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Mission Care Center

8487 Magnolia Avenue, Riverside, CA 92504 · For profit - Limited Liability company · 40 certified beds · (951) 688-2222 Medicare & Medicaid certified

Call the home — (951) 688-2222 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

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
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • 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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3975 Jackson St · (951) 353-2769 · Call to confirm hours
Pharmacy
8280 Magnolia Ave · (951) 687-1308 · Call to confirm hours
Grocery
8616 California Ave · (951) 688-0538 · Call to confirm hours
Park
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

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 increased5.0%10.2%15.4%better
Long-stay residents who lose too much weight0.0%4.0%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.0%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 injury0.0%1.6%3.3%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication5.0%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine97.3%98.2%95.3%typical
Long-stay residents with pressure ulcers1.7%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control5.3%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 table0.0%12.0%17.1%check this — see note marked star below the table
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine75.8%93.2%79.4%typical

* 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.

0.07U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

1.36
RN hours/ resident / day
2.97
LPN hours/ resident / day
2.12
Aide hours/ resident / day
6.45
Total nurse hours/ resident / day
1.24
RN hoursweekends
26.1%
Total nursing turnover
29.4%
RN turnover

How full it usually is: this home is certified for 40 beds and averages 39.2 residents a day — about 98% occupied, or roughly 1 bed 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 6.45 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.36 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 5.96 hrs/resident/day on weekends vs 6.64 on weekdays — 10% thinner on weekends. RN hours go from 1.40 to 1.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%. 1 administrator has left in the past year.

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

1
deficiencies at the latest standard inspection (2026-05-07)
3
at the previous standard inspection (2025-02-13)

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.

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.

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 · D2026-05-20 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 the written notice of proposed transfer and discharge was provided to the resident or resident representative (RR), for one of four residents reviewed (Resident 2). This failure had the potential for the resident or resident representative not to be aware of the transfer/discharge rights and process to appeal the transfer/discharge. Findings: On May 20, 2026, at 11:06 a.m., an unannounced visit was conducted at the facility to investigate a complaint regarding discharge. On May 20, 2026, Resident 2's medical record was reviewed. Resident 2 was admitted to the facility on [DATE], with diagnoses which included chronic respiratory failure with hypoxia (the lungs have a long-term, ongoing problem getting enough oxygen into your bloodstream), tracheostomy (a surgically created hole in the front of the neck that leads directly into the windpipe), and dependence on respirator (ventilator) ( body relies on a machine to breathe because your lungs or 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 · D2026-05-07 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure services provided met professional standards of practice, for one of nine residents (Resident 2), when nursing staff did not use appropriate safe handling precautions for a hazardous drug (medication that can cause birth defects and requires special handling for safety), letrozole (used to treat breast cancer), in accordance with professional standards and the facility's policy and procedure. This failure had the potential to expose residents and staff to serious reproductive risks such as infertility, miscarriage, or other pregnancy related complications. Finding: A review of Resident 2's admission Record, dated May 6, 2026, indicated Resident 2 was admitted on [DATE] with diagnoses including breast cancer. A review of Resident 2's medical record indicated a physician's order for letrozole 2.5 mg (milligram, unit of measurement) oral tablet, give 1 (one) tablet via G-tube (gastrostomy tube, a small flexible tube inserted through…

