Manresa Healthcare Center

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.

60.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 182 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.0% 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 84 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 59 beds and averages 56.8 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.86 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 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 3.71 hrs/resident/day on weekends vs 3.92 on weekdays — 5% thinner on weekends. RN hours go from 0.49 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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.

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

• Potential for harm · Fcited before2025-11-18 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure kitchen personnel were properly trained on checking the dishwasher sanitizer, when the manufacturer's instruction of the test strip was not followed. This failure had the potential to spread food-borne illness to everyone who consumed food from the kitchen. Findings: During an observation with subsequent interview, in the kitchen, with the dietary aide (DA), on 9/24/2025 at 9:43 a.m., the DA demonstrated how he checks the chlorine sanitizer for the dishwasher. The DA dipped the test strip into standing water, on dishware that was just run through the dishwasher, for 10 seconds and confirmed that was how long he let it sit in the water, then compared it to the color patches printed on the vial where the test strips were stored. During a review of the test strip container instructions, it indicated to Dip and remove quickly, Blot immediately with paper towel, Compare to color chart at once. When DA was asked if he followed those directions, he stated he did not, and re-did the test following the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-11-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure stacked, clean food service equipment was air dried prior to stacking them. This failure had the potential of any one consuming food prepared in the kitchen contracting a food-borne illness. Findings: During the initial tour of the kitchen, with the registered dietician (RD) and certified dietary manager (CDM), on 9/22/2025 at 9:45 a.m., there were observed to be over 10 steam pans, 3 cookie sheets, and 3 muffin tins, in the dry storage area, stacked wet on shelves. At that time, both the RD and CDM had acknowledged they were stacked wet. Both also stated the facility had ordered new drying racks, and they were still waiting on them. The RD asked to have all of the wet food service equipment re-washed and air dried. A review of the facility's, undated, Policy and Procedure (P&P), titled Dishware, Utensils, and pans Drying Policy, indicated Dishware such as; utensils, pots, and pans should be air dried after cleaning and sanitizing. 1. After sanitization, items should be placed on clean, sanitized racks…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-18 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when:An incorrect isolation precaution (a set of practices used in healthcare settings to prevent the spread of germs from one person to another) signage was posted outside Resident 61's entrance door.CNAs were helping more than one resident at a time to eat, without using hand hygiene between different residents. These failures had the potential to spread infections to residents, staff, and visitors.Findings: 1.During an observation outside Resident 61's room on 09/22/2025 at 2:08 p.m., signage posted at Resident 61's entrance door indicated an Enhanced Standard Precaution (ESP, Wear gowns and gloves while performing the following high-contact tasks associated with the greatest risk for multidrug-resistant organisms' [MDRO] contamination of HCP hands, clothes, and the environment). During a review of Resident 61's clinical records indicated Resident 61 was admitted to the facility on…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · 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 ensure two out of 17 residents (Resident 10 and Resident 12) had an order from the physician allowing the administration of medications listed as allergies in the residents' medical records. This failure had the potential to create adverse outcomes for the affected residents.Findings:1. During a review of Resident 10's Facesheet dated 9/25/25, document indicated, Resident 10 had an allergy to the medication Atorvastatin (medication used to lower cholesterol in the blood).During a review of Resident 10's Medication Review Report dated 6/1/24-6/30/24 indicated, an order for the medication Atorvastatin Calcium Oral Tablet 20 MG [milligram] (Atorvastatin Calcium) to give 20 mg by mouth one time a day for hyperlipidemia [elevated blood fats including cholesterol] Start Date 6/1/24.During a review of Resident 10's Medication Administration Record (MAR) dated 6/1/24-6/30/24 indicated, Resident 10 was administered Atorvastatin each day for a total of 30 administrations at 2000 (8 p.m.) from 6/1/24-6/30/24.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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-18 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 a resident was free from unnecessary medication for one of 15 sampled residents (Resident 3) when Resident 3 received Acyclovir (an antiviral medication) without a clear indication. This failure had the potential for unnecessary medication administration for Resident 3.Findings: During a review of Resident 3's clinical record indicated Resident 3 was admitted to the facility on [DATE] with diagnosis including bilateral (both) primary osteoarthritis (a common joint disease that causes pain, stiffness, and loss of mobility) of the knees. During a review of Resident 3's physician's order, dated 7/31/25, indicated an order for Acyclovir oral tablet 400 milligrams (mg, unit of measurement) to give one tablet by mouth two times a day for prophylaxis (action taken to prevent disease, especially by specified means or against a specified disease) . During a concurrent interview and record review on 9/25/25 at 9:56 p.m., with the Director of Nursing…

