Federal inspection record · CMS data as of October 1, 2026

Bay Crest Care Center

3750 Garnet Street, Torrance, CA · (310) 371-2431

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

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Certified beds
80
Residents per day
75
Ownership
For-Profit
Chain
Genesis Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1980

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among California homes

Bay Crest Care Center carries 338 inspection points. That is fewer than 1% of California's 1,154 rated homes.

5★4★3★2★1★+14 homes above 354.905102550100200inspection points → fewer is better on the leftThis home · 338 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

124 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 81 4 pts
E 35 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (5)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 9, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 11, 2025

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 17, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 20, 2025

  3. J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    August 19, 2025 · Complaint inspection · Quality of Life and Care · F678 · Corrected September 8, 2025

  4. G

    Provide safe, appropriate pain management for a resident who requires such services.

    February 9, 2024 · Complaint inspection · Quality of Life and Care · F697 · Corrected March 5, 2024

  5. G

    Provide enough food/fluids to maintain a resident's health.

    January 12, 2024 · Standard inspection · Quality of Life and Care · F692 · Corrected February 8, 2024

Everything else, by area of care

Resident Rights25E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 25, 2026 · Complaint · F550 · Not yet marked corrected

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 18, 2026 · Complaint · F580 · Corrected April 10, 2026

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 13, 2026 · Standard · F550 · Corrected March 20, 2026

  4. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    March 13, 2026 · Standard · F561 · Corrected March 20, 2026

  5. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 13, 2026 · Standard · F628 · Corrected March 20, 2026

  6. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    December 17, 2025 · Complaint · F565 · Corrected December 24, 2025

  7. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 12, 2025 · Complaint · F550 · Corrected December 13, 2025

  8. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 12, 2025 · Complaint · F580 · Corrected December 13, 2025

  9. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 17, 2025 · Complaint · F550 · Corrected October 20, 2025

  10. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    September 17, 2025 · Complaint · F573 · Corrected September 19, 2025

  11. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 3, 2025 · Complaint · F580 · Corrected September 8, 2025

  12. D

    Reasonably accommodate the needs and preferences of each resident.

    July 11, 2025 · Complaint · F558 · Corrected July 14, 2025

  13. E

    Reasonably accommodate the needs and preferences of each resident.

    January 31, 2025 · Standard · F558 · Corrected February 20, 2025

  14. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 31, 2025 · Standard · F550 · Corrected February 20, 2025

  15. D

    Keep residents' personal and medical records private and confidential.

    January 31, 2025 · Standard · F583 · Corrected February 20, 2025

  16. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    October 30, 2024 · Complaint · F553 · Corrected November 1, 2024

  17. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 21, 2024 · Complaint · F550 · Corrected September 9, 2024

  18. D

    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.

    July 21, 2024 · Complaint · F584 · Corrected August 7, 2024

  19. E

    Reasonably accommodate the needs and preferences of each resident.

    May 6, 2024 · Complaint · F558 · Corrected May 24, 2024

  20. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 31, 2024 · Complaint · F580 · Corrected February 20, 2024

  21. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 12, 2024 · Complaint · F550 · Corrected February 8, 2024

  22. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    January 12, 2024 · Standard · F554 · Corrected February 8, 2024

  23. D

    Reasonably accommodate the needs and preferences of each resident.

    January 12, 2024 · Complaint · F558 · Corrected February 8, 2024

  24. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 15, 2023 · Complaint · F580 · Corrected December 5, 2023

  25. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 31, 2023 · Complaint · F550 · Corrected December 5, 2023

Quality of Life and Care25E
  1. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    March 13, 2026 · Standard · F676 · Corrected March 20, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 13, 2026 · Standard · F677 · Corrected March 20, 2026

  3. D

    Provide activities to meet all resident's needs.

    March 13, 2026 · Standard · F679 · Corrected March 20, 2026

  4. D

    Assist a resident in gaining access to vision and hearing services.

    March 13, 2026 · Standard · F685 · Corrected March 20, 2026

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 6, 2026 · Complaint · F689 · Corrected March 10, 2026

  6. D

    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.