    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 · D2026-02-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 ongoing monitoring and assessment, for one of four residents reviewed (Resident 4), when there was a change of condition of increased drainage from the resident's neck lesions/wounds on January 14, 2026. In addition, there were no care plan developed to address Resident 4 who was at risk for infection due to increased wound drainage and odor. Findings:On February 3, 2026, at 9:53 a.m., an unannounced visit was conducted at the facility to investigate a complaint involving quality of care and treatment.On February 3, 2026, Resident 4's medical record was reviewed. Resident 4 was admitted to the facility on [DATE], with diagnoses which included malignant neoplasm of tongue (a serious oral cancer) and tracheostomy (an opening in the neck leading directly to the windpipe).A review of Resident 4's Minimum Data Set (MDS- an assessment tool), dated December 12, 2025, indicated Resident 4 had a BIMS (Brief Interview of Mental Status-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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-16 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    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 review, the facility failed to ensure the code status (a legal document or instruction that outlines a patient's wishes regarding medical care, particularly if they experience a cardiac or respiratory arrest) and presence of medical device was communicated accurately to the receiving facility when the resident was transferred to the acute hospital, for one of three residents sampled (Resident A). This failure had the potential to result in Resident A not to receive the correct code status during the resident's hospital stay, and could have a delay in care and treatment when the presence of medical device was not initially communicated to the receiving facility. Findings: On [DATE], at 9:30 a.m., an unannounced visit to the facility was conducted to investigate for a complaint of resident rights and quality of care. On [DATE], at 10 a.m., a review of Resident A's medical record was conducted. Resident A was admitted to the facility on [DATE], with diagnoses which included…

    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 · F2025-02-13 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    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 garbage and refuse were properly disposed off the facility grounds when multiple items were observed stored and stacked on top of each outside a trailer container. This failure had the potential to attract and harbor pest and rodents. Findings: On February 12, 2025, at 2:54 p.m., during a tour outside the facility with the Maintenance Supervisor (MS), multiple items of discarded wood, poles, signs, broken fans, metal frames, bath chairs, wooden pallets, bags of cement mix, and hoses stacked on top of each were observed beside the storage trailer. In a concurrent interview, the MS verified those items beside the storage trailer were discarded items. The MS stated discarded items should not be stored beside the storage trailer and should be disposed properly in the garbage binto prevent harboring of pests and rodents. A review of the facility's policy and procedures titled, Disposal of Garbage and Refuse, dated December 19, 2022, indicated, .Surrounding area shall be kept clean so that accumulation 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-02-13 · 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, handle, and serve food, in accordance with professional standards for food service safety for a highly vulnerable population of seven (7) residents who eat frood from the facility kitchen, when, two (2) oven gloves were observed with dark stains thick brown/black substance on the fingers and multiple patches of white substance. This failure had the potential to result in cross contamination and cause food borne illnesses in a highly vulnerable population of seven (7) residents who eat food from the kitchen. Findings: On February 10, 2025, at 10:53 a.m., during the initial tour of the kitchen with the Dietary Manager (DM), two (2) oven gloves were observed hanging on a hook on the wall for use by the cook. The oven gloves were observed with dark stains and a thick brown/black substance on the finger tips and, along the posterior of the hand piece and multiple patches of white substance were obsered up the sleeve of the overn gloves. One oven glove had worn area with loose threads 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 · Dcited before2025-02-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 ensure appropriate infection control practices were implemented when emergency water was stored in a clean environment. This failure had the potential for the spread of contaminates and/or infections to residents and staff. Findings: On February 12, 2025, at 2:54 p.m., an observation of the storage shed outside the facility was observed with the Maintenance Supervisor (MS). Several gallons of emergency water bottles were observed stored inside the storage shed. The water bottles were observed directly placed on the soiled and dusty floor next to chemical containers with warning labels. The top of the water bottles were observed with loose dirt. The water bottles were stored in a cluttered area with various items, including tools, soap dispensers, a broken fan, a broom, and mop sticks, and other items. The ceiling of the storage shed were observed to have loose particles and debris which had accumulated and fallen onto the water bottles. There was buildup of debris by the hole in the shed, which led to area…

    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 before2024-01-11 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    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, interview, and record review, the facility failed to ensure appropriate infection control were followed when: 1. The facility's water system was not tested for Legionella (a bacteria whichcould cause a serious type of pneumonia [lung infection]) and other waterborne diseases. This failure had the potential to place residents at risk for health complications related to Legionella; and 2. Three suction tubings (flexible tubes used for the removal of secretions) and one Yankauer (a tool used to suction oral secretions) were not dated, for three of three residents (Residents 2, 17 and 34). In addition, two Yankauers were not changed according to the facility's policy and procedure, for two of three residents (Residents 1 and 17.) This failure had the potential to cause an increased risk for respiratory infection for Residents 2, 17 and 34. Findings: 1. On January 10, 2024, at 11:06 a.m., an interview with the Maintenance Director (MTD) was conducted. The MTD stated the facility had a water…