  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 · D2024-12-20 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to submit a report of a full investigation to the State Survey Agency (SSA) five days after sending an initial report of an altercation between two residents for one of three reported incidents reviewed. This failure resulted in the SSA potentially not receiving a full report of the incident. Review of Resident 1's clinical record indicated Resident 1 was admitted on [DATE] with a diagnosis of dementia (a disorder of the brain which causes loss of memory and function) and heart failure (a disease which affects the heart's ability to pump blood). Review of Resident 2's clinical record indicated Resident 2 was admitted on [DATE] with a diagnosis of Alzheimer's disease (a specific type of dementia) and polyneuropathy (a disorder of the nerve endings which causes feelings of numbness and tingling in the toes and fingers). During a concurrent interview and record review on 10/23/24 at 3:05 PM with the director of Nursing (DON) and the minimum data services…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-12 · tag F0800 — widespread
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and document reviews the facility failed to ensure overall systems in food and nutrition services were maintained according to standards of practice and facility policy when: 1) The Food and Nutrition Services Department staff were unable to correctly demonstrate kitchen tasks in food safety, service, and sanitation tasks, 2) The ice machine was not cleaned according to manufacturer's guidelines, and a 3-compartment sink system for cleaning, rinsing, and sanitizing was not established for operation. 3) Facility approved menus and recipes were not followed for residents with therapeutic diets. 4) The Certified Dietary Manager (CDM) did not have the required state of California education requirements on regulations for dietetic services. These failures potentially exposed the facility's medically vulnerable residents to unsafe and unsanitary practices that could lead to foodborne illness. Cross reference F802, 803, 812 and California Health and Safety Code 1265.4 Findings: 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-04-12 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility did not ensure staff performed their job functions competently according to standards of practice when: 1) Two kitchen aides did not know how to properly test the level of dishwasher sanitizer. 2) One kitchen aide dumped trash can debris into the wash/rinse compartment of the 2-compartment sink with dirty dishes in them. 3) One cook did not know how to properly calibrate thermometers meant to test food temperatures. 4) One cook did not properly verbalize the cooldown process. 5) One prep cook/diet aide did not know how to properly prepare cold foods such as tuna salad or chicken salad. 6) One kitchen aide was seen washing his hands with only water after taking a bag of garbage out of the kitchen, and then touching dishes needing to be cleaned. These failures to adhere to standards of practice had the potential to expose vulnerable residents to food borne illnesses. Cross reference: F812 Findings: 1) During an initial kitchen tour observation on 4/8/24 at 8:20 AM, kitchen aide (KA) B was seen testing the parts per…

  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 before2024-04-12 · 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 did not ensure food safety practices were followed according to facility policy and standards of practice when: 1) A dirty cooking utensil was stored with clean utensils. 2) The ice machine reservoir tray had black colored debris in the tray and was not sanitized correctly. 3) Food in the walk-in refrigerator was not labeled with an opened-on date and use-by date. 4) The kitchen did not have a 3-compartment sink system for manually washing, rinsing, and sanitizing dishes. 5) The 2-compartment sink the kitchen uses for dishwashing does not have an air gap which prevents backflow of dirty water. 6) The Low temperature dish machine did not reach 120 degrees Fahrenheit consistently over three cycles. These failures had the potential to expose vulnerable residents to potential contaminants that may cause food borne illnesses. Cross reference F800 and F802 Findings: 1) During an initial kitchen tour observation on 4/8/24 at 8:20 AM, a whisk with brown food debris on it was seen hanging off the side of the tray line area with…

  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 · F2024-04-12 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  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 submit the required Payroll Based Journaling (PBJ) staffing information to the Centers for Medicare and Medicaid Services (CMS), for the last quarter of 2023 (October, November, & December). This failure to submit the required data, staffing hours and census information, can inhibit the facility's ability to determine an adequate level of staff is working at a given time, leading to inadequate care of residents. Findings: During a review of the PBJ Staffing Data Report for facility, dated October 1- December 31, 2023, the PBJ report indicated, Failed to submit data for the quarter. During an interview on 4/10/24, at 9:28 a.m., with Payroll Clerk (PC) D, PC D stated, she is in charge of submitting the data to CMS for the PBJ. PC D stated, she was late to submit the data for the last quarter, October 1st-Decemeber 31st, 2023 and did not submit the data before February 14th. During a review of the facility's Policy & Procedure (P&P) titled, Reporting Direct Care Staffing Information (Payroll-Based Journal),…

  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

“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 ABRAHAM BAK & MENACHEM GASTWIRTH — 18 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 24 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners 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 $1.0M 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