Samarkand Skilled Nursing Facility

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.

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.

68.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 305 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 125 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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.

Staffing

How full it usually is: this home is certified for 63 beds and averages 56.6 residents a day — about 90% occupied, or roughly 6 beds 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 4.38 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 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 3.92 hrs/resident/day on weekends vs 4.56 on weekdays — 14% thinner on weekends. RN hours go from 0.65 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · D2026-05-07 · tag F0837 — isolated
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  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 record review and interview the facility failed to implement its policy and procedure for the timely reporting of unusual occurrences to the State Agency, California Department of Public Health (CDPH), when one resident (Resident 1) experienced a fall with fracture on 2/28/26 and it was not reported to CDPH until 4/30/26.This failure had the potential to delay the investigation of the State Agency and affect the health, safety, or welfare of residents.During a review of the Face Sheet (FS) for Resident 1, undated, FS indicated Resident 1, a [AGE] year-old female, admitted on [DATE] with diagnosis including Dementia (a decline in mental ability affecting memory, communication, reasoning, and behavior), Osteoarthritis (a degenerative disease causing bones to wear away leading to pain, stiffness, and swelling), and unsteadiness on feet.During a review of the Resident Note Entry (RNE), dated 3/2/26, for Resident 1, the RNE indicated in part . reviewed and discussed fall on 2/28/26', and Resident had…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-23 · tag F0732 — isolated
  Post nurse staffing information every day.
  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 ensure that the daily posted nurse staffing information accurately reflected the actual staff on duty.This failure had the potential to result in inaccurate information being available to residents and the public.During a concurrent observation and interview on 1/20/26 at 11:12 a.m., with the Director of Nursing (DON) and the Certified Nurse Assistant (CNA)/Scheduler Coordinator (CSC) [a CNA tasked with assisting in scheduling of licensed and non-licensed staff), the posted Direct Care Staff Report was observed and reviewed, the daily nurse staffing posted had inconsistencies/inaccuracies:11/22/25 missing date and census.11/23/25 missing date and census.12/20/25 census of 59, no RN was scheduled/assigned to work for 24 hours. Later review of the sign-in sheet dated 12/20/25, a different document from the posted daily staffing document, revealed RN coverage for only 4 hours instead of the required 8 hours.1/1/26 census missing.1/7/26 census missing.1/17/26 census missing.1/18/26 census missing.The DON and the CSC…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-18 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to ensure the Wander Guard bracelets (a monitoring bracelet that alarms once the bracelet crosses sensors on an exit door) were maintained in safe operating condition for two of three sampled residents (Resident 1 and Resident 2) when the Wander Guard's batteries were not checked nor the bracelets periodically cleaned and disinfected.This facility failure has the potential for the Wander Guards to malfunction resulting in resident elopement (leaving/departing without anyone knowing and unsupervised).During an interview on 9/08/25 at 6:43 p.m. with a licensed nurse (LN1), LN 1 stated she had training to check the placement of the wander guard every shift but was unaware of a process to check if the Wander Guards on the residents are working (are operational) batteries or cleaning.During an interview on 9/10/25 at 11:53 a.m. with the Director of Nursing (DON), the DON stated the facility does not have a process or documentation to verify that the Wander…

  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 · Dcited before2025-05-05 · 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

