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Riverside Behavioral Healthcare Center

4580 Palm Avenue, Riverside, CA 92501 · For profit - Corporation · 120 certified beds · (951) 684-7701 Medicaid only — no Medicare

Call the home — (951) 684-7701 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jul 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jul 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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

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

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4646 Brockton Ave · (951) 774-2952 · Call to confirm hours
Pharmacy
4646 Brockton Ave · (951) 788-4646 · Call to confirm hours
Grocery
4050 University Ave · (951) 328-9252 · Call to confirm hours
Park
Tequesquito Arroyo 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 increased1.1%10.2%15.4%better
Long-stay residents who lose too much weight0.7%4.0%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms1.2%7.3%6.5%better
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 injury0.7%1.6%3.3%better than state — see note marked double-dagger below the table
Long-stay residents whose ability to walk worsened0.4%9.8%16.1%better
Long-stay residents on antianxiety or hypnotic medication6.0%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.2%95.3%typical
Long-stay residents with pressure ulcers0.0%4.3%4.7%check this — see note marked star below the table
Long-stay residents with worsening bladder/bowel control0.4%10.2%21.2%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine96.6%93.2%79.4%better
Long-stay hospitalizations per 1,000 resident days0.002.251.67better
Long-stay outpatient ER visits per 1,000 resident days0.391.571.80better

* 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.

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.

Staffing

0.31
RN hours/ resident / day
0.79
LPN hours/ resident / day
1.41
Aide hours/ resident / day
2.51
Total nurse hours/ resident / day
0.20
RN hoursweekends
36.7%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 118.9 residents a day — about 99% 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 2.51 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.41 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 2.14 hrs/resident/day on weekends vs 2.65 on weekdays — 19% thinner on weekends. RN hours go from 0.36 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% is about the same as the national median of 45%.

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

Inspection trend

3
deficiencies at the latest standard inspection (2025-11-06)
4
at the previous standard inspection (2024-11-07)

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · Fcited before2025-11-06 · 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 the dietary staff followed the manufacturer's instructions for testing the Quaternary (quaternary ammonium compounds [quats] are a group of chemicals used as disinfectants) sanitizer. This failure had the potential to result in inaccurate readings of the sanitizing solution, which could lead to cross-contamination. Findings:On November 4, 2025, at 3:38 p.m., during an observation of a Dietary Aide (DA) testing the sanitizing solution, the DA was observed dipping the Quat strip into the sanitizing solution for six seconds before comparing the strip to the color comparator chart.In a concurrent interview with the DA, the DA stated the manufacturer's instructions indicated the strip should be dipped for one to two seconds then compare to the comparator chart within 10 seconds. The DA stated she should have followed the instruction. The DA further stated that failure to follow them could result in inaccurate reading. On November 4, 2025, at 4:09 p.m., during an observation of the Cook, the [NAME] was…

    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 · E2025-11-06 · tag F0808 — failed to follow doctor-ordered diets — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the physician-ordered therapeutic diets were followed for three of nine residents (Residents 65, 53, and 32). Each of these residents, who were ordered a low cholesterol -low fat diet were served creamy noodles instead of parsley noodles as specified on the therapeutic menu.These failures had the potential to result in increased cholesterol levels and compromised nutritional status for these residents.Findings:On November 6, 2025, the facility document titled Fall 2025 menu, for lunch was reviewed. The document indicated:-Regular diet- 2 oz. baked chicken; creamed noodles; 1 bread slice; 1 square banana foster cake; and 8 oz water. -Low fat /Low cholesterol diet - baked chicken; parsley noodles; parsley carrots; 1 bread slice; 1 square banana foster cake; and 8 oz water.On November 6, 2025, at 12:15 p.m., during lunch observation and a concurrent interview with the Dietary Supervisor (DS), Resident 65 was served with creamed…

