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Jones Convalescent Hospital

524 Callan Avenue, San Leandro, CA 94577 · For profit - Corporation · 25 certified beds · (510) 483-6200 Medicare & Medicaid certified

Call the home — (510) 483-6200 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1300 Bancroft Ave · (510) 483-2600 · Call to confirm hours
Pharmacy
1550 E 14th St · (510) 483-0881 · Call to confirm hours
Grocery
1188 E. 14th St.
Park
Veterans Memorial Building, 1105 Bancroft Ave · (510) 577-3462 · 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

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 fell from 5 to 4 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 rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.8%10.2%15.4%better
Long-stay residents who lose too much weight3.9%4.0%5.4%better
Long-stay residents with a catheter left in their bladder1.6%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 injury0.0%1.6%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened13.7%9.8%16.1%better
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 given the seasonal flu vaccine88.0%98.2%95.3%typical
Long-stay residents with pressure ulcers9.6%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control5.1%10.2%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table3.6%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication4.4%1.5%1.4%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.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

68.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

68.7%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
0.12U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 SNF68.7%CMS range 49.6–82.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 6.2–14.010.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.891.02Oct 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

0.63
RN hours/ resident / day
0.88
LPN hours/ resident / day
2.70
Aide hours/ resident / day
4.20
Total nurse hours/ resident / day
0.56
RN hoursweekends
50.0%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 25 beds and averages 23.6 residents a day — about 94% occupied, or roughly 1 bed typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.20 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 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 3.78 hrs/resident/day on weekends vs 4.37 on weekdays — 14% thinner on weekends. RN hours go from 0.66 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

8
deficiencies at the latest standard inspection (2024-01-25)
10
at the previous standard inspection (2022-04-08)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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 · F2024-01-25 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    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 comply with the Federal regulations related to the oversight of food service operations when: a. the facility did not have a full-time dietitian or a full-time dietetic service supervisor. b. dietary staff did not have competencies and training to carry out to carry out Food and Nutrition Services in a safe and sanitary manner. The lack of a full-time, competent supervisor resulted in Food and Nutrition Services staff not having adequate training and knowledge to carry out Food and Nutrition Services in a safe and sanitary manner placed 23 residents who received food from the kitchen at risk for food borne illnesses (illnesses caused by food contaminated with bacteria, viruses, parasites, and toxins) and/or malnutrition. Findings: a. During the initial kitchen observation and interview on 1/22/24 at 10:13 a.m., accompanied by [NAME] (CK) 1 and CK 2, CK 2 stated, Food and Nutrition Services Director (FNSD) works three days per week. CK 2 also stated, there was no manager to check kitchen when FNSD was not…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-01-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions when: - stainless steel waste can was dirty; - kitchen floor tiles were dirty; - staff did not adequately check for chemical sanitation of dishwashing machine; - plate warmer was dirty; - plates inside plate warmer was dirty; - pair of thermal gloves was dirty; - moldy and unusable foods were not discarded; - food items stored in the refrigerator was unlabeled; - mounted can opener was dirty; - multiple dented cans were stored; - staff did not follow hand hygiene practices; - ice machine was dirty. These failures placed the facility's 23 residents who received food from the kitchen at risk of foodborne illness. Findings: During initial observation of the kitchen on 1/22/23 at 10:13 a.m. accompanied by [NAME] (CK) 1 and CK 2, showed the following: (a) Stainless-steel waste can next to refrigerator was dirty, half-filled and had no plastic lining to hold kitchen waste materials; (b) kitchen floor tiles had multiple thick-sticky black spots; (c) staff did…

    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 · E2024-01-25 · tag F0755 — failed to provide safe pharmacy services — pattern
    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 review of the facility's policies and procedures, the facility failed to: 1) Ensure that all expired or outdated medications were available for administration to 2 sampled residents (2 and 3) of the facility's 19 sampled residents. 2) Ensure that medications which had been discontinued by the resident's physicians, were no longer available for administration to 1 sampled resident (19) and 1 unsampled resident 1, of the facility's 19 sampled residents. 3) Ensure that medications were available for all residents, as needed, including medications which had been prescribed for unsampled resident 2. 4) Ensure that all medications had been administered as ordered by each resident's physician (Resident 3 and 22). These failures had the potential to put the residents who may have received these medications at risk for medication errors and the potential for harm. Findings: 1) Inspection of the hospital's medication cart on [DATE] at 12:00 pm with the facility's Director of Nurses…

