SNF
VINTAGE FAIRE NURSING & REHABILITATION CENTER
CCN: 555355 · MODESTO, CA 95356 · Stanislaus County
Overview
- Address
- 3620 B DALE RD., MODESTO, CA 95356
- Phone
- 2095212094
- Certified beds
- 99
- Avg daily residents
- 92 (93% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-05-05
- 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 | 2.82 | 4.08 | 2.67 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.36 | 0.71 | 0.34 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.74 | 0.90 | 0.70 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.72 | 2.46 | 1.63 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.10 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.05 | — | — | — |
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)
2.58
hrs / resident / day
RN (weekend)
0.18
hrs / resident / day
Total nurse (adjusted, weekend)
2.44
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
1.44
higher acuity than avg
Case-Mix Index Ratio
1.05
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) | 2025-04-11 | 24 | 22 | 2 | 112 | 1 | 112 |
| Cycle 2/3 (prior) | 2024-04-25 | 24 | 16 | 8 | 144 | 1 | 144 |
Total weighted health score
120.0
lower is better
Deficiencies (68)
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).
68 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-11-19 | 2025-12-01 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-11-13 | 2025-12-13 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-11 | 2025-05-11 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-04-11 | 2025-05-11 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-11 | 2025-05-11 |
| 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 | 2025-04-11 | 2025-05-11 |
| 0679 | Provide activities to meet all resident's needs. | D | 2025-04-11 | 2025-05-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-11 | 2025-05-11 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-11 | 2025-05-11 |
| 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. | E | 2025-04-11 | 2025-05-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-11 | 2025-05-11 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-04-11 | 2025-05-11 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-04-11 | 2025-05-11 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-04-11 | 2025-05-11 |
| 0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2025-04-11 | 2025-05-11 |
| 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. | D | 2025-04-11 | 2025-05-11 |
| 0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2025-04-11 | 2025-05-11 |
| 0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-04-11 | 2025-05-11 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-11 | 2025-05-11 |
| 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 | 2025-04-11 | 2025-05-11 |
| 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 | 2025-04-11 | 2025-05-11 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-04-11 | 2025-05-11 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-04-11 | 2025-05-11 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-04-11 | 2025-05-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-25 | 2025-04-07 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-20 | 2025-04-01 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-04-25 | 2024-05-24 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-04-25 | 2024-05-24 |
| 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 | 2024-04-25 | 2024-05-24 |
| 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 | 2024-04-25 | 2024-05-24 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-04-25 | 2024-05-24 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-04-25 | 2024-05-24 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-04-25 | 2024-05-24 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-04-25 | 2024-05-24 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-04-25 | 2024-05-24 |
| 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 | 2024-04-25 | 2024-05-24 |
| 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 | 2024-04-25 | 2024-05-24 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-04-25 | 2024-05-24 |
| 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2024-04-25 | 2024-05-24 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-04-25 | 2024-05-24 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-04-25 | 2024-05-24 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-04-25 | 2024-05-24 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-12-12 | 2024-02-07 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-12-12 | 2024-02-07 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-01 | 2023-12-29 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-01 | 2023-12-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-04 | 2023-08-24 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-04-15 | 2023-05-19 |
| 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 | 2023-04-15 | 2023-05-19 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-04-15 | 2023-05-19 |
Showing 50 most recent of 68. See the All Data CSV for the full list.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 10.3% Medicaid 21.5% Other 68.2%
Operating performance
Operating Margin
4.8%
Total Margin
4.9%
Occupancy Rate
94.8%
Cost per Resident Day
$62
Revenue & costs
Net Patient Revenue
$15.7M
Total Costs
$2.1M
Net Income
$772K
Balance sheet
Total Assets
$16.2M
Total Liabilities
-$444K
Fund Balance
$16.6M
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 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
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 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $62 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 21.5% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 10.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $772,354 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,705,539 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 94.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 4.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $16,152,209 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,140,097 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $16,596,533 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $-444,324 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 4.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.70452 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.63019 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.33794 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.67266 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.43941 | 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 | 92.3 | 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 | 0.90479 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.45902 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.71317 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.07699 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.59344 | 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 | MODESTO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555355 | 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 | 1989-05-05 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 37.7001 | Latitude |
| Provider Information | Legal Business Name | COVENANT CARE CALIFORNIA, LLC | Legal Business Name |
| Provider Information | Location | 3620 B DALE RD.,MODESTO,CA,95356 | 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 | -121.03 | 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 | 99 | 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 | 1.44429 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.04838 | 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 | 3620 B DALE RD. | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | VINTAGE FAIRE 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 | 112 | 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 | 22 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-04-11 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 112 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 24 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 16 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-04-25 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 144 | 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 | 8 | 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 | 144 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 24 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.18409 | 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 | 1.10080 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.74395 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.72142 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05447 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.35686 | 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 | 2.82222 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 2095212094 | 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 | 2.57593 | 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 | 120.000 | 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 | 95356 | ZIP Code |