GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER
CCN: 055315 · MOUNTAIN VIEW, CA 94040 · Santa Clara County
Overview
- Address
- 1949 GRANT ROAD, MOUNTAIN VIEW, CA 94040
- Phone
- 6509682990
- Certified beds
- 102
- Avg daily residents
- 92 (90% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1979-01-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.25 | 3.74 | 4.39 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.84 | 0.65 | 0.87 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.02 | 0.83 | 1.05 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.39 | 2.25 | 2.47 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.86 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.13 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-28 | 29 | 24 | 5 | 200 | 1 | 200 |
| Cycle 2/3 (prior) | 2023-10-27 | 30 | 20 | 11 | 164 | 1 | 164 |
Deficiencies (76)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-17 | 2025-12-10 |
| 0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | 2025-09-11 | 2025-09-25 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-07-14 | 2025-08-02 |
| 0584 | 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. | E | 2025-07-14 | 2025-08-02 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-07-14 | 2025-08-02 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-28 | 2025-04-16 |
| 0583 | Keep residents' personal and medical records private and confidential. | E | 2025-03-28 | 2025-04-16 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2025-03-28 | 2025-04-16 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2025-03-28 | 2025-04-16 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-03-28 | 2025-04-16 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-03-28 | 2025-04-16 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-03-28 | 2025-04-16 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-03-28 | 2025-04-16 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-28 | 2025-04-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-03-28 | 2025-04-16 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-03-28 | 2025-04-16 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2025-03-28 | 2025-04-16 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-03-28 | 2025-04-16 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2025-03-28 | 2025-04-16 |
| 0758 | 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. | E | 2025-03-28 | 2025-04-16 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-03-28 | 2025-04-16 |
| 0761 | 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. | D | 2025-03-28 | 2025-04-16 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-28 | 2025-04-16 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-03-28 | 2025-04-16 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2025-03-28 | 2025-04-16 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-03-28 | 2025-04-16 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-28 | 2025-04-16 |
| 0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-03-28 | 2025-04-16 |
| 0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2025-03-28 | 2025-04-16 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-03-21 | 2024-03-19 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-22 | 2024-03-15 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-02-22 | 2024-03-15 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-02-22 | 2024-03-15 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-02-22 | 2024-03-15 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-02-22 | 2024-03-15 |
| 0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-01-02 | 2024-01-15 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-10-27 | 2023-11-26 |
| 0584 | 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. | D | 2023-10-27 | 2023-11-26 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-10-27 | 2023-11-26 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-10-27 | 2023-11-26 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-27 | 2023-11-26 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-10-27 | 2023-11-26 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-10-27 | 2023-11-26 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-10-27 | 2023-11-26 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-10-27 | 2023-11-26 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-10-27 | 2023-11-26 |
| 0758 | 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. | E | 2023-10-27 | 2023-11-26 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-10-27 | 2023-11-26 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-27 | 2023-11-26 |
| 0761 | 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. | D | 2023-10-27 | 2023-11-26 |
Showing 50 most recent of 76. See the All Data CSV for the full list.
Penalties (1)
| Date | Type | Fine amount |
|---|---|---|
| 2025-07-14 | Fine | $8,278 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: COVENANT CARE
- Chain ID
166- Facilities in chain
- 24
- Legal business name
- COVENANT CARE CALIFORNIA, LLC
Owner / manager organizations (12)
| Organization | Role | Association |
|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| COVENANT CARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| CENTRE CAPITAL INVESTORS V, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/19/2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| COVENANT HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| COVENANT SUBCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/19/2008 |
| STOCKWELL FUND II LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/19/2008 |
| MIDCAP FUNDING IV TRUST | 5% OR GREATER SECURITY INTEREST | since 02/20/2014 |
Owner / manager individuals (17)
| Name | Role | Association |
|---|---|---|
| EVANS, MARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| LEVIN, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| SIMS, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| TOROK, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/17/2008 |
| ASHLEY, DAVA | OPERATIONAL/MANAGERIAL CONTROL | since 03/26/2018 |
| EVANS, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2006 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | since 05/17/2018 |
| LEVIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2006 |
| SIMS, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2006 |
| SPARKS, CAROL | OPERATIONAL/MANAGERIAL CONTROL | since 04/17/2006 |
| ASHLEY, DAVA | CORPORATE OFFICER | since 05/17/2018 |
| CARNEY, KEVIN | CORPORATE OFFICER | since 11/01/2013 |
| EVANS, MARY | CORPORATE OFFICER | since 11/01/2013 |
| HASSELL, LANCE | CORPORATE OFFICER | since 05/17/2018 |
| LEVIN, ROBERT | CORPORATE OFFICER | since 11/01/2013 |
| SIMS, CHRISTINE | CORPORATE OFFICER | since 11/01/2013 |
| TOROK, ANDREW | CORPORATE OFFICER | since 11/01/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $94 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 8.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 18.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $384,012 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $20,224,419 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $23,146,001 | metrics.total_assets |
| Cost Report | Total Costs ($) | $3,177,848 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $22,739,242 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $406,759 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.05317 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.47431 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.86627 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.39376 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.95339 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 91.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.82903 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.25313 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.65346 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.73563 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.29256 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 166 | Chain ID |
| Provider Information | Chain Name | COVENANT CARE | Chain Name |
| Provider Information | City/Town | MOUNTAIN VIEW | City/Town |
| Provider Information | CMS Certification Number (CCN) | 055315 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Santa Clara | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1979-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.3735 | Latitude |
| Provider Information | Legal Business Name | COVENANT CARE CALIFORNIA, LLC | Legal Business Name |
| Provider Information | Location | 1949 GRANT ROAD,MOUNTAIN VIEW,CA,94040 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -122.08 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 102 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 24 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.32337 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.96060 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1949 GRANT ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | GRANT CUESTA SUB-ACUTE AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 530 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 200 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 5 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 24 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-28 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 200 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 29 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 20 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-10-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 164 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 11 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 164 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 30 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.72176 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 45.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.85715 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.01900 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.39401 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13466 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.83816 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.25116 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 6509682990 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 8278.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.82509 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 34.7 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 191.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 94040 | ZIP Code |