    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 · E2024-01-25 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure garbage and refuse were properly stored in dumpster when the left lid cover of one dumpster was left open. This failure had the potential for pest infestations and spread of diseases in the facility. Findings: During a concurrent observation and interview on 1/23/24 at 2:35 p.m. with Environmental Services Director (ESD), accompanied by the Facility Manager (FM), one large garbage dumpster in the rear building was left open. ESD attempted to close the open lid. However, the lid was damaged on the side and did not securely cover the dumpster. ESD acknowledged this was broken and had potential to attract rodents and pests. FM stated, she will contact waste management for lid replacement. During a review of the facility's policy and procedure (P&P) titled, Waste Disposal dated, January 2012, indicated under policy statement, All infectious and regulated waste shall be handled and disposed of in a safe and appropriate manner.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 one out of 10 residents (Resident 5) was treated with respect, dignity, individuality in environment that promotes and enhances the quality of life when Certified Nurse Assistant (CNA) 1 stood over Resident 5 while assisting her with feeding. This failure had the potential to deny Resident 5 dignity, respect, and individuality. Findings: During a review of Resident 5's admission Record, dated 1/24/24, it indicated, Resident 5 was originally admitted to the facility in 2019 and was readmitted in 2020. The admission record revealed, Resident 5 had multiple diagnoses that included unspecified dementia (group of conditions characterized by impairment in thinking and social symptoms that interferes with daily functioning), Parkinson's Disease (brain disorder that causes unintended or uncontrollable movements) and altered mental status. During an observation on 1/24/24 at 12:23 p.m., CNA 1 stood over Resident 5's left side and fed her. During an interview on 1/24/24 at 12:41 p.m. with CNA 1, CNA 1…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · 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 and interview with facility Nursing and Administrative staff, the facility failed to ensure that 1 sampled resident (10) out of 19 sampled residents had her needs accommodated while using her own wheelchair. This failure resulted in this resident not having a wheelchair which did not accommodate this resident's needs and preferences, which had the potential to result in decline and resident harm. Findings: During a medication pass observation on 1/23/2024 at 9:30 am, Resident 10 was observed being administered her morning medications while sitting in her wheelchair. The who has multiple contractures (validated by facility administrative staff interview), had been sitting in her wheelchair with her neck, head and back not supported in any way. The resident's wheelchair had been made to tilt backwards, but the resident's back, neck, and head were not touching the wheelchair's back, and this appeared to be very uncomfortable for the resident who had been using her own strength to hold her body up in this wheelchair. The resident's wheelchair had been missing a head…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review for 2 (Resident 11 and 22,) of 19 sampled residents, the facility failed to ensure that Resident 11 and 22 had received Restorative Nursing Assistance (RNA) treatments as ordered by the resident's physician. This failure had the potential to result in this resident's decline, which could result in the resident's decrease in muscle strength, decreased range of motion, contractures, and possible decline in function. Findings 1: Review of Resident 22's medical record on 1/25/2024 at 8:50 am revealed that this resident had a physician's order for Restorative Nursing Assistance (RNA). The physician order which had been written on 12/15/2023 read: RNA program every day (QD) 3 times per week for 90 days for (bilateral upper extremities) BUE (active assisted range of motion) AAROM as tolerated to maintain current level of function (CLOF). Further review of Resident 22's medical record revealed that this resident had not received treatment from the RNA program between 12/15/2023 and 1/23/2024, which resulted in this resident not receiving…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to follow the correct serving size to one Resident for a census of 23 (Resident 13). This deficient practice resulted in Resident 13 not receiving the appropriate diet portions to meet each individual needs. Findings: During a concurrent tray line observation and interview on 1/22/24, at 12:15 p.m., with [NAME] (CK) 1, CK 1 used a number 8 scoop to a tray of regular texture beef enchiladas, black beans, and cilantro lime rice to serve Resident 13. CK 1 stated, she was aware Resident 13 required small portion servings but did not follow what was on Resident 13's diet card. During a concurrent interview and record review on 1/22/24, at 3:42 p.m., with Food and Nutrition Services Director (FNSD), FNSD was asked why it was the important for CK 1 to follow small portion servings for Resident 13. FNSD stated, I don't know why it's important, do I have to know that . During a concurrent interview and document review on 1/25/24 at 11:01 a.m. with Registered Dietician (RD), RD confirmed Resident 13's diet card servings…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-25 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide a homelike environment for two of 14 sampled Residents (Resident 11 and 19). This failure had the potential to make Residents 11 and 19 feel depressed. Findings: During a review of Resident 11's admission Record, dated 1/23/24, the record indicated Resident 11 was admitted 4/2023 with multiple diagnosis that included acute and chronic respiratory failure (a condition in which your blood doesn't have enough oxygen or has too much carbon dioxide), and major depressive disorder (a mental health condition that causes a persistently low or depressed mood and a loss of interest in activities that once brought joy). During a review of Resident 11's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 1/5/24, the MDS indicated Resident 11's Brief Interview for Mental Status (BIMS, is a scoring system used to determine the resident's cognitive status in regard to attention, orientation, and ability to register and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-04-08 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored appropriately when: 1. Expired medications were stored in the medication cart and medication refrigerator. 2. Expired emergency kit (e-kit, a kit that contain a small quantity of medications that can be dispensed when pharmacy services are not available) were not replaced. 3. Temperature logs for the medication refrigerator were incomplete and there was no thermometer and temperature log for the medication room and the storage shed. 4. A bottle of Acidophilus (supplement to help restore the normal balance of intestinal bacteria) and a bottle of Lorazepam (a psychotropic medicine used to treat anxiety) was not stored in the refrigerator. 5. Food items were stored in the medication refrigerator. 6. A Humalog pen (medication used to treat diabetes) had no name and date opened on it. This failure had the potential for expired medications and less potent medication to be administered to all the residents in the facility. Findings: 1. During a concurrent observation and…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · E2022-04-08 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    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

