3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Chico, CA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
2850 Sierra Sunrise Terrace, Chico, CA
(530) 894-1010
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-03-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.37
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.73
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.15
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
6,829
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.41
Baseline 21.24% · Performance 19.85% · Measure score 3.41 · Achievement 3.41 · Improvement 2.79
Healthcare-associated infections
1.64
Baseline 8.09% · Performance 7.42% · Measure score 1.64 · Achievement 1.37 · Improvement 1.64
Total nurse turnover
5.34
Baseline 58.51% · Performance 41.86% · Measure score 5.34 · Achievement 5.34 · Improvement 4.45
Adjusted total nurse staffing
2.25
Baseline 4.37 hours · Performance 3.72 hours · Measure score 2.25 · Achievement 2.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 19.21% |
10.72%
8.5 pts worse
|
Worse than the National Rate · Eligible stays 614 · Observed rate 20.36% · Lower 95% interval 16.57% |
| Discharge to community | 64.46% |
50.57%
13.9 pts better
|
Better than the National Rate · Eligible stays 565 · Observed rate 61.42% · Lower 95% interval 60.71% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.6% |
95.27%
3.3 pts better
|
Numerator 353 · Denominator 358 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 358 |
| Discharge self-care score | 55.36% |
53.69%
1.7 pts better
|
Numerator 155 · Denominator 280 |
| Discharge mobility score | 57.5% |
50.94%
6.6 pts better
|
Numerator 161 · Denominator 280 |
| Pressure ulcers or injuries, new or worsened | 0.56% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 358 · Adjusted rate 0.85% |
| Healthcare-associated infections requiring hospitalization | 7.42% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 348 · Observed rate 6.32% · Lower 95% interval 5.22% |
| Staff COVID-19 vaccination coverage | 6.06% |
8.2%
2.1 pts worse
|
Numerator 6 · Denominator 99 |
| Staff flu vaccination coverage | 88.03% |
42%
46 pts better
|
Numerator 125 · Denominator 142 |
| Discharge function score | 57.5% |
56.45%
1 pts better
|
Numerator 161 · Denominator 280 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 58 · Denominator 58 |
| Transfer of health information to patient | 99.25% |
96.28%
3 pts better
|
Numerator 264 · Denominator 266 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 21 · Denominator 168 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.3
0.4 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · 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 | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
1.6%
0.1 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.0% · Q3 1.9% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
6.8%
4.7 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 5.8% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 1.1% |
4.1%
3 pts better
|
5.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 2.0% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.7% |
13.7%
15 pts worse
|
19.6%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 27.7% · Q3 33.3% · Q4 28.8% · 4Q avg 28.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
14.2%
2.2 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 14.3% · Q3 7.9% · Q4 9.3% · 4Q avg 12.0% · 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 | 10.1% |
11.0%
0.9 pts better
|
16.3%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.2% · Q3 2.8% · Q4 23.4% · 4Q avg 10.1% · 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 10.8% · Q2 11.1% · Q3 6.0% · Q4 16.0% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.0%
0.4 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.2%
0.2 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 1.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% |
10.9%
5.9 pts worse
|
19.8%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 4.1% · Q3 5.0% · Q4 38.8% · 4Q avg 16.8% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
4.7%
About the same
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.2% · Q3 4.5% · Q4 3.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.0%
5.7 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
11.2%
0.3 pts better
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 8.5% · Expected 8.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.3% · Q3 1.9% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
23.2%
1.3 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 19.1% · Expected 18.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-10
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-10
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-15
Fire Safety
Use approved construction type or materials.
Corrected 2023-11-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-15
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-11-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-15
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 2022-07-11
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-07-11
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-07-11
Inspection history
Health
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.
Corrected 2026-01-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-28
Health
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.
Corrected 2024-10-28
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-01-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-24
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-11-06
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-10
Health
Keep all essential equipment working safely.
Corrected 2023-11-08
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 2023-11-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-21
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 2023-11-09
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-11-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-07
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-11-13
Health
Dispose of garbage and refuse properly.
Corrected 2023-11-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-08
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-11-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-10
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 2023-11-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-08
Health
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.
Corrected 2022-07-15
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-07-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-15
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-07-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
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