Overview

Address
709 N STREET, NEWMAN, CA 95360
Phone
2098622862
Certified beds
71
Avg daily residents
64 (90% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-08-01
Setting
Urban
3 /5
CMS Overall Rating

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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 3/5

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
3.94 3.84 3.97 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.40 0.67 0.40 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.86 0.85 0.87
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.68 2.32 2.70
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.26
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

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

Total nurse (weekend)
3.69
hrs / resident / day
RN (weekend)
0.26
hrs / resident / day
Total nurse (adjusted, weekend)
3.71
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
31.3%
annual
RN turnover
50.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.36
higher acuity than avg
Case-Mix Index Ratio
0.99
facility / state ratio

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) 2024-08-08 7 6 1 48 1 48
Cycle 2/3 (prior) 2019-05-28 19 12 7 136 1 136
Total weighted health score
70.0
lower is better

Deficiencies (26)

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).

22 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
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. G 2025-09-12 2025-10-03
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2024-08-08 2024-08-26
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. E 2024-08-08 2024-08-26
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 2024-08-08 2024-08-26
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2024-08-08 2024-08-26
0692 Provide enough food/fluids to maintain a resident's health. D 2024-08-08 2024-08-26
0880 Provide and implement an infection prevention and control program. D 2024-08-08 2024-08-26
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-05-29 2024-06-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-05-29 2024-06-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-05-06 2024-06-04
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-01-30 2024-02-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. G 2024-01-30 2024-02-29
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-12-19 2024-01-15
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2023-10-04 2023-10-14
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2019-05-28 2019-07-15
0558 Reasonably accommodate the needs and preferences of each resident. D 2019-05-28 2019-07-15
0583 Keep residents' personal and medical records private and confidential. D 2019-05-28 2019-07-15
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted G 2019-05-28 2019-07-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2019-05-28 2019-07-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2019-05-28 2019-07-15
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2019-05-28 2019-07-15
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 2019-05-28 2019-07-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2019-05-28 2019-07-15
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2019-05-28 2019-07-15
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2019-05-28 2019-07-15
0880 Provide and implement an infection prevention and control program. D 2019-05-28 2019-07-15

Penalties (1)

Fines issued
1
last 3 years
Total fines
$46,118
Date Type Fine amount
2024-01-30 Fine $46,118

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.4% Medicaid 82.9% Other 7.6%

Operating performance

Operating Margin
-6.3%
Total Margin
-6.1%
Occupancy Rate
80.1%
Cost per Resident Day
$42

Revenue & costs

Net Patient Revenue
$7.4M
Total Costs
$866K
Net Income
-$450K

Balance sheet

Total Assets
$2.8M
Total Liabilities
$2.8M
Fund Balance
$22K
Current Ratio
0.46

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AVALON HEALTH CARE

Chain ID
57
Facilities in chain
13
Legal business name
AVALON CARE CENTER-NEWMAN LLC
Chain-average star ratings (for peer context)
Overall
3.6
Health
3.0
Staffing
4.2
QM
4.1

Owner / manager organizations (15)

Organization Role Association
AVALON OF CALIFORNIA LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/09/2003
AVALON CARE LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/09/2003
AVALON HEALTH CARE, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2003
AVALON HOLDING, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2003
HYRUM A KIRTON INDIVIDUAL TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
K-TEAM LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
SPENCER K KIRTON INDIVIDUAL TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
THE BYRON A KIRTON INDIVIDUAL TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
AVALON HEALTH CARE MANAGEMENT, INC. OPERATIONAL/MANAGERIAL CONTROL since 12/01/2003
AVALON HEALTH CARE, INC. OPERATIONAL/MANAGERIAL CONTROL since 12/01/2003
DELOITTE TAX LLP OPERATIONAL/MANAGERIAL CONTROL since 01/01/2020
EIDE BAILLY LLP OPERATIONAL/MANAGERIAL CONTROL since 01/01/2021
HHC HOLDCO LLC OPERATIONAL/MANAGERIAL CONTROL since 07/01/2021
OMNICARE LLC OPERATIONAL/MANAGERIAL CONTROL since 05/01/2023
RELIANT PRO REHAB LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2019

Owner / manager individuals (19)

Name Role Association
KIRTON, BYRON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
KIRTON, HYRUM 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
KIRTON, SPENCER 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2025
BORISEVICH, MARIA OPERATIONAL/MANAGERIAL CONTROL since 01/08/2024
HASH, ALAN OPERATIONAL/MANAGERIAL CONTROL since 08/15/2017
KAUR, RAJBIR OPERATIONAL/MANAGERIAL CONTROL since 12/13/2022
KIRTON, HYRUM OPERATIONAL/MANAGERIAL CONTROL since 03/29/2022
SADJE, ROSE-ANN OPERATIONAL/MANAGERIAL CONTROL since 02/05/2024
SMITH, NICOLE OPERATIONAL/MANAGERIAL CONTROL since 03/01/2023
VEERAPPA, NANDEESH OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023
DANGERFIELD, DAVID CORPORATE DIRECTOR since 04/05/2007
KIRTON, BYRON CORPORATE DIRECTOR since 08/27/2024
KIRTON, HYRUM CORPORATE DIRECTOR since 08/27/2024
KIRTON, SPENCER CORPORATE DIRECTOR since 08/27/2024
WOLTIL, ROBERT CORPORATE DIRECTOR since 05/23/2012
BORISEVICH, MARIA CORPORATE OFFICER since 01/08/2024
HASH, ALAN CORPORATE OFFICER since 08/15/2017
KIRTON, HYRUM CORPORATE OFFICER since 03/29/2022
SMITH, NICOLE CORPORATE OFFICER since 03/01/2023

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
Methodology & sources

Full methodology →

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.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $42 metrics.cost_per_resident_day
Cost Report Current Ratio 0.46 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 82.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.4% metrics.medicare_day_share
Cost Report Net Income ($) $-450,147 metrics.net_income
Cost Report Net Patient Revenue ($) $7,382,637 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 80.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.3% metrics.operating_margin
Cost Report Total Assets ($) $2,843,557 metrics.total_assets
Cost Report Total Costs ($) $866,481 metrics.total_costs
Cost Report Total Fund Balances ($) $22,366 metrics.fund_balance
Cost Report Total Liabilities ($) $2,821,191 metrics.total_liabilities
Cost Report Total Margin (%) -6.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.86609 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.69886 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.40218 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.96713 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.71322 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 64.0 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 0.85206 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.31571 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.67161 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.83939 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.38401 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.2 Chain Average Staffing Rating
Provider Information Chain ID 57 Chain ID
Provider Information Chain Name AVALON HEALTH CARE Chain Name
Provider Information City/Town NEWMAN City/Town
Provider Information CMS Certification Number (CCN) 055839 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Stanislaus County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-08-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.3226 Latitude
Provider Information Legal Business Name AVALON CARE CENTER-NEWMAN LLC Legal Business Name
Provider Information Location 709 N STREET,NEWMAN,CA,95360 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -121.02 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 71 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 13 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 1.36012 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98728 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 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 709 N STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SAN LUIS CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 600 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 48 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 1 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 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-08-08 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 48 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-05-28 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 136 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 7 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 136 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.25523 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 50.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.26120 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.86126 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.68380 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00695 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.39994 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 3.94500 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 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 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 2098622862 Telephone Number
Provider Information Total Amount of Fines in Dollars 46118.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.69250 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 31.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 70.000 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 95360 ZIP Code