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Ridgeview Skilled Nursing Facility

9825 Glen Center Drive, San Diego, CA 92131 · For profit - Individual · 45 certified beds · (858) 293-3900 Medicare & Medicaid certified

Call the home — (858) 293-3900 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)$33,238 in federal fines
Insights

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

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)
  • a high payroll-based staffing rating (5/5)
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
  • the CMS record shows $33,238 in federal fines (most recent 2024-02-20)

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) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4004 Beyer Blvd · (619) 428-4463 · Call to confirm hours
Pharmacy
Oportun0.2 mi
517 E San Ysidro Blvd · (619) 631-4829 · Call to confirm hours
Grocery
110 Olive Dr · (619) 428-4481 · Call to confirm hours
Park
101 W Park Ave · (619) 236-1401 · 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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 3 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 increased14.3%10.2%15.4%typical
Long-stay residents who lose too much weight9.5%4.0%5.4%worse
Long-stay residents with a catheter left in their bladder3.2%0.8%0.9%worse
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 injury5.9%1.6%3.3%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication0.0%13.7%18.9%check this — see note marked star below the table
Long-stay residents with pressure ulcers1.5%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control7.5%10.2%21.2%better than state — see note marked double-dagger below the table
Short-stay residents who newly got an antipsychotic medication1.2%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine97.7%93.2%79.4%better
Short-stay residents rehospitalized after admission28.6%23.0%22.6%worse
Short-stay residents with an outpatient ER visit13.3%11.2%12.0%worse

* 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.

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.

70.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

70.9%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
53.9%U.S. median 56.6%
Met the expected recovery
1.23U.S. median 0.31
Therapy hours / resident / day
0.52hours / resident / day
Physical therapy
0.61hours / resident / day
Occupational therapy
0.10hours / resident / day
Speech therapy

Met the expected recovery: 53.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 178 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.23 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF70.9%CMS range 62.6–77.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 7.6–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge53.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge53.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.7%CMS range 3.4–8.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

2.16
RN hours/ resident / day
0.46
LPN hours/ resident / day
2.72
Aide hours/ resident / day
5.33
Total nurse hours/ resident / day
1.79
RN hoursweekends
55.1%
Total nursing turnover
35.3%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 30.7 residents a day — about 68% occupied, or roughly 14 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.16 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.72 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.49 hrs/resident/day on weekends vs 5.69 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 2.32 to 1.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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

7
deficiencies at the latest standard inspection (2025-06-12)
3
at the previous standard inspection (2024-05-08)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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 · Dcited before2025-11-24 · 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 interview and record review, the facility failed to follow their policy and procedure related to notification of the physician when one of three residents (Resident 1) who had a foley catheter (a thin flexible tube inserted through the urethra( the duct by which urine is conveyed out of the body) into the bladder to drain and collect urine) had episodes of low urine output on different shifts. This failure had the potential to affect Resident 1's health condition. Findings.A review of the facility's admission Record indicated Resident 1 was admitted on [DATE] with diagnoses which included Nondisplaced Fracture of the Sacrum (a break in the base of the spine) and Neuromuscular Dysfunction of the Bladder (issues with bladder control and function). On 11/24/25 at 11:45 A.M., an interview and record review with Licensed Nurse (LN)1 was conducted. LN 1 stated Resident 1 had a foley catheter for Neurogenic Bladder (condition in which a person lacks bladder control). LN1 stated Resident 1's intake and output…