    Based on observation, interview, and document review, for three (Residents 14,9, and 18) of eight residents prescribed with psychotropic medication (capable of affecting the mind, emotions, and behavior), the facility failed to: 1. For Residents 14, the target behavior for Olanzapine (antipsychotic medication that is used to treat psychotic conditions) use was not monitored 2. For Resident 18, the target behavior for Divalproex Sodium (medication used to treat seizure disorders and certain psychiatric conditions), Melatonin Tablet (supplement for sleep aid) and Quetiapine Fumarate medication used to used to treat certain mental/mood disorders) use was not monitored. 3. For Resident 9, the target behavior for Lexapro (medication used to treat depression and anxiety) use was not monitored. These failures had the potential to delay identification of serious or even life-threatening adverse effects of psychotropic medications and prolonged unnecessary medication use. Findings: 1. During a review of the medical record for Resident 14, his diagnoses included dementia (impaired ability 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-08 · tag F0760 — failed to prevent significant medication errors — pattern
    Ensure that residents are free from significant medication errors.
    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 one of 13 sample residents (Resident 3), was free from significant medication error when higher dose than the physician ordered was administered to Resident 3 for Seroquel (medication used to treat certain mental/mood disorders) This failure placed Resident 3 at risk for adverse effect associated with the medication. Findings: Review of the medical record for Resident 3 indicated a diagnoses that included an altered mental status. Review of the physician order with a start date of 12/23/20 indicated an order for Seroquel 100 milligrams, give 1.5 tablet (total of 150 mg) by mouth at bedtime for delusions and hallucinations. During an interview on 4/8/22 at 10:25 a.m., Certified Nursing Assistant (CNA) 4 stated Resident 3 used be combative, attack and pull off CNA 4's mask during care a long time ago. CNA 4 stated Resident 3 was much calmer now. Review of the Medication Regimen Review (MRR, an evaluation of the medication regimen of a resident, with the goal of promoting outcomes and minimizing adverse consequences…