    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 · E2024-01-11 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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: 1. A risk for entrapment (an event in which a resident is caught, trapped, or entangled in the space in or about the bed rail) assessment and least restrictive alternatives were conducted prior to use of bed rails, for sixteen of sixteen residents reviewed for bed rails (Residents 1, 2, 3, 4, 9, 13, 16, 22, 27, 28, 30, 31, 32, 35, 37, and 40). In addition, the risk for entrapment assessment did not indicate the resident's size and weight in relation to the dimensions of the bed being used for the resident according to the facility's policy and procedure. 2. The risk for entrapment assessments conducted were not specific to the bed rails being used by the residents, for six of sixteen residents reviewed for bed rails (Residents 2, 3, 16, 28, 37, and 40); and 3. An appropriate indication for the use of bed rails, for three of sixteen residents reviewed for bed rails (Residents 1, 2, and 9). These failures had the potential 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-11 · 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 ensure food was served and prepared in a sanitary condition and in accordance with professional standards for food service safety practice when: 1. There were multiple areas in the kitchen, kitchen equipment, and food storage areas that were not clean; 2. The kitchen floor was not clean and had pores, indentation, cracked, and missing flooring tiles; and 3. The resident refrigerator had multiple unlabeled food items. These failures had the potential to place residents at risk for foodborne diseases (illness that result from ingestion of contaminated food) that can cause sickness and or death. Findings: 1. On January 8, 2024, at 10:10 a.m., during a walk-through observation inside the kitchen with the Dietary Supervisor (DSS), the following were observed: - The storage pitcher shelves and multiple spice container lids were observed to have a whitish-gray debris; - The fire extinguisher metal bracket to the right top corner area of the coffee machine was observed to have hair like debris; - The walls at 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · E2024-01-11 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    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, two (2) microwave ovens, six (6) refrigerator shelves, six (6) dry storage room shelves, one (1) refrigerator gasket, and one (1) freezer gasket were maintained in a safe operating condition. These failures had the potential to place residents at risk for foodborne diseases (illness that result from ingestion of contaminated food) that can cause sickness and or death. Findings: On January 8, 2024, at 11:12 a.m., during the kitchen observation with the Dietary Supervisor (DSS), the top area of the microwave oven was observed to have six (6) open circular areas with brown-copper discoloration and peeled paint. In a concurrent interview with the DSS, she stated, the microwave oven paint is melting, and the six open circular areas were with rust. The DSS further stated the rust and paint could fall on the residents' food and cause contamination. The DSS stated the microwave oven should have not been used for resident safety and to prevent foodborne illness. On January 8, 2024, at 11:22 a.m., during 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-11 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 written notice of bed-hold policy (reserving a resident's bed while resident is out of the facility for therapeutic leave or hospitalization) was provided to the resident/and or resident representative, for one of one resident reviewed (Resident 25) when Resident 25 was transferred to the acute hospital. This failure had the potential for the resident or resident representative not to be informed of their right to hold the bed while out of the facility and the right to be readmitted back to the facility. Findings: On January 12, 2024, Resident 25's record was reviewed. Resident 25 was admitted to the facility on [DATE], with diagnoses which included respiratory failure (a serious condition that makes it difficult to breathe on your own). A review of the facility document titled, Interact, dated January 4, 2024, indicated Resident 25 was transferred to the acute hospital for a change of condition. There was no documented evidence Resident 25…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-11 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 an enteral feeding (a tube is inserted through the abdominal wall, through which liquid nutrition is administered) was provided within the safe timeframe to prevent bacterial growth in accordance with the enteral feeding manufacturer's recommendations, for one of 34 residents (Resident 30). This failure had the potential to result in food borne illness for Resident 30. Findings: On January 10, 2024, at 1:18 p.m., a concurrent observation and interview with Resident 30 was conducted. One bag of enteral tube feeding formula (Fibersource HN - type of formula) with a label indicating Resident 30's name and dated January 6, 2024, at 7 p.m., were observed hanging on the bedside pole in the resident's room. Resident 30's enteral feeding bag was observed to have approximately 400 milliliters (ml - unit of measurement) of enteral solution. In a concurrent interview with Resident 30, she stated she received enteral feeding on January 9,…

