The Sequoias

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

59.8% 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 151 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 74.1% 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 85 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 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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.

Staffing

How full it usually is: this home is certified for 43 beds and averages 30.7 residents a day — about 71% occupied, or roughly 12 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.28 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.00 hrs/resident/day on weekends vs 4.80 on weekdays — 37% thinner on weekends — a notable drop. RN hours go from 0.72 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 6% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Potential for harm · Ecited before2025-08-07 · 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

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, when a carton of orange juice and 4 cartons of apple juice and a paper cup wrapped in plastic, inside the refrigerator in the pantry, has no expiration date, has no use by date, cup has no label. This failure has the potential to put residents at risk for foodborne illnesses.During a concurrent observation and interview on 8/4/25 at 10:30 AM, with Registered Dietitian (RD), in the refrigerator in the pantry, found one orange juice carton, and four apple juice cartons, with no expiration date and no use by date, and one paper cup wrapped in plastic no label. RD stated, every food stored in the refrigerator should have expiration dates or use by dates and should be labeled. Review of facility Policy and Procedure: Food and Supply Storage, dated 1/24, indicated, Policies: All food, non-food items and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain…

  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 · D2025-08-07 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility did not provide Advanced Beneficiary Notice (ABN, a document informing residents Medicare will no longer pay for services and allows residents to make informed decisions on whether to continue certain services, which may incur out of pocket costs) to one (Resident 22) of three residents, when Resident 22 was discharged from Medicare Part A (temporary insurance which covers hospital and skilled nursing services) to long term care.This failure could have resulted in Resident 22 not given a chance to make informed decisions regarding his care or for his right to appeal.During a concurrent interview and record review on 8/6/2025 at 9:15 AM, with Social Worker (SW), Resident 22's Notice of Medicare Non-Coverage (NOMNOC, a document informing residents Medicare will no longer cover certain services and outlines appeals rights) was reviewed. Resident 22's NOMNOC indicated the notice was issued and signed by Resident 22's family member on 4/4/25. SW stated Resident 22 stayed in the facility under custodial care (long term care).…

  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 · D2025-08-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to review and revise plan of care for Resident 32, one of 12 sampled residents, after 10 incidents of falls, to prevent further falls. This failure could result in resident's harm .Review of Resident 32's Facesheet, dated 8/5/24, indicated, Resident 32 was admitted on [DATE] with diagnoses including: Peripheral Vascular Disease (a condition that blood vessels are narrowed causing less blood flow to the limbs), Pain left leg , Cognitive Communication Deficit, Generalized Anxiety Disorder. During a concurrent observation and interview on 8/4/25 at 10:50 AM, in Resident 32's room, Resident 32 was observed in bed and had a caregiver(CG) from a private agency. CG stated she has been with patient for four years now, since last year doing 12 hour shift, was 24 hours before. CG stated Resident 32 was total care, could get agitated and confused, was able to stand up with small steps during transfer to wheelchair but cannot walk. CG stated Resident 32…

  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 · D2025-08-07 · 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 controlled medications (narcotics that have high abuse potential) were fully accounted for when a random controlled medication use audit for two out of four sampled residents (Residents 4, 24) did not reconcile. The residents' medications were signed out of the Controlled Drugs Records (CDR, inventory record of controlled drugs) but not documented on the Electronic Medication Administration Record (eMAR, record of medications administered to a resident) to indicate they were administered to the residents. This failure resulted in inaccurate accountability of controlled medications and had the potential for abuse and narcotic diversion (unlawful distribution or use) of controlled medications.Findings: During the survey, the CDRs for four random residents receiving as-needed (PRN) controlled medications were selected for review. On 8/5/25 at 1:40 p.m., a concurrent interview and record review with the Director of Nursing (DON), the DON stated any time a PRN controlled medication was requested from the resident, 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 · D2025-08-07 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use was implemented when: 1. The Infection Preventionist (IP, a licensed nurse that has specialized training in infection prevention) did not communicate or provide notification to the primary medical doctor when the residents' presenting symptoms did not meet criteria for antibiotic use based on McGeer criteria (Standardized criteria to help consistently identify and classify infections treated with antibiotics) for 2 out of 6 residents (Residents 22 and 17).2. The IP did not track the antibiotic use for 1 out of 6 residents (Resident 26).This failure resulted in antibiotics being prescribed without the qualified indication (use) or monitoring and had the potential for adverse outcomes and the development of antibiotic- resistant organisms. Findings:During an interview on 8/7/25 at 9:31 AM with the Infection Preventionist (IP), the IP stated when antibiotic medication is administered, he utilizes the McGeer…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-05-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions were met for food storage in the kitchen when there was a garlic oil container beyond its use-by date in the refrigerator. This failure had the potential to put residents at risk for foodborne illnesses. Findings: During a concurrent observation and interview on 5/20/24 at 11:05 AM with Director of Dining Services (DoDS), and Executive Chef (EC) in the kitchen, there was one peeled garlic oil container in the refrigerator with a use-by date of 5/15/24. DoDS stated, the garlic oil was expired when asked. He acknowledged that it should have been tossed out. EC also acknowledged it was expired. EC stated, Yes when asked if it should have been tossed out. Review of the facility's policy and procedure P&P titled, PRODUCTION, PURCHASING, STORAGE revised in January 2024, indicated, . All food, non-food items and supplies used in food preparation shall be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption .…

