Overview

Address
1111 E TUOLUMNE ROAD, TURLOCK, CA 95380
Phone
2096327577
Certified beds
144
Avg daily residents
128 (89% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1986-09-25
Setting
Urban
4 /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.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 24.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

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
2.67 3.93 2.62 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.37 0.69 0.37 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.79 0.87 0.78
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.50 2.37 1.48
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.16
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

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)
2.62
hrs / resident / day
RN (weekend)
0.34
hrs / resident / day
Total nurse (adjusted, weekend)
2.57
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
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
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) 2024-08-15 9 7 2 36 1 36
Cycle 2/3 (prior) 2019-09-27 17 8 9 100 1 100
Total weighted health score
52.0
lower is better

Deficiencies (39)

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).

39 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-06-18 2025-07-10
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2025-06-18 2025-07-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-12-20 2025-01-10
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-12-12 2024-12-19
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-12-12 2024-12-19
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-09-05 2024-09-25
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-09-05 2024-09-25
0641 Ensure each resident receives an accurate assessment. D 2024-08-15 2024-09-06
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-08-15 2024-09-06
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-08-15 2024-09-06
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-08-15 2024-09-06
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 2024-08-15 2024-09-06
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2024-08-15 2024-09-06
0880 Provide and implement an infection prevention and control program. D 2024-08-15 2024-09-06
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F 2024-05-21 2024-06-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-03-26 2024-04-30
0774 Help the resident with transportation to and from laboratory services outside of the facility. D 2024-03-26 2024-04-30
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2023-03-20 2023-04-28
0558 Reasonably accommodate the needs and preferences of each resident. D 2019-09-27 2019-11-01
0583 Keep residents' personal and medical records private and confidential. D 2019-09-27 2019-11-01
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2019-09-27 2019-11-01
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2019-09-27 2019-11-01
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2019-09-27 2019-11-01
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2019-09-27 2019-11-01
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2019-09-27 2019-11-01
0880 Provide and implement an infection prevention and control program. D 2019-09-27 2019-11-01
0558 Reasonably accommodate the needs and preferences of each resident. E 2018-07-13 2018-09-28
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 2018-07-13 2018-09-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2018-07-13 2018-09-28
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2018-07-13 2018-09-28
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2018-07-13 2018-09-28
0685 Assist a resident in gaining access to vision and hearing services. D 2018-07-13 2018-09-28
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 2018-07-13 2018-09-28
0730 Observe each nurse aide's job performance and give regular training. E 2018-07-13 2018-09-28
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2018-07-13 2018-09-28
0759 Ensure medication error rates are not 5 percent or greater. D 2018-07-13 2018-09-28
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2018-07-13 2018-09-28
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2018-07-13 2018-09-28
0880 Provide and implement an infection prevention and control program. E 2018-07-13 2018-09-28

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.8% Medicaid 10.2% Other 73.0%

Operating performance

Operating Margin
10.4%
Total Margin
10.3%
Occupancy Rate
92.7%
Cost per Resident Day
$57

Revenue & costs

Net Patient Revenue
$22.0M
Total Costs
$2.8M
Net Income
$2.3M

Balance sheet

Total Assets
$21.6M
Total Liabilities
-$19.7M
Fund Balance
$41.3M

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
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 07/17/2008
COVENANT CARE, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/14/2006
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 04/14/2006
ASHLEY, DAVA CORPORATE OFFICER since 05/07/2018
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
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 112 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $57 metrics.cost_per_resident_day
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 10.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.8% metrics.medicare_day_share
Cost Report Net Income ($) $2,253,818 metrics.net_income
Cost Report Net Patient Revenue ($) $21,982,796 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 10.4% metrics.operating_margin
Cost Report Total Assets ($) $21,641,036 metrics.total_assets
Cost Report Total Costs ($) $2,755,700 metrics.total_costs
Cost Report Total Fund Balances ($) $41,337,477 metrics.fund_balance
Cost Report Total Liabilities ($) $-19,696,441 metrics.total_liabilities
Cost Report Total Margin (%) 10.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.77506 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.47573 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.36771 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.61850 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.56862 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 128.2 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 0.87285 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.37222 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68800 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.93308 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.46659 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 TURLOCK City/Town
Provider Information CMS Certification Number (CCN) 555240 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 1986-09-25 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.5146 Latitude
Provider Information Legal Business Name COVENANT CARE CALIFORNIA, LLC Legal Business Name
Provider Information Location 1111 E TUOLUMNE ROAD,TURLOCK,CA,95380 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 -120.84 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 144 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 1.39331 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.01137 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 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 1111 E TUOLUMNE ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Turlock Nursing & Rehabilitation 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 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 36 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 2 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 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-08-15 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 36 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-09-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 100 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 9 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 100 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 0.34105 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 1.16413 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.78954 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.50331 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03404 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.37459 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 2.66743 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 1 Staffing Rating
Provider Information Staffing Rating Footnote 24 Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 2096327577 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 2.61662 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 52.000 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 95380 ZIP Code