    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 · D2024-01-11 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure medications were disposed timely according to the facility's policy and procedure, for one of one resident (Resident 40), when one intravenous (IV) antibiotic medication was observed hanging on the IV pole, readily available for use after IV therapy was completed. This failure had the potential for Resident 40 to receive discontinued medication and/or could result in medication administration error. Findings: On January 8, 2024, at 12:17 p.m., one bag of IV medication labeled ertapenem (medication to treat infection) with Resident's 40's name and dated January 6, 2024, at 2:25 p.m., was observed hanging on the IV pole near Resident 40's bed side. On January 8, 2024, at 1:07 p.m., Resident 40 was observed with Registered Nurse (RN) 1. One IV medication labeled ertapenem with the resident's name and dated January 6, 2024, at 2:25 p.m., was observed hanging on the IV pole near Resident 40's bedside. RN 1 stated the ertapenem IV medication contained approximately two milliliters (ml - unit of measurement).…

    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 · D2024-01-11 · tag F0802 — failed to prepare enough nourishing food — isolated
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure dietary staff were able to carry out the functions of food and nutrition services safely and effectively when: 1. [NAME] 2 was unable to accurately verbalized the starting temperature of cool down process for hazardous foods. This failure had the potential to cause foodborne illness, for five (5) out of five (5) residents who received food from the kitchen; and 2. [NAME] 1 served chunks of pureed spinach casserole (pureed foods should be smooth for residents who have difficulty chewing and/or swallowing) during the noon meal on January 10, 2024. This failure had the potential risk of choking, for one out of one resident (Resident 30) who received pureed food from the kitchen. (Cross referred with F805) Findings: 1. On January 8, 2023, at 4:02 p.m., a concurrent interview and record review was conducted with [NAME] 2 (CK) and the Dietary Supervisor (DSS). CK 2 stated the initial/starting temperature required when hot foods would be cooled down was from 130°F. The facility document titled, Cool Down Log,…

    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 · D2024-01-11 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 a puree diet (a diet with food texture of smooth pudding-like or smooth mashed potato-like consistency) was prepared and provided, for one of one resident (Resident 30) when the resident received chunks of spinach casserole for lunch on January 10, 2024. This failure placed Resident 30 at risk for aspiration (accidentally inhaling food or liquid into the lungs) and choking. Findings: On January 10, 2024, at 11:30 a.m., during an observation in the kitchen of the puree diet preparation with [NAME] (CK) 1 and the Dietary Supervisor (DSS), CK 1 was observed to grind the cooked spinach casserole in the food processor. The spinach casserole texture was observed to have chunks. In a concurrent interview with CK 1 and the DSS, both stated the texture of the spinach casserole was the right texture for a puree diet. On January 10, 2024, at 12:55 p.m., during a concurrent observation and interview with the Registered Dietician (RD). The RD…

