Cycle 1
Health 2024-08-08 · Fire 2024-08-08
6 health deficiencies
Top issue: Environmental (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Hanford, CA
Brighton Post Acute
5-star overall rating with 4-star inspections with $7,443 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
361 E. Grangeville Blvd, Hanford, CA
(559) 582-9221
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
133
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
West Harbor Healthcare
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.20
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.13
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.19
CMS adjusted RN staffing hours
Adjusted total hours
3.60
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
53%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,356
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9857
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.24
Baseline 19.85% · Performance 20.39% · Measure score 2.24 · Achievement 2.24 · Improvement 0
Healthcare-associated infections
0.18
Baseline 7.99% · Performance 7.78% · Measure score 0.18 · Achievement 0 · Improvement 0.18
Total nurse turnover
6.53
Baseline 100.00% · Performance 47.20% · Measure score 6.53 · Achievement 4.03 · Improvement 6.53
Adjusted total nurse staffing
3.03
Baseline 4.42 hours · Performance 3.94 hours · Measure score 3.03 · Achievement 3.03 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.71% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 179 · Observed rate 6.7% · Lower 95% interval 6.04% |
| Discharge to community | 66.98% |
50.57%
16.4 pts better
|
Better than the National Rate · Eligible stays 177 · Observed rate 58.76% · Lower 95% interval 60.33% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.12% |
95.27%
3.9 pts better
|
Numerator 112 · Denominator 113 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 113 |
| Discharge self-care score | 32.95% |
53.69%
20.7 pts worse
|
Numerator 29 · Denominator 88 |
| Discharge mobility score | 42.05% |
50.94%
8.9 pts worse
|
Numerator 37 · Denominator 88 |
| Pressure ulcers or injuries, new or worsened | 1.77% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 113 · Adjusted rate 1.69% |
| Healthcare-associated infections requiring hospitalization | 7.78% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 128 · Observed rate 8.59% · Lower 95% interval 4.35% |
| Staff COVID-19 vaccination coverage | 11.3% |
8.2%
3.1 pts better
|
Numerator 20 · Denominator 177 |
| Staff flu vaccination coverage | 26.67% |
42%
15.3 pts worse
|
Numerator 48 · Denominator 180 |
| Discharge function score | 35.23% |
56.45%
21.2 pts worse
|
Numerator 31 · Denominator 88 |
| Transfer of health information to provider | 80% |
95.95%
16 pts worse
|
Numerator 16 · Denominator 20 |
| Transfer of health information to patient | 88.14% |
96.28%
8.1 pts worse
|
Numerator 52 · Denominator 59 |
| Resident COVID-19 vaccinations up to date | 38.3% |
25.2%
13.1 pts better
|
Numerator 18 · Denominator 47 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
98.2%
About the same
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
1.6%
About the same
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.0% · Q3 2.2% · Q4 1.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
6.8%
5.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 1.2% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 2.6% |
4.1%
1.5 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.0% · Q3 0.0% · Q4 1.4% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.6% |
13.7%
11.1 pts better
|
19.6%
17 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.7% · Q3 1.4% · Q4 1.4% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.2% |
14.2%
7 pts better
|
16.7%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.8% · Q3 6.8% · Q4 3.5% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.8% |
11.0%
7.8 pts worse
|
16.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 25.6% · Q3 30.2% · Q4 12.6% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
10.7%
0.3 pts worse
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 15.6% · Q3 14.9% · Q4 7.7% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.0%
0.5 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.2%
0.2 pts worse
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 1.1% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
10.9%
9.2 pts worse
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 22.1% · Q3 25.0% · Q4 17.3% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.7%
3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.8% · Q3 1.8% · Q4 0.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
94.0%
4.6 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 97.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
11.2%
2.2 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 11.9% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.0% |
93.2%
2.8 pts better
|
79.7%
16.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
23.2%
4.8 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 17.9% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-06 · Fire 2019-12-06
12 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2019-02-08 · Fire 2019-02-08
11 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2026-01-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-12
C · Minimal harm
2026-01-05
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-01-12
E · Potential for more than minimal harm
2024-08-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-20
D · Potential for more than minimal harm