    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 · Ecited before2022-04-08 · 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, staff interviews, and review the facility failed to ensure that open dates were indicated on food items in the kitchen. This failure placed the 13 of 13 sampled residents at risk for food borne illnesses. Findings: During an observation of the kitchen on 4/4/22, at 9:09 a.m., the following food items were observed opened and did not have an open date: 1. A bag of cabbage and a bag of carrot in the fresh fruit and vegetables refrigerator. 2. Two boxes of thickened juice, a box of almond milk, a box of soy milk and a box of cranberry juice in Refrigerator 2. 3. Seven slices of bread in a bag in Refrigerator 1. 4. five burger patties in a bag in freezer 2. 5. a bag of elbow macaroni, a bag of egg noodles and eight cookies in a container in the dry storage shelf. During an interview on 4/4/22, at 11:35 a.m., with Dietary Supervisor (DS) stated, it is important to put an open date to determine if a food item was still good or it needs to be discarded or expired. During a review of the facility's policy and procedure (P&P) titled, Labeling and Dating of Foods, dated…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-04-08 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and document review the facility failed to ensure infection control procedures were followed for handling of clean and dirty laundry and the manufacturer's guideline for using a disinfectant wipe for medical equipment was not followed. These failures had the potential to transmit microorganisms and spread possible infection among the residents. Findings: 1. During an observation and concurrent interviews on 04/06/22 at 2:00 p.m., Certified Nursing Assistant (CNA) 2 entered the laundry room (Door 2). There was an adjacent door (Door 1) with a sign of Soiled. CNA 2 placed a bag full of laundry on the floor around a taped border in front of the washer. CNA 2 stated she normally entered Door 2 to deposit dirty laundry. Further inspection through Door 2 showed one clothes dryer and one washer with a taped border. In front of the washer, inside of the taped border were two bags (large and small). Laundry Personnel (LP) stated the large bag of laundry were wet and clean. LP stated she was waiting to put them in after clothes in dryer finished its cycle. The…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to maintain comfortable sound levels for two of 13 sampled residents (Resident 18 and Resident 5), when Residents 18 and 5 complained of the exit door at the end of the hallway making a noise when being closed multiple times a day. This failure had the potential to disrupt a comfortable homelike environment. Findings: During a concurrent observation and interview on 4/4/22, at 10:03 a.m., with Resident 18 in Resident 18's room, it was observed that the exit door right next to the room was making a noise when being closed. Resident 18 stated that it bothers him to hear the door close loudly multiple times a day and it also happens at night which keeps him awake. It was observed that staff enter and exit that door frequently throughout the day and the door was making a loud sound when it closes. During an interview on 4/5/22, at 8:54 a.m., with Resident 5, Resident 5 stated that the door right next to their room was loud when it slams/closes and it happens all day. During a review of the facility's policy and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 adequate assistance to perform the activities of daily living for one of 13 sampled residents (Resident 17) when two staff assistance was not provided to assist Resident 17 during repositioning. This failure had the potential to harm the resident who had impaired mobility. Findings: Review of the medical record for Resident 17 indicated he had brain injury, impaired mobility and multiple facility acquired pressure ulcers. The MDS (Minimum Data Set - an assessment tool used to direct care) for activities of daily living (ADL), dated February 24, 2022, indicated Resident 17 was dependent on two or more staff to turn him side to side in the bed. During an observation on 4/4/22 at 10:00 a.m., CNA 1 was observed from the hallway, alone, providing care for Resident 17. During an interview on 4/4/22 at 10:30 a.m., CNA 1 stated she cleaned up Resident 17 During an observation on 4/6/22 at 9:45 a.m. during a bed bath for Resident 17, CNA 1 strained to roll and push Resident 17. Resident 17 was unassisted on his…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    During an observation, interview and medical record review, the facility failed to provide wound treatment for one of one sample residents (Resident 17) when Resident 17's pressure injury to the right lateral thigh was not covered with dressing as ordered by the physician. This failure had the potential to delay healing and worsen the wound condition. Findings: During an observation on 04/06/22 at 9:45 a.m., CNA 1 positioned Resident 17 on his left side exposing his back side for the nurse (ICN) to clean and change a wound dressing on the buttock. On the right lateral thigh, there was a round indentation with an open wound bed that was exposed. During an observation and concurrent interview on 04/06/22 at 10:20 a.m., the Infection Control Nurse (ICN) prepared Resident 17's supplies at the treatment cart for the dressing change of the buttock wound. ICN set up her supplies at the bedside and completed the dressing change on the buttock. Then, the ICN identified the indentation to the right lateral thigh. ICN described