facility on [DATE] with a diagnosis of encephalopathy (any type of disorder, disease or damage that affects your brain's function or structure).During a concurrent interview and record review on 1/15/26 at 3 p.m. with the Minimum Data Set Coordinator (MDSC), Resident 1's urethral catheter assessments and nursing progress notes were reviewed. The review indicated, the urinary catheter was changed on 12/22/25 and 1/10/26, and the urinary catheter was reinserted on 1/14/26. Review of Resident 1's Physician orders, indicated, no evidence of a physician order for urinary catheter change or care. MDSC stated that there should be a physician order 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-16 · tag F0756 — failed to review each resident's drug regimen — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow its Policy and Protocol (P&P) for 1 of 18 sampled residents (Resident 18) by not ensuring physician review and documented response to the consultant pharmacist's Medication Regimen Review (MRR - a comprehensive, mandatory evaluation of a resident's medication regimen performed by a licensed pharmacist to promote positive outcomes, minimize adverse consequences, and ensure safety) for lorazepam (anti-anxiety medication) regimen when:This failure had the potential to result in Resident 18's continued use of an unnecessary drug (a medication given without a clear ongoing need or proper monitoring and/or adverse medication-related outcomes (harmful side effects)) without appropriate physician oversight and clinical rationale (a documented medical reason for the decision).During a review of Resident 18's admission Record (AR), the AR indicated, Resident 18 is a [AGE] year-old female admitted to the facility on [DATE] with diagnoses including: Anxiety…

    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 · Dcited before2025-01-16 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 — the official record, unedited, may be distressing

    Based on observation, interview and record review, the facility failed to properly label food items for their received, opened and expiration dates before storage. This failure had the potential to cause food borne illnesses to the residents. Findings: During a concurrent observation and interview on 1/13/25 at 10:25 AM, with the Director for Food and Nutrition Services (DFNS), the following food items were found to be unlabeled/undated as to when they were received, opened or when they will expire: one bag of partially opened green beans unlabeled/undated; one bag of blueberries in zip lock bag, unlabeled/undated; one bag of six hamburger patties unlabeled/undated; two bags of turkey sealed unlabeled/undated, one bag of beef sealed unlabeled and undated. The DFNS validated the finding. During a review of the facility's policy and procedure (P&P) titled, Receiving, the P&P indicated in part, J. Date foods prior to placing in storage areas; K. Produce is labeled with the date received

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-30 · tag F0839 — isolated
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    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 a Certified Nursing Assistants (CNA 1) certification was valid prior to their start of and duration of employment at the facility. These failures had the potential to negatively impact patient care. Findings: During an interview on [DATE] at 9:45 a.m. with Director of Nursing (DON), DON stated, The process is that the manager will receive a one month notice from Human Resources when a staff's license/certification will expire and then we talk to the employee and go from there. We never received anything from Human Resources indicating to not go forward. During a concurrent interview and record review on [DATE] at 10:35 a.m. with [NAME] President of Human Services (VPHS), CNA 1's Personnel File, [undated] was reviewed. The Personnel File indicated, CNA 1 was hired [DATE], as a full time CNA. When CNA 1 applied for the position on [DATE], her certification submitted with her employment application was current and due to expire [DATE]. VPHS stated,…