    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 · D2025-11-06 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 consistently monitor and document resident's highest level of pain as ordered by the physician, for one of two residents reviewed for pain (Resident 15). This failure had the potential for the resident to experience pain and discomfort, which could negatively impact physical and mental well-being. Findings:On November 3, 2025, at 10:21 a.m., an interview was conducted with Resident 15. Resident 15 was alert, observed to be walking in the hallway. Resident 15 stated he experienced headaches and received pain medication but that it was not provided consistently.A review of Resident 15's record was conducted. Resident 15 was admitted [DATE], with diagnosis including schizoaffective disorder (a mental disorder), and gastro-esophageal reflux (overproduction of acids in digestive system).The History and Physical dated July 1, 2025, indicated Resident 15 had the capacity to understand and make decisions.A review of Resident 15's Change in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-19 · 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 interview and record review, the facility failed to: a. Evaluate changes in behavior, including refusal to participate in activities, and changes in mobility and function, after a fall incident for Resident 1. This failure could delay pain recognition and intervention, causing the resident to continue experiencing pain. b. Re-evaluate interventions to address continuous complaint of pain by Resident 1. This failure has the potential to result in mobility issues, social isolation, and inability to perform daily activities. c. Promptly arrange an MRI (Magnetic Resonance Imaging- medical imaging technique used in radiology to generate pictures of the anatomy and the physiological processed inside the body) for Resident 1's right hip pain. This failure could have delayed diagnosing a fracture, leading to postponed intervention and increased pain for Resident 1.Findings: On August 19, 2025, a review of Resident 1's admission record indicated Resident 1 was admitted 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-03 · 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 interview and record review, the facility failed to ensure for one of two sampled residents (Resident 1), Resident 1 received necessary supervision and monitoring, as required by the physician for every 15-minute checks following a downgrade from 1:1 monitoring. This failure resulted in lack of observation and documentation and had the potential to result in aggression and harm towards other residents without timely staff intervention. Findings: A review of Resident 1's admission Record dated March 18, 2025, indicated Resident 1 was admitted on [DATE], with diagnoses which included schizophrenia (a mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions). A review of Resident 1's progress notes dated March 13, 2025, indicated, .may come off of 1:1 monitoring per (name of physician) and remain on q15 min behavior watch . A review of Resident 1's document titled 1:1 with staff EVERY 15 MINUTE MONITORING, dated March 13, 2025,…

    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 · Fcited before2024-11-07 · 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 reviews, the facility failed to maintain a sanitary environment, prepare, and serve food in accordance with professional standards for food service safety when: 1. The two-compartment preparation sink (sink used for preparing foods) did not have an air gap (a vertical space between the end of a pipe and the top of a nearby sink that prevents the backflow of contaminated water); 2. Six out of six white storage shelves in the reach-in refrigerator labeled number 2, were found to have peeled chipped paint. 3. Three drying rack shelves (one near the handwashing sink and two by the side doorway kitchen entrance) were found to be worn and with brown grime. 4. One unlabeled cooking oil was stored in a water pitcher found in the kitchen; 5. Two cutting boards with deep indentations were found in the kitchen; and 6. Dust was found on storage shelves inside the dietary storage room and on drying racks. These failures had the potential to cause foodborne illness (stomach illness acquired from ingesting contaminated food) among the residents in the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-07 · tag F0802 — failed to prepare enough nourishing food — pattern
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    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] 1 (CK) 1 did not check the cooking temperature for beef patties, fish, and chicken tenders during lunch meal preparation on November 5, 2024; 2. Dietary staff did not follow manufacturer's guidelines for testing the red bucket sanitizer; 3. Four dietary staff did not follow the facility food preparation and cleaning procedure of surfaces and stationary equipment; 4. One Dietary Aide did not know the right concentration of the red bucket sanitize; and 5. One Dietary Aide did not know the right location and could not demonstrate the correct procedure to test for dish sanitization. These failures had the potential to cause food borne illness (stomach illness acquired from ingesting contaminated food) to the residents in the facility. Findings: 1. On November 5, 2024, at 10:42 a.m., an observation was conducted with CK 1. CK 1 was observed removing a platter of cooked beef patties from…

    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 before2024-11-07 · tag F0880 — failed to prevent and control infections — pattern
    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 four pill cutters (equipment used to cut medications) were cleaned before being stored in the medication carts (equipment used to store and dispense medications). This failure had the potential to result in cross contamination (transfer of microorganism (germs) from one object to another) of medications which could lead to infection. Findings: On November 6, 2024, at 10:30 a.m., during a concurrent observation of the afternoon (PM) medication cart in nursing station 2 and an interview with the Licensed Psychiatric Technician (LPT), two blue pill cutters had green -brown grime buildup and white powder residue. The LPT stated the pill cutters should be cleaned between uses, and replaced or thrown when dirty. The LPT stated the two pill cutters were dirty and had medication residue. The LPT stated, she did not know when it was last cleaned. The LPT stated the pill cutters should have been cleaned and should not have been left in the medication cart, readily available for use, as this could cause cross…

