SNF
ARBOR REHABILITATION & NURSING CENTER
CCN: 555164 · LODI, CA 95240 · San Joaquin County
Overview
- Address
- 900 NORTH CHURCH STREET, LODI, CA 95240
- Phone
- 2093331222
- Certified beds
- 149
- Avg daily residents
- 138 (93% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1984-02-17
- Setting
- Urban
2 /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.
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 | 2.72 | 3.90 | 2.69 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.45 | 0.68 | 0.44 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.58 | 0.87 | 0.57 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.70 | 2.35 | 1.68 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.03 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
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)
2.65
hrs / resident / day
RN (weekend)
0.38
hrs / resident / day
Total nurse (adjusted, weekend)
2.62
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
New facility — insufficient data.
RN turnover
New facility — insufficient data.
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
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) | 2024-08-22 | 21 | 10 | 11 | 104 | 1 | 104 |
| Cycle 2/3 (prior) | 2023-05-18 | 17 | 11 | 6 | 88 | 1 | 88 |
Total weighted health score
100.0
lower is better
Deficiencies (47)
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).
47 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-09 | — |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-11-26 | 2025-12-05 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-11-18 | 2025-12-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-11-18 | 2025-12-05 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-15 | 2025-06-12 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-05-15 | 2025-06-12 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-05-15 | 2025-06-12 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-05-15 | 2025-06-12 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-05-15 | 2025-06-12 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-15 | 2025-06-12 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-09 | 2025-05-08 |
| 0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-11-19 | 2024-12-05 |
| 0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-11-19 | 2024-12-05 |
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-08-22 | 2024-08-30 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-22 | 2024-08-30 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-22 | 2024-08-30 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-22 | 2024-08-30 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-22 | 2024-08-30 |
| 0679 | Provide activities to meet all resident's needs. | D | 2024-08-22 | 2024-08-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-22 | 2024-08-30 |
| 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. | E | 2024-08-22 | 2024-08-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-22 | 2024-08-30 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-08-22 | 2024-08-30 |
| 0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2023-11-01 | 2023-11-22 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-01 | 2023-11-22 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-20 | 2023-10-20 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-05-18 | 2023-06-30 |
| 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 | 2023-05-18 | 2023-06-30 |
| 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 | 2023-05-18 | 2023-06-30 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-05-18 | 2023-06-30 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-05-18 | 2023-06-30 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-18 | 2023-06-30 |
| 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 | 2023-05-18 | 2023-06-30 |
| 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. | D | 2023-05-18 | 2023-06-30 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-05-18 | 2023-06-30 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-05-18 | 2023-06-30 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-05-18 | 2023-06-30 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-05-18 | 2023-06-30 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-04-05 | 2019-05-16 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-04-05 | 2019-05-16 |
| 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 | 2019-04-05 | 2019-05-16 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-04-05 | 2019-05-16 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-04-05 | 2019-05-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-04-05 | 2019-05-16 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2019-04-05 | 2019-05-16 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-04-05 | 2019-05-16 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2019-04-05 | 2019-05-16 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 8.5% Medicaid 22.4% Other 69.1%
Operating performance
Operating Margin
-7.8%
Total Margin
-7.1%
Occupancy Rate
87.3%
Cost per Resident Day
$35
Revenue & costs
Net Patient Revenue
$18.3M
Total Costs
$1.6M
Net Income
-$1.3M
Balance sheet
Total Assets
$19.8M
Total Liabilities
$20.3M
Fund Balance
-$523K
Current Ratio
0.58
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 LODI, LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.6
Staffing
2.5
QM
4.4
Owner / manager organizations (12)
| Organization | Role | Association |
|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| CENTRE CAPITAL INVESTORS V, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| CENTRE V SECONDARY FUND, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| COVENANT CARE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| COVENANT HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| COVENANT SUBCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| STOCKWELL FUND II LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| 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 03/17/2009 |
| LEVIN, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| SIMS, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| TOROK, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/17/2009 |
| ASHLEY, DAVA | OPERATIONAL/MANAGERIAL CONTROL | since 03/26/2018 |
| EVANS, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 02/24/2009 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | since 05/17/2018 |
| LEVIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | since 02/24/2009 |
| SIMS, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | since 02/24/2009 |
| SPARKS, CAROL | OPERATIONAL/MANAGERIAL CONTROL | since 03/17/2009 |
| ASHLEY, DAVA | CORPORATE OFFICER | since 11/01/2013 |
| 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
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 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 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $35 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.58 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 22.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 8.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-1,306,489 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $18,312,553 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 87.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -7.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $19,768,022 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,643,374 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-523,082 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $20,291,104 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -7.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.57461 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.67875 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.44114 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.69449 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.62188 | 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 | 138.1 | 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 | 0.86551 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.35225 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68221 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.89996 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.43741 | 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 | LODI | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555164 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | San Joaquin | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1984-02-17 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 38.1226 | Latitude |
| Provider Information | Legal Business Name | COVENANT CARE LODI, LLC | Legal Business Name |
| Provider Information | Location | 900 NORTH CHURCH STREET,LODI,CA,95240 | 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 | -121.28 | 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 | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 149 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.38158 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.00286 | 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 - Corporation | 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 | 900 NORTH CHURCH STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ARBOR REHABILITATION & NURSING CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 490 | 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 | 104 | 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 | 11 | 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 | 10 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-08-22 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 104 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 21 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 11 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-05-18 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 88 | 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 | 6 | 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 | 88 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 17 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.37588 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.02602 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.58042 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.69572 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07265 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.44560 | 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 | 2.72174 | 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 | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | 24 | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 2093331222 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.64839 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 100.000 | 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 | 95240 | ZIP Code |