the indentation as a lesion and superficial. ICN could not explain…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-08 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and document review, the facility failed to provide Resident 19 a functioning call light. This failure resulted in Resident 19 to receive delayed care. Findings: During the resident council meeting on 04/05/22 at 10:30 a.m., a resident stated the call light did not work in her/his room. The resident stated staff did not come when the call light was pressed. During an observation and concurrent interviews, on 04/06/22 at 9:40 A.M., Resident 19 sat in a wheelchair in her room. The call light outside the room was not illuminated. Resident 19 stated she pressed her call light, was waiting for help however, staff took a long time to respond. Resident 19 stated she wanted help from the nurse to give her Ensure (nutritional supplement drink) before she left for a family visit. The DON was called to demonstrate the use of Resident 19's call light. The DON discovered the call light did not work when she pressed the button. The assigned CNA 1 stated she was not aware the call light did not work. During an interview on 04/06/22 at 12:30 P.M. the Maintenance…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-08 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 document review, the facility failed to provide a safe and functional environment for one of 13 sampled residents (Resident 1) when the sink used by Resident 1 in her bathroom had a water leak and water spilled on to the floor. This failure had the potential for Resident 1, who had a risk for falls, to slip and cause injury. Findings: During an observation on 04/04/22 at 10:07 a.m., a pink bath basin, filled halfway with water was underneath the leaky sink in room [ROOM NUMBER]. During an observation on 04/04/22 at 11:00 a.m., Resident 1 was in the room, stood alone at the sink washing her face. During an observation on 04/06/22 at 12:03 p.m., there were wet paper towels underneath the sink in room [ROOM NUMBER], no basin. During an interview on 04/04/22 at 11:10 a.m., Resident 1 stated the sink always leaked. Resident 1 stated she fell on the floor coming out of the bathroom over a week ago at night when it was dark. The resident stated she now has back pain from that 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-08-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to follow safe food practices when: a. Refrigerator 3 had an internal temperature reading of 50 degrees Fahrenheit (°F), and; b. Freezer 2 had two vacuumed sealed packs of meat with no label or date. These failures had the potential to result in foodborne illness. Findings: During an observation on 8/12/19, at 8:16 a.m., while in the presence of the cook (CK 1), the following was observed: a. In Refrigerator 3, the internal temperature reading was 50 °F from the thermometer hanging on a rack. CK 1 stated Refrigerator 3 temperature reading was 50 °F. b. In Freezer 2, there were two vacuumed sealed packs of unknown meat that were not labeled or dated. During an observation and concurrent interview on 8/12/19, at 11:25 a.m., Certified Dietary Manager (CDM) checked the temperature of Refrigerator 3 and stated Refrigerator 3's temperature was 46 °F. CDM also stated Refrigerator 3's temperature should be at or below 41°F. In an observation and interview on 8/12/19, at 11:30 a.m., CDM stated the two unknown meats in…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRATAP PODDATOORI — 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 4 of 53.5+0.5 vs chain
Health inspection 4 of 53.2+0.8 vs chain
Staffing 3 of 53.8-0.8 vs chain
Quality measures 4 of 54.2-0.2 vs chain
The other 5 homes this chain runs (chain average 3.5★, 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
PODDATOORI, PRATAPIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 05/14/1993
HYCARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/07/2006
ANDRES, NORMAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2004
BURCH, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/09/2024
CHING, CHUNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/28/2025
DE LEON, DELIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
DELA CRUZ, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/16/2025
DHUGGA, GURPREETIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/16/2019
GUERRERO, SYLVIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2022
LOPEZ, LUCILLAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/14/1990
MCGREGOR, TERRANCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2003
NIMENDEZ, ROMELLAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/15/2022
PADANIA, HILDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/16/2025
PUNZALAN, JOHN LORENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/16/2025
RODRIGUEZ, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/07/2013

CMS files one row per role, so the 33 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$4.0M
Net patient revenuemost recent cost report
+1.9%
Operating marginrevenue minus expenses
$568K
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 41%Medicare 5%Other / private 54%

This home reported $568K paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$271per resident / day
operating cost
$8,237per month
≈ monthly operating cost
$276per 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 555842. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-01-25, 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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