    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 · D2024-11-07 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 an allegation of abuse was reported to the California Department of Public Health (CDPH) immediately, and no later than two hours after the allegation was made, for two of five residents reviewed for abuse (Residents 12 and 80). This failure had the potential to delay the implementation of appropriate action and protective measures for the residents, placing them at risk for further abuse. Findings: On November 7, 2024, a review of Resident 80's admission Record, indicated, Resident 80 was admitted to the facility on [DATE], with diagnoses which included schizoaffective disorder (a mental health condition). A review of Resident 80's History and Physical, dated July 16, 2024, indicated, Resident 80 had the capacity to understand and make decisions. A review of Resident 80's Progress Notes, dated November 2, 2024, indicated, .The Change In Condition/s reported .It was reported to this nurse that while on the courtyard during a group, (Resident 80)…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-29 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to document a resident assessment, leading to the downgrading of monitoring (decreasing level of monitoring resident by staff) from 1:1 (one staff member monitors one resident) to behavior watch every 15 minutes, for one of 10 sampled residents (Resident 1). This failure had the potential to not accurately reflect the resident's current condition and the rationale for downgrading their monitoring level, leading to a gap in the continuity of care. Findings: On October 28, 2024, at 12:50 p.m., an unannounced visit was made to the facility for a facility reported resident-to-resident altercation issue. A review of Resident 1 ' s medical records, titled, Face sheet, dated, October 15, 2024, at 10:12 (am/pm not indicated), indicated, resident was admitted to the facility on [DATE], with a diagnosis of schizophrenia (a mental disorder that affects thought, behaviors, and feelings). Further review of Resident 1's Minimum Data Set (an assessment tool)…

    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
Show the remaining 13 citations
  • Potential for harm · D2024-07-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 one of the three sampled residents (Resident 10) was free from physical abuse when a Program Counselor (PC 1) had a physical altercation with Resident 10. This failure resulted in Resident 10's sustaining superficial scratches on both cheeks and redness on the forehead. Findings: On July 11, 2024, at 9:10 a.m., an unannounced visit was made to the facility to investigate an allegation of physical abuse. A review of Resident 10's records indicated she was admitted to the facility on [DATE], with a diagnosis of schizophrenia (a mental disorder that affects a person's ability to think, feel, and behave clearly), adjustment disorder with mixed disturbance of emotions and conduct (an emotional or behavioral reaction to a stressful event or change in a person's life) A review of Resident 10's History and Physical dated January 9, 2024, indicated, .has the capacity to understand and make decisions . A review of a document titled, Post-Event Review -V…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-20 · 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 a safe resident environment for two of three sampled residents (Residents 1 and 2), when Resident 1's room remained across from Resident 2 who Resident 1 had alleged abused him. This failure had the potential to result in increased mental anguish and/or emotional distress for both Resident 1 and Resident 2, who was falsely accused. Findings: On June 6, 2024, at 10:00 a.m., an unannounced visit was made to the facility to investigate an abuse allegation involving two residents. A review of Resident 1's record indicated he was admitted to the facility on [DATE], with a diagnosis which included schizoaffective disorder (mental disorder where one experiences hallucinations, embrace false beliefs, and experience depression or mania). A review of Resident 1's History and Physical, dated February 6, 2024, indicated .Has the capacity to understand and make decisions . A review of Resident 1's progress notes titled, Behavior Note, dated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-07 · 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 interview and record review, the facility failed to ensure for one of three residents (Resident B), received monitoring every 15 minutes as indicated for behavior watch. This resulted in Resident B, visiting Resident A, which led to an allegation of sexual abuse. Findings: On June 23, 2023, at 10:15 a.m., an unannounced visit was made to the facility to investigate a facility reported incident. On June 23, 2023, at 11:05 a.m., an interview with Resident A was conducted. Resident A stated, Resident B came to her room and performed inappropriate sexual acts. Resident A stated, she did not press charges against Resident B because they did not have intercourse, but she had not consented to Resident B touching her, and Resident B told the police she had consented. Resident A stated, she saw Resident B the day after the incident, she feelt safe, and was not mad about the situations, but felt violated. On June 23, 2023, at 12:18 p.m., an interview with the Social Services (SS) was conducted. The SS stated, she…