    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 · D2023-08-16 · 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 record review and interview, the facility failed to make sure the assessment accurately reflects the resident's status fo one of three sampled residents (Resident 1) in the Minimum Data Set (MDS) ( A standardized tool used to assess and plan care of residents in Medicare or Medicaid certified facility) on admission for the following: 1. Hearing status 2. Medication received 3. Skin condition This facility failure had the potential to result in poor quality care. Findings: 1. During a review of Resident 1 ' s History & Physical (H&P) on 7/7/23 at 2:22 p.m, dated 6/8/23, the H&P indicated, Resident 1 was deaf, blind in one eye and with diagnosis of chronic pain syndrome. During a continued review of Resident 1's Care Plan (a plan developed to meet resident care) dated, 6/9/23, the Care Plan revealed, Resident 1 was deaf to both left and right ears and with impaired communication secondary diagnosi of dysphagia (swallowing difficulties) and a white board was used for communication. During a review 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 record review and interview, the facility failed to ensure one of three sampled residents (Resident 1), had a doctor' s treatment order for an ongoing right ankle stage 2 (a shallow opening on the skin with red or pink wound bed) pressure injury with accurate documentation of Resident 1's skin condition upon discharge. This failure had the potential to delay treatment and cause Resident 1 to not recieve accurate care. Findings: During a review of Resident 1' s History & Physical (H&P) on 7/11/23 at 3:12 p.m, dated 6/8/23 indicated,Resident 1 was a [AGE] year-old male who was hospitalized due to dysarthria (difficult or unclear speech) and dysphagia (difficulty swallowing), and with diagnosis of deaf and blind in one eye. During a review of Resident 1's Braden Skin Summary Risk Score (tool to assess risk of skin complications) dated 6/8/23, the Braden Skin Summary Risk Score indicated, a score of 11 (score of 14 or less indicates at risk status for pressure ulcer development.). During a review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-03 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide 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 interview, and record review, the facility failed to ensure an account of all controlled drugs in order to minimize loss or diversion of narcotics when narcotic return bin(s) were not emptied on a daily basis. This failure resulted in one tablet of tramadol (narcotic pain medication) 50 mg (milligram, unit of measure) not being accounted for and had the potential for narcotics to be diverted from the facility. Findings: On 6/20/23 the facility reported to the Department a loss of one tramadol 50 mg tablet. The report indicated, on 4/25/23, at 4:13 a.m., Licensed Nurse (LN 1) documented returning one tramadol 50 mg tablet to the facility's Nursing Station 3's (NS 3) external Pyxis (automated system that automates the distribution, management and storage of medications) return bin. The tramadol tablet was not found in the return bin when it was emptied on 6/6/23 by pharmacy technicians. During an interview on 6/28/23 at 10:30 a.m. with Director of Nursing (DON), DON confirmed the missing tramadol 50 mg tablet was unaccounted for and stated the tramadol should have been in 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-21 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    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 privacy of protected health information (PHI-is any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed while providing a health care service such as diagnosis or treatment.) for twenty two of sixty three residents residing in the facility. This facility failure resulted in twenty two residents protected health information potenitally being compromised. Findings: During an observation on 04/18/23 at 1:10 p.m., a four wheeled rolling cart outside of room [ROOM NUMBER] was observed unattended with a laptop computer on it. The computer screen was open. The screen displayed the PHI of twenty-two residents including their name, diagnosis, room number, account number, physician name, isolation precautions (isolation precautions are used to reduce transmission of microorganisms in healthcare and residential settings. These measures are designed…

    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 · D2023-04-21 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    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 staff safeguarded the personal property of one of eighteen sampled residents (Resident 56). When a topical gel cream called Liniment Gel (a topical gel used to temporary relief of muscle or joint pain) that was mailed to the resident in the facility was taken away by a facility staff member and never replaced nor reimbursed. This failure resulted in a resident not having the right to retain and use a personal possession in the facility. Findings: During a concurrent observation and interview on 04/18/23 at 3:22 p.m., in residents' room, when asked if any issues or concerns regarding facility, Resident 56 stated his sister mailed some cream for pain to facility. As he was opening the box a female staff took the medication and stated, you can't have this here. Resident 56 asked surveyor if facility should reimburse for it. Resident 56 stated They took it. It is very expensive. I haven't had no surgery but both knees have pain, used for that. During a concurrent interview and record review with Social Service Worker…

    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
Show the remaining 5 citations
  • Potential for harm · D2023-04-21 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 follow up/new Preadmission Screening and Resident review (PASRR-mental disability assessment) for Level 1 was done for 1 of 18 residents (Resident 30). This failure had the potential to result in Resident not being adequately assessed to receive recommended care and treatment. Findings: Review of Resident 30's Clinical Record indicated, resident was admitted to the facility with history diagnoses that included acquired absence of right leg below knee, adverse effect of unspecified narcotics, chronic diastolic (congestive) heart failure(when the heart does not relax and fill with blood normally). During a review of Resident 30's clinical documents titled, Preadmission Screening and Resident Review(PASRR-mental disability assessment), dated 09/08/22, the PASRR indicated, Positive (resident with mental disorder condition). Further record review of document titled, Department of Health Care Services (DHCS) letter, dated 9/16/22 for Resident 30 indicated, a PASRR Level II was incomplete and had documented, Unable to…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to initiate a Care Plan (a part of the nursing process which outlines the plan of action that will be implemented during a patient's medical care) for two of 18 sampled residents (Resident 59 and Resident 163) when: 1. Care plans for two antidepressants medications were not initiated for Resident 163 and, 2. A care plan for psychotropics was not initiated for resident 59. These facility failures have the potential to prevent residents from recieving individualized care and services. Findings: During a review of the facility P&P titled, Nursing Documentation-including Admission, Shift, Plan of Care, and Discharge, dated 02/25/2020, the P&P indicated, Collection of data will be systematic, continuous and include assessments and reassessments by various professional disciplines. Problem statements or Nursing Diagnosis, Patient Outcomes (Goals) and Nursing interventions are developed by this documentation and incorporated into the Plan of Care. A review of the facility policy and procedure (P&P) titled, Psychotropic Drug Therapy…

    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 · D2023-04-21 · tag F0657 — failed to keep the care plan current — isolated
    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