    March 6, 2026 · Complaint · F700 · Corrected March 10, 2026

  7. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 19, 2025 · Complaint · F684 · Corrected September 8, 2025

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 11, 2025 · Complaint · F677 · Corrected July 14, 2025

  9. D

    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.

    July 11, 2025 · Complaint · F688 · Corrected July 14, 2025

  10. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    July 11, 2025 · Complaint · F690 · Corrected July 14, 2025

  11. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    June 3, 2025 · Complaint · F693 · Corrected June 20, 2025

  12. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 16, 2025 · Complaint · F684 · Corrected May 20, 2025

  13. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 28, 2025 · Complaint · F689 · Corrected April 21, 2025

  14. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 31, 2025 · Standard · F677 · Corrected February 20, 2025

  15. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 31, 2025 · Standard · F689 · Corrected February 20, 2025

  16. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    January 31, 2025 · Standard · F676 · Corrected February 20, 2025

  17. D

    Provide safe and appropriate respiratory care for a resident when needed.

    January 31, 2025 · Standard · F695 · Corrected February 20, 2025

  18. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    September 10, 2024 · Complaint · F684 · Corrected September 12, 2024

  19. E

    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.

    May 6, 2024 · Complaint · F688 · Corrected May 24, 2024

  20. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 6, 2024 · Complaint · F684 · Corrected May 24, 2024

  21. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 6, 2024 · Complaint · F698 · Corrected May 24, 2024

  22. E

    Provide safe, appropriate pain management for a resident who requires such services.

    January 31, 2024 · Complaint · F697 · Corrected February 20, 2024

  23. E

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    January 12, 2024 · Standard · F694 · Corrected February 8, 2024

  24. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    October 31, 2023 · Complaint · F686 · Corrected December 5, 2023

  25. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 5, 2023 · Complaint · F684 · Corrected October 27, 2023

Resident Assessment and Care Planning19E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 23, 2026 · Complaint · F656 · Corrected March 2, 2026

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 23, 2026 · Complaint · F657 · Corrected March 2, 2026

  3. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    December 12, 2025 · Complaint · F658 · Corrected December 13, 2025

  4. D

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    November 9, 2025 · Complaint · F635 · Corrected November 11, 2025

  5. D

    Ensure each resident receives an accurate assessment.

    November 9, 2025 · Complaint · F641 · Corrected November 11, 2025

  6. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 3, 2025 · Complaint · F842 · Corrected November 7, 2025

  7. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 15, 2025 · Complaint · F656 · Corrected October 16, 2025

  8. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 19, 2025 · Complaint · F656 · Corrected September 8, 2025

  9. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 19, 2025 · Complaint · F842 · Corrected September 8, 2025

  10. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 28, 2025 · Complaint · F656 · Corrected April 21, 2025

  11. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    January 31, 2025 · Standard · F645 · Corrected February 20, 2025

  12. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 31, 2025 · Standard · F656 · Corrected February 20, 2025

  13. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 31, 2025 · Standard · F657 · Corrected February 20, 2025

  14. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    January 31, 2024 · Complaint · F842 · Corrected February 20, 2024

  15. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 12, 2024 · Standard · F656 · Corrected February 8, 2024

  16. D

    Ensure each resident receives an accurate assessment.

    January 12, 2024 · Standard · F641 · Corrected February 8, 2024

  17. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 21, 2023 · Complaint · F842 · Corrected January 15, 2024

  18. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 5, 2023 · Complaint · F656 · Corrected October 27, 2023

  19. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 5, 2023 · Complaint · F842 · Corrected October 27, 2023

Pharmacy Service15E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 18, 2026 · Complaint · F755 · Corrected April 10, 2026

  2. E

    Ensure that residents are free from significant medication errors.

    March 13, 2026 · Standard · F760 · Corrected March 20, 2026

  3. E

    Ensure that residents are free from significant medication errors.

    December 12, 2025 · Complaint · F760 · Corrected December 13, 2025

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 9, 2025 · Complaint · F755 · Corrected November 11, 2025

  5. E

    Ensure that residents are free from significant medication errors.

