O'connor Hospital D/P SNF

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Staffing

How full it usually is: this home is certified for 24 beds and averages 22.9 residents a day — about 95% 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 8.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.09 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 7.87 hrs/resident/day on weekends vs 9.08 on weekdays — 13% thinner on weekends. RN hours go from 3.36 to 2.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 12% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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 · Dcited before2025-08-29 · 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 needed care and services were provided in accordance with professional standards of practice for four residents (Resident 3, 5, 12, 16) when:1.Resident 3 had a rectal tube (a flexible tube inserted into the rectum to manage bowel issues, such as channeling loose stool or gas into a collection bag) without a Physician Order,2. For Resident 5 and Resident 12, licensed staff did not administer a water flush prior to medication administration,3. For Resident 16, licensed staff did not use two resident identifiers to verify the resident's identity (ID) before medication administration.These failures resulted in insertion of a rectal tube into a Resident without physician orders, and the potential for errors in administering medications to the wrong Resident.Findings: 1.During an observation in Resident 3's room on 8/25/25 at 10:44 a.m., a covered collection bag connected to a tubing was noted hanging on the side of Resident 3's bed. 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 before2025-08-29 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility had a medication error rate of 8.1% when three medication errors occurred out of 37 opportunities during the medication administration observation for three out of nine residents (Residents 5, 12, and 16) when:1. Nursing staff did not flush Resident 5 and 12's gastrostomy tube (G-tube; a tube surgically inserted through the abdomen into the stomach to administer nutrition and medications) prior to medication administration, 2. Nursing staff did not use two resident identifiers before administering medication to Resident 16.These failures had the potential for complications, such as clogging of the G-tube, for the residents, and potential errors in administering medications to the wrong Resident. Findings:1a. During a medication administration observation on 8/26/25 at 8:23 a.m., Licensed Vocational Nurse (LVN) C was observed preparing 3 medications for Resident 5. LVN C crushed each solid medication individually and diluted each with about 30 ml (milliliter, a unit of measurement) of water. After finishing, LVN C…

  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 · Fcited before2024-05-20 · tag F0700 — widespread
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure proper use of side rails (or bed rails, adjustable rigid bars attached to the side of a bed [examples include safety rails, grab bars, and assist bars]) for 23 of 23 residents (Residents 1, 14, 21, 15, 10, 13, 11, 2, 7, 3, 22, 8, 19, 5, 9, 4, 6, 12, 16, 17, 18, 20, and 23), when 1. For Residents 4 and 23, the Siderail Assessment indicated side rails were not required, though the residents were observed to have side rails. 2. The facility failed to offer/or attempt alternatives prior to the use of side rails and no documentation indicated alternatives were offered and/or attempted prior to using side rails for 23 of 23 residents with side rails (Residents 1, 14, 21, 15, 10, 13, 11, 2, 7, 3, 22, 8, 19, 5, 9, 4, 6, 12, 16, 17, 18, 20, and 23). These failures had the potential to place the residents at risk of entrapment and serious injury. Findings: 1. During an observation in Resident 4's room on 5/13/24 at 11:00 a.m., Resident 4 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-05-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  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 that proper care and treatment services for the use of oxygen (O2, colourless, odourless, tasteless gas essential to living organisms; it is not flammable but causes other materials that burn to ignite more easily and to burn far more rapidly, that a fire involving oxygen can appear explosive-like) were provided for 19 of 19 sampled residents (Residents 2, 3, 11, 6, 15, 21, 10, 22, 12, 18, 13, 20, 1, 19, 23, 16, 5, 8, and 9) as there were no Oxygen In Use signs at these 19 residents' doors. This deficient practice had the potential to harm residents receiving O2 therapy. Findings: A review of the facility document titled Sub-Acute Patient List, updated 5/1/24, indicated in the O2 column that Residents 2, 11, 6, 15, 21, 10, 22, 12, 18, 13, 20, 1, 19, 23, 16, 5, 8, and 9 were receiving O2. However, Resident 3 was indicated as being on room air (RA, without supplemental oxygen), but a portable O2 tank was observed at the head of the bed in Resident 3's room. During an observation on 5/14/24 at 12:49 p.m.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-20 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide the call light within resident's reach for one of 12 sampled residents (Resident 22). This failure had the potential to negatively affect the resident's safety and delay the care and services to the residents in the facility. Findings: During a concurrent observation and interview on 5/16/24, at 9:50 a.m., in Resident 22's room. Resident 22 was awake and sitting up in bed without the call light in reach. The call light was attached to a monitor above Resident 22's bed. Resident 22, who was alert and oriented, stated that sometimes the staff forgets to give her the call light after changing her. Resident 22 stated, I just wait for them to come back and remember it. During a concurrent observation and interview on 5/16/24, at 10:00 a.m., with Registered Nurse J (RN J), RN J entered Resident 22's room removed the call light from the monitor above the bed, and placed it in Resident 22's hand. RN J stated Certified Nursing Assistant (CNA) K had been providing care and forgot to give the call light to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-20 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview, and record review, the facility failed to apply the right hand splint (a semi-rigid device to prevent or maintain a body part in a functional position) to one of 12 sampled residents (Resident 7) for contracture (condition of shortening and hardening of muscles, tendons, or other tissue, often leading to deformity and rigidity of joints) management as ordered by the physician. This failure had the potential to worsen contractures in Resident 7's right hand. Findings: During a concurrent observation and interview on 5/13/24, at 09:00 a.m. in Resident 7's room, the surveyor observed Certified Nursing Assistant (CNA) K just finishing care for Resident 7. Resident 7 was lying in bed, non-verbal, with both hands contracted. Rolled hand towels were place in both palms of Resident 7. CNA K stated she always apply hand towels to prevent contractures and that the family would put the splint on the right hand. During a concurrent interview and record review with Registered Nurse (RN) G, on 5/13/24, at 2:08 p.m., Resident 7's Physician's Order was reviewed.…