    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 · Dcited before2025-11-24 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow the written care plan related to documenting intake and output for one of three residents (Resident 1) who had a foley catheter and passing low amount of urine. This failure had the potential to cause serious complications and could harm Resident 1's health. Findings.A review of the facility's admission Record indicated, Resident 1 was admitted on [DATE] with diagnosed which included Nondisplaced Fracture of the Sacrum (a break in the base of the spine) and Neuromuscular Dysfunction of the Bladder( issues with bladder control and function). On 11/24/25 at 11:45 A.M, an interview and record review with Licensed Nurse (LN) 1 was conducted. LN 1 stated a care plan for Resident 1's foley catheter use was in place. LN1 stated during the Certified Nursing Assistants (CNA) shift, the CNA emptied Resident 1's urinary bag, recorded the output, and inform the charge nurses of the total urine output at the end of their shift. A review of Resident 1's care…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 monitor and identify episodes of low urine output and communicated to the physician for one of three residents (Resident 1). This failure had the potential to cause worsening symptoms for Resident 1.Findings.A review of the facility's admission Record indicated Resident 1 was admitted on [DATE] with diagnoses which included nondisplaced fracture of the sacrum (a break in the base of the spine) and neuromuscular dysfunction of the bladder(issues with bladder control and function). On 11/24/25 at 11:45 A.M., an interview and record review with Licensed Nurse (LN)1 was conducted. LN 1 stated Resident 1 had a foley catheter (a flexible tube inserted through the urethra into the bladder to drain and collect urine) for Neurogenic Bladder. LN1 stated Resident 1's intake and output should be recorded every shift to ensure bladder function. A review of Resident 1's Minimum Data Set (MDS- a federally mandated resident assessment tool) dated 9/19/25, indicated 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 · Dcited before2025-08-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 implement interventions consistent with resident's needs to eliminate or reduce the risk of falling for one of four residents (Resident 1) reviewed for accidents when: Adequate assistance was not provided to Resident 1, who required total assistance with activities of daily living (ADL-bathing or showering, getting in and out of bed or a chair, turning, walking, toileting and eating). This failure resulted in Resident 1 falling off the bed.Findings:Resident 1 was readmitted to the facility on [DATE] with diagnoses including hemiplegia (total or partial paralysis of one side of the body) and hemiparesis (muscle weakness on one side of the body) following other cerebrovascular disease (a condition affecting blood flow and blood vessels in the brain) affecting the left side and left femur (thigh bone) fracture according to the facility's admission Record. During a review of Resident 1's Minimum Data Set (MDS- a federally mandated 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 · Dcited before2025-06-12 · 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 interview and record review, the facility failed to notify the physician promptly when two of four residents (Resident 22 and Resident 31) had significant weight changes (weight loss or gain). As a result of this deficient practice, residents were placed at risk for delayed treatment. Findings: 1. A review of Resident 22's admission record indicated the resident was re-admitted to the facility on [DATE] for diagnosis including Alzheimer's disease (a disease characterized by a progressive decline in mental abilities). A review of Resident 22's Weights and Vitals Summary indicated 13.7 pounds (Lbs) of weight loss between 5/1/25 and 6/3/25: 6/3/25 185.2 Lbs 5/1/25 198.9 Lbs On 6/11/25 at 10:59 A.M., an interview and record review was conducted with Registered Nurse (RN 12). RN 12 reviewed Resident 22's Weight and Vitals Summary dated 5/1/25 and 6/3/25 and stated the resident had a weight loss of 13.7 Lbs (6.9%) over a month. RN 12 stated the resident's weight loss was significant and concerning. RN 12…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-12 · 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 one of three residents (Resident 31) with a diagnosis of congestive heart failure (CHF, when the heart cannot pump blood effectively) was provided care and treatment according to acceptable standards of practice when: 1. Resident 31's weight was not taken daily as prescribed by the Medical Doctor (MD). 2. Resident 31 was not assessed for potential fluid overload (a condition where there was too much fluid in the body) after a 9.5 pound (lbs) weight gain. These failures had the potential to exacerbate the resident's congestive heart failure. Cross reference F580 and F726. Findings: A review of Resident 31's admission Record, dated 6/12/25, indicated the resident was admitted to the facility on [DATE]. A review of Resident 31's Minimum Data Set (MDS - a comprehensive assessment tool) Section I, dated 5/30/25, indicated the resident had an active diagnosis of Heart Failure. A review of Resident 31's Physician Orders dated 5/26/25, indicated an…