  *REPEAT Deficiency* Based on record review and interview, the facility failed to ensure two of two sampled residents' (Resident 1 and Resident 2) assessments were performed by a registered nurse (RN) to meet professional standards of practice. This facility failure place residents at risk of not being assessed appropriately and potentially resulting in harm to residents. Finding: According to the Nursing Practice Act, Business & Professions Code, Chapter 6, Nursing Section 2725 indicates, .(b) The . RN is accountable for an ongoing comprehensive assessment that includes data collection (LVN data collection contribution), analysis, and drawing conclusions/making judgments in order to: formulate diagnoses and update diagnoses, formulate or change the plan of care, decide on specific activities to implement the plan of care, prioritize and coordinate delivery of care, delegate to nursing care competent staff to deliver required care . RN uses scientific knowledge and experience to make clinical judgments/assessments about observed abnormalities and changes based on a series of…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-12-19 · 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 follow professional food standards for food safety , when facility : 1. Failed to label food items as to date prepared and expiry date 2. Failed to provide adequate concentration of sanitizing solution in red buckets These failures has the potential for food borne illnesses to the residents. Findings : 1.During an observation on 12/16/24 at 9:50 AM at the kitchen, the following food items were beyond the expiry date: One (1) pack of Ground Beef with a discard date of 12/15/24; six (6) bags of potato wedges with expired date of 11/19/24; One (1) bag of hamburger buns with expiry date of 12/15/24; One (1) bag of diner rolls, unlabeled and undated. During an interview on 12/16/24 at 9:50 AM with Dietary Manager (DM) validates the findings that the identified food were expired. During an observation on 12/17/24 at 10: 36 AM at the kitchen, 4 bags of grapes brought in from the independent living kitchen had no labels with one of the four bags having mold. During an interview on 12/17/24 at 10:36 AM with DM, DM…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-19 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interview, the facility failed to provide privacy and confidentiality of resident's electronic health record (name, diagnosis, medication list and other personal information) for two unsampled residents (Resident 13 and 40). Residents 13 and 40's electronic health records were exposed to the public when staff left the facility's computer on. This failure violated Resident 13 and 40's right to privacy. Findings: During an observation on 12/17/24, at 10:10 a.m., the Registered Nurse (LN4) left the medication cart at the Garden Court station with an open computer exposing the Resident 13 and 40's electronic health record. Further observation, two individuals passed by the medication cart while the electronic record were exposed out in public's view. During an interview on 12/17/24, at 10:25 a.m., with the LN 4, LN4 acknowledged Resident 13 and 40's electronic record were left exposed to the public when the computer was left open. LN4 further acknowledged after using residents' electronic medical record, it must be closed at all times. During 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-19 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure two of two unsampled residents (Resident 31 and 37), had their Minimum Data Set (MDS - a core set of screening, clinical, and functional status data elements) records transmitted to Centers for Medicare & Medicaid (CMS) Internet Quality Improvement and Evaluation System (iQIES) within the required timeframes. These failures resulted in delayed validation of the assessment by iQIES and had the potential to result in errors in billing to CMS or payment to the facility and quality ratings of the facility. Findings: During a review of the facility's Centers for Medicare & Medicaid Services' Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, dated 10/2023, the RAI indicated, Timeliness Criteria . Completion Timing . must be no later than 14 days after the Assessment Reference Date . Encoding Data . For a quarterly . encoding must occur within 7 days after the MDS Completion Date . Assessment Transmission . All other MDS…

  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 · D2024-12-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a care plan for urinary catheter (foley catheter flexible rubberized tube inserted into the urinary tract to drain the urine out) care in one of two sampled residents (Resident 36). This failure has the potential for Resident 36's to have the urinary catheter in place with no follow up or plan of care resulting to urianry tract infections (UTI), dislodgement and other bladder issues. Findings: During an observation on 12/16/24 at 10:45 a.m., Resident 36 was observed in bed with a urinary catheter connected to a urine bag. During a concurrent interview and record review of Resident 36's clinical record, on 12/19/24 at 07:30 a.m., with Licensed Nurse (LN2), the face sheet indicated an admission date of 9/19/24, and a condition of urinary indwelling catheter for obstructive and reflex uropathy ( inability to completely drain urine out of the urinary tract). The Progress notes indicated Resident 36 was hospitalized for UTI on 10/31/24…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-19 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility to failed to review and update the plan of care (CP) after a fall for one of 16 sampled residents (Resident 18). This failure placed Resident 18 at a higher risk for recurring falls secondary to no updated plan in place for staff to follow and implement for prevention. Findings: During an interview on 12/16/24, at 12:15 p.m. with Resident 18, Resident 18 verbalized having a fall two weeks prior; which resulted to a week stay in the hospital . The resident further verbalized while at the hospital an antibiotic treatment was started due to an infection. During a review of Resident 18's hospital Discharge summary, dated [DATE], the discharge summary indicated, Resident 18 was admitted to the hospital after a ground level fall and a diagnosis of septic joint (infection of the joint). Resident was discharged with an intravenous antibiotic administered through the vein) treatment. During a concurrent record review and interview on 12/18/24, 12:05 p.m. with the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-19 · 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 observation, interview and record review, the facility failed to provide an eye drop medication for glaucoma ( degenerating of eye condition leading to vision loss or blindness) as ordered by the physician when supply runned out for one of 16 sampled residents (Resident 12). This failure resulted to Resident 12, not receiving the eye medication as ordered with the potential and risk for rapid vision loss /blindness. Findings: During the medication pass observation on 12/18/24, at 9:00 a.m. with the Registered Nurse (LN5), LN5 indicated Resident 12's eye drop medication for glaucoma will not be adminsitered as ordered as currently the medication is being reordered. During a review of physician's order (PO), dated 7/10/24, the PO indicated, Resident 12 is to receive Timolol Maleate 0.5% (percent) eye drops to both eyes for glaucoma daily. During a concurrent record review and interview on 12/19/24, at 2:15 p.m. with the Minimum Data Set Coordinator (LN1). Resident 12's current Medication Administration Record (MAR) was reviewed and indicated the eye medication Timolol Maleate…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to COVENANT LIVING — 15 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 →

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

CMS files one row per role, so the 15 rows in the source record cover these 13 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.

This home reported $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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