    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 · D2024-01-11 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    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 the physician's prescribed diet order, for one of five resident (Resident 36) observed during lunch on January 9, 2024, when Resident 36 did not receive the prescribed portion size during lunch meal. This failure resulted in Resident 36 to receive less calories from small portion, and could potentially result in unplanned weight loss, further compromising the nutritional and medical status of Resident 36. Findings: On January 9, 2024, at 11:50 a.m., a concurrent observation, and record review was conducted with [NAME] 1 (CK). CK 1 was observed to place one scoop of two ounces of meat, mashed potatoes, and peas on Resident 36's plate. Resident 36's meal ticket in the meal tray indicated, Small portions. The facility diet census (a diet list indicated resident's name and the physician's prescribed diet order) provided by the Dietary Supervisor (DSS) on January 9, 2024, indicated Resident 36 was on regular portion. The dietary spread sheet indicated four ounces of meat, mashed potatoes, and peas should be…

    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 · D2024-01-11 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop 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 record review, the facility failed to ensure the pneumonia (lung infection) vaccine was offered, for one of five residents reviewed for immunization (Resident 35). This failure had the potential for an increased risk for Resident 35 to acquire pneumonia. Findings: On January 10, 2024, Resident 35's record was reviewed. The facility document titled, admission Record, indicated Resident 35 was admitted to the facility on [DATE], with diagnoses which included respiratory failure (a serious condition that makes it difficult to breathe on your own), tracheostomy (a small, surgical opening through the skin into the windpipe), and dependence on ventilator (a machine that helps people breathe when they cannot breathe naturally). The document indicated Resident 35 was [AGE] years old. In addition, the document indicated Resident 35's family member as the responsible party to make healthcare decisions for the resident. A review of Resident 35's Pneumococcal Vaccination Record located under 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2025-02-13 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 provide the required bedroom space measuring at least 80 square feet per resident, in 15 resident rooms (Rooms: 1, 2, 3, 4, 5, 6, 7, 8 , 11, 12, 14, 15, 16, 17, and 18). On February 10, 2025, at 10 :00 a.m., an interview was conducted with the Director of Nursing (DON) regarding the room sizes for resident rooms 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 14, 15, 16, 17, and 18. The DON stated the rooms did not meet the space requirement of at least 80 square feet per resident in the above mentioned resident rooms. The DON stated the facility has a waiver for the rooms. During the survey dates February 10,11, 12 and 13, 2025, the above listed rooms were observed at different times of the day. There were no adverse effects that impacted the quality of life of the residents who resided in the rooms as observed during the survey dates. On February 12, 2025, at 10:15 a.m., the DON provided the request for room waivers for Rooms 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 14, 15, 16, 17, and 18. On February 13, 2025, during interviews…

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

    Environmental Deficiencies · Waiver has been granted
  • No harm found · Bcited before2024-01-11 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 provide the required bedroom space measuring at least 80 square feet per resident, in 15 resident rooms (Rooms: 1, 2, 3, 4, 5, 6, 7, 8 , 11, 12, 14, 15, 16, 17, and 18). Findings: On January 11, 2024, at 11:00 a.m., an interview was conducted with the Director of Nursing (DON) regarding the room sizes for resident rooms 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 14, 15, 16, 17, and 18. The DON stated the rooms did not meet the space requirement of at least 80 square feet per resident in the above mentioned resident rooms. The DON stated the facility has a waiver for the rooms. During the survey dates January 8, 9, 10, and 11, 2024, the above listed rooms were observed at different times of the day. There were no adverse effects that impacted the quality of life of the residents who resided in the rooms as observed during the survey dates. On January 11, 2024, the DON provided the request for room waivers for Rooms 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 14, 15, 16, 17, and 18. The survey team recommends the room variance 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.

    Environmental Deficiencies · Waiver has been granted

“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.