    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 · D2025-06-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 intake of a nutrition intervention was measured for one of 19 sampled residents (Resident 20) with significant weight loss. The facility did not ensure a nutritional supplement for a resident who triggered for significant weight loss was accurately measured. This failure had the potential to cause more weight loss and further impair the resident's nutritional status. Findings: Resident 20's admission Record dated 6/10/25 was reviewed. The Resident admission initial date was 4/12/25 and was readmitted on [DATE] with a diagnosis of Chronic Diastolic (Congestive) Heart Failure (CHF-a heart disorder which causes the heart to not pump the blood efficiently), Iron Deficiency Anemia (a condition where the body does not have enough healthy red blood cells) and muscle weakness. A review of Resident 20's Nutrition Evaluation dated 4/17/25 completed by RD, indicated, Heart Healthy, low fat, low cholesterol, 2-2.5 grams Sodium diet with 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 · D2025-06-12 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 that two of four licensed nurses (LN 4 and RN 12) were competent to provide care for a resident (Resident 31) with a diagnosis of congestive heart failure (CHF, a condition where the heart does not pump blood as well as it should). This failure had the potential for Resident 31 and other residents with CHF to experience negative outcomes related to fluid overload (a condition where fluid builds up in the body). Cross reference F580 and F684. Findings: A review of the Facility Assessment updated 6/9/2025, indicated .Most common Diagnoses: Over Past 12 Months Details: Heart Disease with various complications A review of Resident 31's admission Record, dated 6/12/25, indicated the resident was admitted to the facility on [DATE] with a diagnosis of chronic diastolic (congestive) heart failure. A review of Resident 31's Physician Orders dated 5/26/25, indicated an active order for Daily Weight in the morning If wt [weight]. gains more than 3lbs…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide medication as ordered by the prescriber for three weeks for one of five residents (Resident 20) reviewed for pharmacy services. This deficiency resulted in the facility's failure to provide a medication to meet the needs of the resident according to the prescribed orders. Findings: A review of Resident 20's admission Record indicated the resident was readmitted to the facility on [DATE]. On 6/12/25 at 8:11 A.M., a medication administration observation was conducted with Registered Nurse (RN) 12. RN 12 was observed preparing medications to administer to Resident 20. Vitamin B-12 was not administered to Resident 20. A review of Resident 20's physician orders dated 5/17/25, indicated the resident was to receive Vitamin B-12 Oral Tablet Extended Release 1000 mcg (micrograms) once a day in the morning. A review of Resident 20's medication administration record (MAR) indicated Vitamin B-12 1000 mcg was not given to Resident 20 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-12 · 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 the kitchen staff received appropriate training in food sanitation and food safety according to standards of practice and facility policy when: 1. One cook did not demonstrate the proper method of testing the sanitizer solution used for sanitization (the process of safely removing waste to prevent disease transmission and improve hygiene) on equipment and food prep surfaces to prevent cross contamination. 2. One cook did not demonstrate proper method on thickening for a puree soup for one resident. These failures had the potential to expose residents to bacterial contamination, that could result in food borne illnesses for all residents who consume food from the kitchen. The facility census was 19. Cross references F812 Findings: 1. During a kitchen observation and interview on 6/11/25 at 3:35 P.M. with [NAME] (CK 2), CK 2 demonstrated how he tested the sanitizer concentration level in the red buckets. CK 2 filled a red bucket with water and sanitizer. CK 2 dipped an ammonia test strip into a red…

    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 · Dcited before2025-06-12 · 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 food safety and sanitation practices in dietary services were maintained for food storage according to standards of practice when: 1. The facility did not ensure dry food storage room temperatures were monitored. 2. The facility did not ensure trash bins were stored next to clean dishware. These failures had the potential to cause widespread food borne illness among all 19 residents who receive food from the kitchen. Findings: 1. During the initial kitchen tour on 6/9/25 at 10:30 A.M., an interview and observation was conducted with the Director of Food and Nutrition Services (DFNS) and Executive Chef (EC) about the dry food storage room temperature. The DFNS stated the dry food storeroom temperature was not monitored. The DFNS further stated the room was not too close to the kitchen, so she did not think the temperatures in that room would be too hot. A Surveyor used their thermometer to measure the dry storage room's ambient (the temperature of the surrounding air in a particular environment)…