  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 · D2024-05-24 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review the facility failed to ensure there was a clean comfortable homelike environment when these two issues were found: 1. Two window screens had gaps. 2. Washbasins in four different rooms were found stored on the bathroom floor. Failure to ensure window screens were properly maintained had the potential to allow flying pests into residents' living spaces. Failure to store Resident's washbasins in a sanitary manner had the potential for residents to be exposed to dirty personal care equipment or infectious agents. Findings: Washbasins During observation on 5/20/24 at 9:43 AM, a washbasin was found stored on the bathroom floor in room [ROOM NUMBER]. During observation on 5/20/24 at 10:27 AM, a washbasin was found stored on the bathroom floor in room [ROOM NUMBER]. During observation on 5/21/24 at 10:37 AM , a washbasin was found stored on the bathroom floor in room [ROOM NUMBER]. During observation on 5/21/24 at 10:38 AM , a washbasin was found stored on the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-24 · tag F0640 — isolated
  Encode 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 transmit one of 12 sample residents' MDS (Resident 22) in a timely manner and failed to complete and transmit one of 12 sample residents' MDS (Resident 26). Failure to transmit required assessments violated the facility's contractual agreement with the State and CMS. Additionally, the facility failed to provide a policy governing the tracking and timely transmission of MDSs. Findings: During a concurrent interview and record review on 5/23/24 at 11:08 AM, the MDS Nurse was invited to review MDS for Resident 22 and Resident 26. The MDS Nurse acknowledged Resident 22's MDS was transmitted late and Resident 26's MDS was incomplete. The facility was asked to provide their policy regarding timely completion and transmission of MDS. The document submitted by the facility appears to be pages out of a Resident Assessment (RAI) manual published by CMS, dated October 2023. The document did not contain critical elements of a policy (such as General Information, Purpose, Policy, Procedure) and did not address how the facility should…

  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 · D2024-05-24 · 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 interviews and record reviews the facility failed to accurately code Resident 10's Minimum Data Set (MDS) assessment, one of 12 sample residents. Failure to accurately code Resident 10's assessment regarding restraints did not ensure health care providers could make safe and individualized health care decisions/recommendations based on Resident 10's MDS. Additionally, the facility failed to provide a policy regarding accurately coding a resident's MDS assessment. Findings: Review of Resident 10's MDS assessments dated 11/14/23 and 2/14/24 indicated the MDS nurse coded him as having a restraint. On 5/22/24 at 12:00 PM during an observation and concurrent interview, Resident 10 stated he was never restrained. Observation indicated there no signs of restraints in his room and Resident 10's wheelchair had no restraints nor were there any restraints on his bed. During an interview on 5/22/24 at 10:29 AM, the MDS Nurse stated I don't know why .(the MDS dated [DATE] and 2/14/24 were) coded as a restraint. I'll…

  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 · D2024-05-24 · 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 observation, interviews, and record review the facility failed to develop an individualized care plan for one of 12 sample residents (Resident 11). The facility failed to address Resident 11's behavior of refusing footrests for her wheelchair. Failure to develop an individualized care plan did not ensure the facility was providing care tailored to Resident 11's personal needs. Findings: During observation on 5/21/24 at 1:30 PM, Resident 11 was seen in her wheelchair. The bottom half of her left leg and foot was bent under the seat of her wheelchair. Resident 11 was seen dragging her left leg under her wheelchair as she wheeled herself down the hallway. During an interview on 5/21/24 at 1:31 PM, LVN 2 stated Resident 11 has a history of refusing footrests for her wheelchair. A follow up interview with Resident 11 indicated she does not want a footrest as she believes that the footrest would tip her wheelchair. LVN 2 was asked to search Resident 11's medical record for evidence that this behavior was care planned. LVN 2 stated the behavior was not care planned. Review of the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$12,703 in federal fines across 1 penalty.

• $12,703 — penalty dated 2023-10-30

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.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

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 $2.9M 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