Part of a chain

This home belongs to DAVID JOHNSON — 48 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 →

RatingThis homeChain avg
Overall 5 of 53.2+1.8 vs chain
Health inspection 5 of 52.7+2.3 vs chain
Staffing 2 of 53.3-1.3 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 47 homes this chain runs (chain average 3.2★, per CMS)
1 of 5Bay View Rehabilitation Hospital, LLCAlameda, CA 1 of 5Crescent City Care CenterCrescent City, CA 1 of 5French Park Care CenterSanta Ana, CA 1 of 5North Valley Nursing CenterTujunga, CA 1 of 5Tarzana Health And Rehabilitation CenterTarzana, CA 2 of 5Blythe Post Acute LLCBlythe, CA 2 of 5College Vista Post-AcuteLos Angeles, CA 2 of 5Cottage Crest Post AcuteNorwalk, CA 2 of 5Diamond Ridge Healthcare CenterPittsburg, CA 2 of 5Gordon Lane Care CenterFullerton, CA 2 of 5Heritage ManorMonterey Park, CA 2 of 5Spring Valley Post Acute LLCVictorville, CA 2 of 5Sunny Hills Post AcuteLa Mirada, CA 2 of 5Torrey Pines Post Acute And RehabilitationLas Vegas, NV 2 of 5Trabuco Hills Post AcuteLake Forest, CA 2 of 5Villa Del Sol Post AcuteBellflower, CA 3 of 5Anaheim Healthcare Center, LLCAnaheim, CA 3 of 5Bonita Hills Post AcuteLa Habra, CA 3 of 5Community Care And Rehabilitation CenterRiverside, CA 3 of 5Country Oaks Care CenterPomona, CA 3 of 5Courtyard Care CenterSan Jose, CA 3 of 5Extended Care Hospital Of RiversideRiverside, CA 3 of 5Knolls West Post Acute LLCVictorville, CA 3 of 5Menifee Lakes Post AcuteSun City, CA 3 of 5Mission Carmichael Healthcare CenterCarmichael, CA 3 of 5Paramount Convalescent Hosp.Paramount, CA 3 of 5Pelican Ridge Post AcuteNewport Beach, CA 3 of 5Sunset Manor Conv HospEl Monte, CA 3 of 5Vineland Post AcuteNorth Hollywood, CA 4 of 5Garden Park Care CenterGarden Grove, CA 4 of 5Las Vegas Post Acute & RehabilitationLas Vegas, NV 4 of 5Ocean View Post AcuteEscondido, CA 4 of 5Park Regency Care CenterLa Habra, CA 4 of 5Pomona Vista Care CenterPomona, CA 4 of 5Sierra View Care CenterBaldwin Park, CA 4 of 5Vista View Post AcuteVista, CA 5 of 5Alcott Rehabilitation HospitalLos Angeles, CA 5 of 5Citrus Nursing CenterFontana, CA 5 of 5Del Mar Convalescent HospitalRosemead, CA 5 of 5Excell Health Care CenterOakland, CA

Showing 40 of 47; lowest-rated first.

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 / managerTypeRoleShareSince
MARMUR, ELIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTEREST20%since 06/10/2008
CHAMBERS, THOMASIndividualINDIRECT OWNERSHIP INTERESTsince 06/10/2008
JOHNSON, DAVIDIndividualINDIRECT OWNERSHIP INTERESTsince 06/10/2008
CASA/SIERRA CALIFORNIA ASSOCIATES LPOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 02/11/2025
DEHGHANMANESH, ADRIANIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2021
JOHNSON, FRANKIndividualCORPORATE OFFICERsince 06/01/2021
RIVERSIDE EQUITIES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/19/2008
SUN MAR MANAGEMENT SERVICESOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/10/2008
ELLSWORTH, ADAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/16/2022
ESTABAN, FREDERICKIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/28/2016
KOCHEK, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
MAHESHWARI, ANOOPIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2012
FARRALES, MARYIndividualADP OF THE SNFsince 01/01/2023

CMS files one row per role, so the 22 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

$9.8M
Net patient revenuemost recent cost report
+1.3%
Operating marginrevenue minus expenses
$638K
Related-party expense7% of expenses
Who pays — share of resident-days
Medicaid 83%Medicare 5%Other / private 12%

About 83% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $638K 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

$684per resident / day
operating cost
$20,788per month
≈ monthly operating cost
$693per day
avg. revenue, all payers

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

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 055542. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-07, 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.

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