    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 before2024-05-08 · 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 did not ensure food items were labeled and dated/not expired. In addition, there were produce items with mold. These failures had the potential to cause food-borne illness for the residents. Findings: An initial tour/observation of the facility's kitchen with the chef was conducted on 5/6/24 at 8:45 A.M. The following items were found unlabeled/undated: 1 package of fresh mushrooms with no date received; 1 bowl of a white, unidentified sauce (later identified as tartar sauce) in the refrigerator with no label, no date mixed/or use by date; 1 tray of individual salad dressing not labeled or dated; 3 cans (6.88 lbs each) of garbanzo beans, banana pudding, and canned peaches with no received by date or use by date; 2 bags of marble rye bread with no received by dates or use by dates; 1 bag of hamburger buns and and 1 bag of Texas toast bread with no expiration dated and no received by date. The following items were found to be expired: 1 box of vanilla shakes expired on 12/23/23; 3 gallon container of sherbet expired on…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-08 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 offer COVID-19 (a highly contagious virus) vaccine booster (an extra dose of the vaccine after an original is administer), to four out of five residents (Residents 4, 6, 114, and 116) reviewed for infection control. As a result, residents were at risk of contracting a potentially life-threatening infection. Findings: 1. Resident 4 was readmitted to the facility on [DATE], with diagnoses which included pneumonia due to SARS-Associated Coronavirus (COVID-19), per the facility's admission Record. On [DATE], Resident 4's clinical record was reviewed. Resident 4 had a Responsible Party (RP-a legal document assigning a specific person to make medical and financial decisions on the resident's behalf), listed to make medical decisions. According to the facility's COVID-19 Vaccination Informed Consent Form, dated [DATE], listed original COVID-19 shots were provided in 2021, and one booster was given in [DATE]. An inquiry if an additional COVID vaccine booster…

    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 · D2024-05-08 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 ensure a documented means of communication for coordination of care for one of one resident (Resident 4), reviewed for hospice (end of life), care was in place. This failure had the potential to disrupt continuity of care between the facility and the hospice agency. Findings: Resident 4 was re-admitted to the facility on [DATE], with diagnoses which included dementia (progressive memory loss), per the facility's admission Record. On 5/06/24 at 9:21 A.M., an observation was conducted of Resident 4, within his room. Resident 4 was dressed and sitting in a wheelchair. Resident 4 stated he was having difficulty hearing, because his hearing aids were not working at the time. On 5/6/24, Resident 4's clinical record was reviewed. According to the physician orders, dated 11/20/23, Resident 4 was admitted to hospice. According to the Minimum Data Set (MDS-a clinical assessment tool), dated 3/8/24, a cognitive score of 7 was listed, indicating…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-19 · 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 interview and record review, the facility failed to provide a nutritional supplemental feeding and apply a CPAP (continuous positive airway pressure - device to assist with breathing during sleep) machine as ordered by the physician for one of two sampled residents (1). This failure had the potential for Resident 1 to not meet his nutritional needs and have difficulty breathing. Findings: Per the facility ' s admission Record, Resident 1 was admitted to the facility on [DATE] with diagnoses to include ALS (a nerve disease which causes muscle weakness and decreased physical function) and gastrostomy (an opening into the stomach for feeding through a tube). Per the facility ' s Medication Administration Record (MAR) for January 2024, dated 2/27/24, there was an order for Resident 1 to have enteral feeding (being fed through a tube) five times per day. The dose due at 2:15 P.M. was left unsigned on seven out of 31 days that month. Per the facility ' s Treatment Administration Record (TAR) for February…