    Based on interview and record review of facility policy and procedures, the facility failed to update and revise a fall care plan for one of 18 sampled residents (Resident 169) after a fall incidence. This facility failure had the potential for new interventions and new fall precations to not be implemented which could potentially prevent Resident 169 form future falls. Findings: During an interview on 4/18/23 at 11:10 a.m, resident 169 on initial pool, indicated she had fallen in the facility recently. During record review on 4/20/23 at 9:05 a.m., Resident 169's record indicated, resident 169 had an unwitnessed fall on 4/15/23 at 6:45 AM, and that Resident 169 was taken to the emergency department and returned back to the facility the same day. During a record review of Resident 169's Care Plan (formal process that correctly identifies existing needs and recognizes a client's potential needs or risks which help guides nurses) on 4/20/23 at 9:24 a.m., a fall care plan was noted to have been initiated on 4/6/23. There were no revisions or updates to the fall care plan interventions…

    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 · D2023-04-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 restorative nursing services (RNA) were provided to two of eighteen sampled residents (Resident 57, Resident 59). This facility failure resulted in Resident 57 and Resident 59 not receiving required services to ensure they maintain, improve, or restore muscle strength, balance, range of motion, and functional mobility. Findings: During a review of the facility policy and procedure (P&P) titled, Nursing Documentation-including Admission, Shift, Plan of Care, and Discharge dated 02/25/2020, the P&P indicated, Collection of data will be systematic, continuous and include assessments and reassessments by various professional disciplines. Problem statements or Nursing Diagnosis, Patient Outcomes (Goals) and Nursing interventions are developed by this documentation and incorporated into the Plan of Care. During an observation and interview on 04/18/23, at 12:49 p.m., in residents' room, Resident 59 was alert and lying in bed. Resident became tearful at times during interview and stated he misses real 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-21 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 — the official record, unedited, may be distressing

    Based on observation, interview, and record review, the facility failed to follow appropriate dress code for food and nutrition services personnel in the kitchen failed to serve food in accordance with professional standards for food service safety. This failure has the potential for cross contamination of food (transfer of harmful bacteria to food when they are not handled properly). Findings: During an observation and interview, with the [NAME] (Job title for the person responsible for preparing ingredients at an establishment that serves food) and Food and Nutrition Services Director (FNS) on 04/18/23 at 10:15 a.m., [NAME] was observed not wearing a beard restraint when he entered the kitchen. The FNS confirmed CK1 was not wearing a beard restraint. A review of Policies and Procedures (P&P) titled, Uniform Dress Code in FNS dated 11/26/19, indicated, E. Facial hair must be covered as per local and state regulations. A. Long Term Care: [NAME] restraints must be worn.

    Nutrition and Dietary 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
CANBY, NEILIndividualCORPORATE DIRECTORsince 01/01/2023
FUKUTOMI, DAVIDIndividualCORPORATE DIRECTORsince 01/01/2017
GOLDEN, DEBORAHIndividualCORPORATE DIRECTORsince 01/01/2024
HOPPS, LYDIAIndividualCORPORATE DIRECTORsince 01/01/2017
JOHNSON, CHRISTOPHERIndividualCORPORATE DIRECTORsince 01/01/2021
KEARNEY, WILLIAMIndividualCORPORATE DIRECTORsince 01/01/2012
LOEBL, JEFFREYIndividualCORPORATE DIRECTORsince 01/01/2025
MUEGENBURG, FREDERICKIndividualCORPORATE DIRECTORsince 05/04/2005
NORRIS, JUDITHIndividualCORPORATE DIRECTORsince 01/01/2021
PAVLOV, ELIZABETHIndividualCORPORATE DIRECTORsince 01/01/2021
RUSH, RICHARDIndividualCORPORATE DIRECTORsince 07/27/2010
SALEHPOUR, MOHAMMADIndividualCORPORATE DIRECTORsince 01/01/2025
SHUMAN, ALISONIndividualCORPORATE DIRECTORsince 01/01/2023
WHITE, MONICAIndividualCORPORATE DIRECTORsince 01/01/2025
WILSON, LINDAIndividualCORPORATE DIRECTORsince 01/01/2023
WOLFE, GARYIndividualCORPORATE DIRECTORsince 05/04/2005
ZACARIAS, CELINAIndividualCORPORATE DIRECTORsince 01/01/2021
LASHKARI, HAADYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2020
ZDEBLICK, MICHAELIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/09/2023
COMMUNITY MEMORIAL HEALTH SYSTEMOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/04/2025
FROUSIAKIS, STARLEENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
ZITSMAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023

CMS files one row per role, so the 29 rows in the source record cover these 22 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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the California Medicaid page.

Typical monthly cost in California
$12,167/mo
Nursing home (semi-private)
$15,178/mo
Nursing home (private)
$7,000/mo
Assisted living

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 056200. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-16, 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.

What to do next