    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 before2022-01-07 · tag F0880 — failed to prevent and control infections — pattern
    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 observation, interview, and record review, the facility failed to ensure infection control practices were implemented when: 1. A physician was screened for COVID-19 (Coronavirus - a respiratory disease caused by a virus which mainly spreads from person to person) signs and symptoms prior to entering the facility.; This failure increased the risk of spread of infection to residents and staff. 2. A staff was observed licking his fingers in between serving the puddings to the residents in the dining room. This failure has the potential to result in transmission of infectious illnesses to the residents. 3. An annual respirator fit-testing for the staff was completed; and This failure increased the risk that staff's respirator fit had changed resulting in ineffective respiratory protection. 4. The staff who failed the N95 (a respirator used to protect the wearer from particles in the air) fit testing was offered to be fitted with a different type of respirator. This failure increased the risk for staff not…

    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 · D2022-01-07 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the physician was notified of the elevated blood sugar, in accordance with the physician order, for one of 24 residents reviewed (Resident 270). This failure had the potential to result for the physician to not be aware of the residents' medical condition, delaying treatment and services. Findings: Resident 270's record was reviewed. Resident 270 was readmitted to the facility on [DATE], with diagnoses which included diabetes mellitus (abnormal blood sugar). The document titled, Order Summary Report, for the month of January 2022, indicated .Fingerstick via accucheck machine at 0630 and 1630 (4:30 p.m.) notify MD (physician) if BS (blood sugar) is less than 60 or greater than 200 . The Medication Administration Record indicated Resident 270 had blood sugar level of greater than 200 mg/dl (milligrams per deciliter) on the following dates: -December 15, 2021: 245; - December 16, 2021: 301; -December 17, 2021: 246; -December 18, 2021:…

    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 · D2022-01-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the residents were provided with a clean, safe, comfortable environment when: 1. The broken cabinet used for book storage in the dining room, was not reported to the maintenance staff, in accordance to the facility policy and procedure. This failure resulted for the cabinet to remain broken, placing the residents in an unsafe environment. 2. A resident's broken bed frame was left unfixed, and still being used. This failure had the potential for the resident to be at risk for experiencing irregular and uncomfortable sleep, subject to injury, and compromise the integrity of his clothing. Findings: 1. On January 4, 2022, at 2:56 p.m., during an observation and interview with the Activity Director (AD), the cabinet used as a book storage in the dining room was broken. The hinges of the cabinet did not have screws to hold the cabinet door in place. The AD stated the cabinet had been broken for a while. On January 6, 2022, at 9 a.m., in…

    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 · D2022-01-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a care plan was initiated to address a resident's dental problem during the comprehensive assessment for one of 24 residents reviewed (Resident 25). This failure had the potential to not be able to address the resident's medical, physical, mental, and psychosocial needs. Findings: On January 3, 2022, at 2:37 p.m , during an observation and interview with Resident 25, she stated her teeth were pretty bad. Resident 25 was observed with missing and broken teeth. Resident 25's record was reviewed. Resident 25 was admitted to the facility on [DATE], with diagnoses which included schizoaffective disorder, bipolar type (mental health disorder characterized by combination of schizophrenia [symptoms of delusions and paranoia] and mania [extreme symptoms of wild behavior]). The Minimum Data Set (MDS - an assessment tool) annual assessment dated [DATE], indicated, .Oral/Dental Status .Obvious or likely cavity or broken natural teeth .Yes .…