  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 before2024-05-20 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure accurate accountability of controlled medication (medication with high potential for abuse and addiction) when random controlled medication use audit for one of two residents (Resident 2) did not reconcile. The medication was signed out of the Controlled Drug Record (CDR, an inventory sheet that keeps record of the usage of controlled medications) but not documented on the Medication Administration Record (MAR, used to document medications taken by each individual) to indicate they were administered to the resident. The failure resulted in inaccurate accountability and had the potential for misuse or diversion of controlled medications. Findings: The Controlled Drug Record (CDR) for two residents receiving PRN (Pro Re Nata, meaning as needed) controlled medications were requested for review during the survey. A review of Resident 2's clinical record indicated he had a Physician order for Tramadol (Ultram, a controlled medication for pain) 50 milligrams (mg, unit of measurement) 1 tablet via gastrostomy tube (G-tube,…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-20 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to monitor side effects of anticoagulant (medicines that help prevent blood clots) medication for two of 12 sampled residents (Residents 7 and 1) reviewed. This failure had the potential to put the residents at risk for complications and adverse effects from the medication. Findings: 1. Review of Resident 7's clinical record indicated Resident 7 was admitted on [DATE] and had diagnosis of Anoxic Brain Injury (lack of oxygen to the brain). Review of Resident 7's Physician Orders, indicated Resident 7 had an order dated 8/16/19 for Rivaroxaban (Xarelto, used to treat and prevent blood clots) 20 milligrams (mg, unit of measurement), gastrostomy tube (G-tube, a tube inserted into the stomach and can be used to give medication and liquids) daily. Indication for this medication: Deep vein thrombosis (DVT, a blood clot that forms within the deep veins)/Pulmonary Embolism (PE, a blood clot that forms and travels to the lungs). Review of Resident 7's Physician…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-20 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility had a medication error rate of 8% when two medication errors occurred out of 25 opportunities during the medication administration for two of eight residents (Residents 14 and 12). The failure resulted in medications not given as per accepted professional standards of practice and had the potential for residents not receiving the full therapeutic effects of medications which may negatively affect the residents' health. Findings: During a concurrent observation and interview on 5/14/24 at 12:49 p.m., at Resident 14's bedside, Licensed Vocational Nurse (LVN) A administered Genteal Tears (artificial tear to treat dry eyes or irritation) 0.1-0.3-0.2% ophthalmic solution 2 drops on both eyes to Resident 14. LVN A did not wait between administering the same eye drop medication. LVN A stated he did not wait one minute in between drops. During a review of the facility's policy and procedure titled, Medication Administration Eye Drops, dated 01/23, indicated If another drop of the same or different medication is prescribed for…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to implement infection control and prevention practices when: 1. Licensed vocational nurse (LVN) E did not remove gloves, sanitize (to reduce or remove pathogenic agents) hands and put on new gloves after touching and removing the electrical fan on top of the bedside table before administering the medications using the gastrostomy tube (G-tube, a feeding tube used to deliver nourishment, liquid, and medication into the stomach) for Resident 11. 2. Licensed vocational nurse (LVN) F did not remove gloves, sanitize (to reduce or remove pathogenic agents) hands and put on new gloves after moving the bedside table to the side of the bed before administering the medications using the gastrostomy tube for Resident 9. These failures had the potential to compromise the health and well-being of the residents in the facility. Findings: During a concurrent observation and interview on 5/14/24 at 8:41 a.m., with LVN E, in the Resident 11's room, LVN E donned personal protective equipment (PPE, equipment worn to minimize…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

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

What families pay in CA