    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 · Dcited before2023-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 complete a post fall assessment for one of one resident (Resident 5), after a fall. This failure had the potential for Resident 5 to have a repeat fall and at risk for further injury. Findings: Resident 5 was admitted to the facility of 10/13/23 with diagnoses including protein-calorie malnutrition (reduced nutrients in the body) and history of falling according to the facility ' s admission Record. During an interview on 12/5/23, at 10:27 A.M. with Certified Nurse Assistant (CNA) 1, CNA 1 stated Resident 5 was brought near the nurse ' s station because Resident 5 was unsafe. CNA 1 stated Resident 5 had attempted to get up from bed or wheelchair unassisted and has had fall incidents. An interview and joint record review was conducted on 12/5/23, at 10:54 A.M. with the Clinical Support Nurse (CS). The CS stated Resident 5 had a fall incident on 11/22/23 according to the facility ' s change of condition document. The CS reviewed Resident 5 '…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-19 · 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 observation, interview and record review the facility failed to complete an accurate documentation after a significant event for one resident (Resident 5) related to: 1. Resident 5 ' s fall incident and, 2. Post fall assessment. Failure to have an accurate documentation after a significant event had the potential for residents to not have proper assessment and interventions related to a fall. Findings: Resident 5 was admitted to the facility of 10/13/23 with the diagnoses including protein-calorie malnutrition (reduced nutrients in the body) and history of falling according to the facility ' s admission Record. 1. An interview and joint record revie was conducted on 12/5/23, at 10:54 A.M. with the Clinical Support Nurse (CS). The CS stated Resident 5 had a fall incident on 11/22/23 according to the change of condition document. The CS reviewed Resident 5 ' s progress notes to verify details of the fall incident. The CS stated there was no documentation in the progress notes about Resident 5 ' s fall…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a staff member promoted dignity and respect by maintaining an eye to eye level during meal assistance for one of one resident (Resident 1) reviewed for dignity. As a result, this failure had the potential to negatively impact Resident 1's self-esteem and self-worth. Findings: Resident 1 was admitted to the facility on [DATE], with diagnoses which included dementia (progressive memory loss), per the facility's admission Record. On 6/19/23 Resident 1's clinical record was reviewed: The quarterly Minimum Data Set (a clinical assessment tool), dated 6/6/23, listed a cognitive score of 7, indicating moderately impaired cognition. The Functional Status indicated one person staff assist was required during meals. The care plan, titled ADL (Activities of Daily Living) self-care deficit, revised 5/3/23, listed an intervention, .totally dependent on (1) staff for eating . On 6/19/23 at 11:54 A.M., an observation and interview was conducted…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to assess and collaborate on unintended weight loss and the the decline in oral (by mouth) food intake for one of one resident (Resident 2) reviewed for care plan. This failure had a potential for Resident 2's weight loss to go unaddressed, leading to weakness, fatigue, and increasing dependency on others. Findings: Resident 2 was admitted to the facility on [DATE], with diagnoses which included post surgical repair of compression fractures (when one or more bones of the spine collapses), per facility's admission Record. On 6/19/23 at 8:40 A.M., an observation was conducted of Resident 2 in her room. Resident 2 was sitting up in her wheelchair, dressed, and appropriately groomed, with a breakfast tray in front of her. The food tray remained untouched. On 6/19/23 at 11 A.M. Resident 2's clinical record was reviewed: The 14 day admission MDS (a clinical assessment tool), Functional Status indicated the resident was dependent for transfers, but…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 assessments, non-pharmological interventions, and evaluation of medications use were conducted for one of three residents (Resident 5), reviewed for psychotropic use when: 1. Resident 5 had an assessment and evaluation for continued use of a PRN (as needed) psychoactive (alters the mind) hypnotic medication prescribed for sleeplessness. 2.Non- Pharmacological interventions (any intervention intended to improve the health or the well-being of individuals that does not involve the use of any drugs or medicine) were not attempted prior to medicating for sleeplessness. 3. Resident 5 had an assessment and evaluation for the use of a psychoactive antidepressant (for depression) medication that increased the effect of the hypnotic medication. As a result, Resident 5 was at risk for increased sedation, decreased mental clarity, and decreased coordination. Findings: Per the facility's admission Record, dated 5/11/23, Resident 5 was admitted…

    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

“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

$33,238 in federal fines across 6 penalties.

  • $4,938 — penalty dated 2024-02-20
  • $12,534 — penalty dated 2024-01-22
  • $3,418 — penalty dated 2024-01-08
  • $2,823 — penalty dated 2024-01-02
  • $6,351 — penalty dated 2023-12-11
  • $3,174 — penalty dated 2023-11-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CONTINUING LIFE — 6 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 54.8+0.2 vs chain
Health inspection 4 of 54.2-0.2 vs chain
Staffing 5 of 54.8+0.2 vs chain
Quality measures 4 of 54.8-0.8 vs chain
The other 5 homes this chain runs (chain average 4.8★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
SPIEKER CLC LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/23/2017
ASCHENBRENNER, RICHARDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/23/2017
SPIEKER, MEGHANIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/23/2017
SPIEKER, WARRENIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/23/2017
CURRIE, RYANIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/23/2017

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$8.3M
Net patient revenuemost recent cost report
-46.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 0%Medicare 9%Other / private 91%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$1,108per resident / day
operating cost
$33,670per month
≈ monthly operating cost
$756per 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 555928. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-12, 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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