    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 · D2022-01-07 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    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 prompting and cueing during performance of Activities of Daily living (ADL) for one of one resident reviewed for ADL (Resident 52). This failure would not enhance the resident's quality of life as it diminishes the resident's self-esteem and self-worth. Findings: On January 3, 2022, at 3:15 p.m., Resident 52 was observed with a quarter size hole on her right shoe. Resident 52's right big toe was exposed. Resident 52's record was reviewed. Resident 52 was admitted to the facility on [DATE], with diagnoses which included schizoaffective disorder, bipolar type (a mental health disorder characterized by combination of schizophrenia [symptoms of delusions and paranoia] and mania [extreme symptoms of wild behavior]). The document titled HISTORY AND PHYSICAL, dated April 27, 2021, indicated Resident 52 had the capacity to understand and make decisions. The Minimum Data Set (an assessment tool) dated October 25, 2021, indicated Resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-01-07 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's 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 interview and record review, the facility failed to ensure resident's preference for reading materials were provided for one of one resident reviewed for activities (Resident 80). This failure had the potential for the resident to not be able to attain pleasure and comfort while staying in the facility. Findings: On January 3, 2022, at 3:43 p.m., Resident 80 was interviewed. He stated there was not much reading materials in the facility. Resident 80 stated he loves reading books and it would be better if there were books which he liked. On January 4, 2022, at 2:56 p.m., the Activity Director (AD) was interviewed. The AD stated on admission, she completed activity assessments for the residents to know their preferred activity. She stated Resident 80 preferred reading books by himself. The AD stated Resident 80 was not interested with the books in the facility. The AD stated she could not provide the books he preferred. On January 5, 2022, at 12:13 p.m., Resident 80 was interviewed. He stated he liked 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-01-07 · 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 ensure one of the 24 residents reviewed for quality of care (Resident 89), was assessed and monitored when the resident developed rashes on his feet. This failure had the potential to result in the delay in the treatment which could affect the resident's physical, psychosocial, and mental well-being. Findings: 1. On January 4, 2022, at 8:44 a.m., a concurrent observation and interview was conducted with Resident 89. He was observed with rashes on both feet. Resident 89 stated he had rashes because of his footwear. He stated he had the rashes for less than two months ago. Resident 89's record was reviewed. Resident 89 was admitted to the facility on [DATE], with diagnoses which included traumatic brain injury (brain dysfunction caused by outside force usually a violent blow to the head). The document titled HISTORY AND PHYSICAL, dated November 9, 2021, indicated Resident 89 had the capacity to understand and make decisions. The document…

    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 · D2022-01-07 · 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 — the official record, unedited, 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 expired medication was discarded and not stored to be available for use. This failure had the potential to result in giving a medication that was less effective and causing serious health risk. Findings: On [DATE], at 9:33 a.m., during medication inspection at Station 2 with the Assistant Director of Nursing (ADON), a half-filled bottle of liquid pain relief (Acetaminophen) was observed with an expiration date of [DATE]. In a concurrent interview, the ADON stated the bottle of Acetaminophen should not be in the medication cart available for use. She stated the medication should have been discarded. A review of the facility policy and procedure titled, Storage of Medications, dated [DATE], indicated, The facility stores all drugs and biological's in a safe, secure, and orderly manner .Discontinued, outdated, or deteriorated drugs or biological's are returned to the dispensing pharmacy or destroyed .

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-01-07 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the resident's food were stored in a manner to prevent contamination when a box of corn bread mix was left open and unsealed. This failure increased the potential for food to be contaminated and cause food-borne illness to the residents of the facility. Findings: On January 3, 2022, at 8:36 a.m., during dry storage room inspection, conducted with the [NAME] (Cook 1), one box of corn bread mix was observed to be opened to air and not sealed in a protective bag. In a concurrent interview with [NAME] 1, [NAME] 1 stated the top of the corn bread mix box was not closed. [NAME] 1 further stated the seal tabs of the box of corn bread mix should have been securely closed and sealed to prevent contamination. On January 4, 2022 at 9:42 a.m., the Dietary Supervisor (DS) was interviewed. The DS stated the box of corn bread mix should have been covered with an airtight seal to prevent exposure to dust or contaminants. The facility's policy and procedure titled, Recommended Storage Practices, revised December 14,…

    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 · D2022-01-07 · tag F0908 — failed to keep essential equipment working — isolated
    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 the facility equipment (dyer) was in safe operationg condition, when the dryer lint trap was observed to be covered with thich white lint. This failure had the potential to result in fire hazards. Findings: On January 7, 2022, at 9:07 a.m., in a concurrent observation and interview with the Housekeeping Staff (HS), she stated the entire lint trap was covered with thick white lint. She stated the staff who used the dryer should have removed the lint prior to use. She stated the dryer lint trap was checked every two hours and documented in the lint trap cleaning log. In a concurrent interview and review of the lint trap cleaning log, the HS stated there was no documentation the lint trap was checked every two hours. She stated she would not know if the lint trap was checked if there was no documentation. A review of the document titled, LINT TRAP CLEANING LOG, for the month of January 2022, indicated the lint trap was not checked on the following dates and times: - January 1, 2022, at 9 a.m., 7 p.m., and…

    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

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

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

What families pay in CA

Paying with Medicaid

CMS lists this home as Medicaid-certified only — it can accept Medicaid for long-term care, but it is not Medicare-certified, so Medicare will not pay for a short rehabilitation (“skilled nursing”) stay here. 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 05A263. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-06, 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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