2024-08-08
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-08-20
D · Potential for more than minimal harm
2024-08-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-20
C · Minimal harm
2024-08-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-20
E · Potential for more than minimal harm
2019-12-06
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-01-14
E · Potential for more than minimal harm
2019-12-06
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-01-14
D · Potential for more than minimal harm
2019-12-06
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2020-01-14
D · Potential for more than minimal harm
2019-12-06
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2020-01-14
D · Potential for more than minimal harm
2019-12-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-01-14
D · Potential for more than minimal harm
2019-12-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-14
D · Potential for more than minimal harm
2019-12-06
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2020-01-14
E · Potential for more than minimal harm
2019-02-08
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-03-11
E · Potential for more than minimal harm
2019-02-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-03-11
D · Potential for more than minimal harm
2019-02-08
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-03-11
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-02
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-01-12
G · Actual harm
2025-04-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-06
D · Potential for more than minimal harm
2024-11-01
F808 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2024-12-11
D · Potential for more than minimal harm
2024-08-08
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-30
D · Potential for more than minimal harm
2024-08-08
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-30
B · Minimal harm
2024-08-08
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-08-30
D · Potential for more than minimal harm
2024-04-25
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-26
D · Potential for more than minimal harm
2023-11-03
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-22
G · Actual harm
2023-05-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-14
F · Potential for more than minimal harm
2019-12-06
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2020-02-07
F · Potential for more than minimal harm
2019-12-06
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2020-02-07
F · Potential for more than minimal harm
2019-12-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-07
F · Potential for more than minimal harm
2019-12-06
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2020-02-07
E · Potential for more than minimal harm
2019-12-06
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-02-07
E · Potential for more than minimal harm
2019-12-06
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-07
E · Potential for more than minimal harm
2019-12-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-02-07
E · Potential for more than minimal harm
2019-12-06
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2020-02-07
D · Potential for more than minimal harm
2019-12-06
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-02-07
D · Potential for more than minimal harm
2019-12-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-07
E · Potential for more than minimal harm
2019-02-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-18
E · Potential for more than minimal harm
2019-02-08
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-03-18
E · Potential for more than minimal harm
2019-02-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-18
D · Potential for more than minimal harm
2019-02-08
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2019-03-18
D · Potential for more than minimal harm
2019-02-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-03-18
D · Potential for more than minimal harm
2019-02-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-03-18
D · Potential for more than minimal harm
2019-02-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-03-18
D · Potential for more than minimal harm
2019-02-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-03-18
B · Minimal harm
2019-02-08
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2019-03-18
Penalties and ownership
What sits behind the stars
$0
2025-04-01
Payment Denial
Payment Denial · denial start 2025-05-03 · 3 days
3 day denial
$7,443
2023-05-19
Fine
Fine · fine $7,443
Fine
Ownership
West Harbor Healthcare LLC
5% Or Greater Direct Ownership Interest · Organization
Galbasini, Kevin
5% Or Greater Indirect Ownership Interest · Individual
Gill, Daniel
5% Or Greater Indirect Ownership Interest · Individual
Rosenhan, Cameron
5% Or Greater Indirect Ownership Interest · Individual
Galbasini, Kevin
Corporate Officer · Individual
Gill, Daniel
Corporate Officer · Individual
Gill, Daniel
W-2 Managing Employee · Individual
Rosenhan, Cameron
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Hanford Post Acute
Hanford, CA
2-star overall rating with 2-star inspections with 24 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Kings Healthcare & Wellness Center LP
Hanford, CA
5-star overall rating with 5-star inspections with $8,824 in total fines with 3 fire-safety deficiencies in the latest cycle
#3
Kingsburg Center
Kingsburg, CA
1-star overall rating with 1-star inspections with 24 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
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