    November 3, 2025 · Complaint · F760 · Corrected November 7, 2025

  6. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 3, 2025 · Complaint · F755 · Corrected September 8, 2025

  7. D

    Ensure that residents are free from significant medication errors.

    May 16, 2025 · Complaint · F760 · Corrected May 20, 2025

  8. D

    Ensure medication error rates are not 5 percent or greater.

    January 31, 2025 · Standard · F759 · Corrected February 20, 2025

  9. D

    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.

    January 31, 2025 · Standard · F761 · Corrected February 20, 2025

  10. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 30, 2024 · Complaint · F755 · Corrected January 7, 2025

  11. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 21, 2024 · Complaint · F755 · Corrected September 9, 2024

  12. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 9, 2024 · Complaint · F755 · Corrected March 5, 2024

  13. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 31, 2024 · Complaint · F755 · Corrected February 20, 2024

  14. D

    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.

    January 12, 2024 · Standard · F761 · Corrected February 8, 2024

  15. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 7, 2023 · Complaint · F755 · Corrected December 28, 2023

Nutrition and Dietary8F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 13, 2026 · Standard · F812 · Corrected March 20, 2026

  2. D

    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.

    March 13, 2026 · Standard · F803 · Corrected March 20, 2026

  3. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    September 3, 2025 · Complaint · F813 · Corrected September 8, 2025

  4. D

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    July 11, 2025 · Complaint · F800 · Corrected July 14, 2025

  5. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 31, 2025 · Standard · F812 · Corrected February 20, 2025

  6. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    July 21, 2024 · Complaint · F804 · Corrected August 7, 2024

  7. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 12, 2024 · Standard · F812 · Corrected February 8, 2024

  8. E

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    January 12, 2024 · Complaint · F802 · Corrected February 8, 2024

Nursing and Physician Services7E
  1. D

    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.

    August 25, 2026 · Complaint · F726 · Not yet marked corrected

  2. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    November 3, 2025 · Complaint · F725 · Corrected November 7, 2025

  3. E

    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.

    January 31, 2025 · Standard · F726 · Corrected February 20, 2025

  4. C

    Post nurse staffing information every day.

    September 30, 2024 · Complaint · F732 · Corrected September 30, 2024

  5. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 6, 2024 · Complaint · F725 · Corrected May 24, 2024

  6. E

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    February 9, 2024 · Complaint · F710 · Corrected March 5, 2024

  7. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    January 12, 2024 · Complaint · F725 · Corrected February 8, 2024

Administration7E
  1. D

    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.

    March 13, 2026 · Standard · F849 · Corrected March 20, 2026

  2. D

    Have a plan that describes the process for conducting QAPI and QAA activities.

    November 9, 2025 · Complaint · F865 · Corrected November 11, 2025

  3. D

    Have a plan that describes the process for conducting QAPI and QAA activities.

    August 19, 2025 · Complaint · F865 · Corrected September 8, 2025

  4. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    January 31, 2025 · Complaint · F867 · Corrected February 20, 2025

  5. D

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    January 31, 2025 · Complaint · F836 · Corrected February 20, 2025

  6. D

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    January 31, 2025 · Standard · F940 · Corrected February 20, 2025

  7. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    January 12, 2024 · Standard · F867 · Corrected February 8, 2024

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    August 25, 2026 · Complaint · F943 · Not yet marked corrected

  2. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    March 13, 2026 · Standard · F604 · Corrected March 20, 2026

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 15, 2025 · Complaint · F600 · Corrected October 16, 2025

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 15, 2025 · Complaint · F609 · Corrected October 16, 2025

  5. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 31, 2025 · Complaint · F600 · Corrected February 20, 2025

  6. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    January 31, 2025 · Standard · F604 · Corrected February 20, 2025

Infection Control4F
  1. D

    Provide and implement an infection prevention and control program.

    March 13, 2026 · Standard · F880 · Corrected March 20, 2026

  2. E

    Provide and implement an infection prevention and control program.

    January 30, 2026 · Complaint · F880 · Corrected February 4, 2026

  3. D

    Provide and implement an infection prevention and control program.

    January 31, 2025 · Standard · F880 · Corrected February 20, 2025

  4. F

    Provide and implement an infection prevention and control program.

    January 12, 2024 · Complaint · F880 · Corrected February 8, 2024

Environmental3D
  1. D

    Keep all essential equipment working safely.

    September 3, 2025 · Complaint · F908 · Corrected September 8, 2025

  2. D

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    January 31, 2025 · Standard · F912 · Corrected February 20, 2025

  3. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    October 31, 2023 · Complaint · F921 · Corrected December 5, 2023

Inspection history

  1. 2026-03-13

    41 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (9 deficiencies)

  2. 2025-01-31

    43 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (12 deficiencies)

  3. 2024-01-12

    40 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 56 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

3 h 56 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 56% of nursing staff and 80% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$124,336 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-03Fine$44,256
2025-11-03Payment Denial · 4 day denial$0
2025-10-15Fine$12,425
2025-08-19Fine$16,149
2025-08-19Payment Denial · 1 day denial$0
2023-12-07Fine$51,506
2023-12-07Payment Denial · 21 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better2.02.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse1.81.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better99.2%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better0.8%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms39.4 pts worse47.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts worse5.3%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better8.9%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.9 pts worse17.2%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts worse0.8%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.7 pts worse10.6%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better7.0%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse11.0%9.8%18.3%
Percentage of long-stay residents with pressure ulcers5.8 pts worse10.1%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.8 pts worse67.8%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts worse19.8%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.5 pts worse3.8%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.3 pts worse75.8%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts worse24.3%22.6%23.4%

·

Who owns and runs it

2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Shaw, PamelaOperational/Managerial Control · Individual0%39 facilities
Shaw, PamelaAdp Of The SNF · Individual0%39 facilities

·

Fire safety

21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 13, 2026 · K345 · Corrected March 20, 2026

  2. D

    Install corridor and hallway doors that block smoke.

    March 13, 2026 · K363 · Corrected March 20, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 31, 2025 · K353 · Corrected February 20, 2025

  4. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 31, 2025 · K321 · Corrected February 20, 2025

  5. D

    Install an approved automatic sprinkler system.

    January 31, 2025 · K351 · Corrected February 20, 2025

  6. F

    Provide properly protected cooking facilities.

    January 12, 2024 · K324 · Corrected February 8, 2024

  7. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 12, 2024 · K345 · Corrected February 8, 2024

  8. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 12, 2024 · K353 · Corrected February 8, 2024

  9. D

    Install corridor and hallway doors that block smoke.

    January 12, 2024 · K363 · Corrected February 8, 2024

Gas, Vacuum, and Electrical Systems6F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 13, 2026 · K918 · Corrected March 20, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    March 13, 2026 · K920 · Corrected March 20, 2026

  3. D

    Have proper medical gas storage and administration areas.

    March 13, 2026 · K923 · Corrected March 20, 2026

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 31, 2025 · K918 · Corrected February 20, 2025

  5. D

    Ensure proper usage of power strips and extension cords.

    January 31, 2025 · K920 · Corrected February 20, 2025

  6. D

    Have proper medical gas storage and administration areas.

    January 31, 2025 · K923 · Corrected February 20, 2025

Emergency Preparedness3C
  1. C

    Provide primary/alternate means for communication.

    January 31, 2025 · E32 · Corrected February 20, 2025

  2. C

    Conduct testing and exercise requirements.

    January 31, 2025 · E39 · Corrected February 20, 2025

  3. C

    Develop and maintain an Emergency Preparedness Program (EP).

    January 31, 2025 · E4 · Corrected February 20, 2025

Miscellaneous2D
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    March 13, 2026 · K741 · Corrected March 20, 2026

  2. C

    Have simulated fire drills held at unexpected times.

    January 31, 2025 · K712 · Corrected February 20, 2025

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    January 31, 2025 · K511 · Corrected February 20, 2025

·

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