20 health deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Chico, CA
2-star overall rating with 2-star inspections with $34,573 in total fines with 20 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
188 Cohasset Lane, Chico, CA
(530) 343-6084
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
76
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Shlomo Rechnitz
Operator or chain grouping
Approved since
1972-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 3 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
RN hours / resident day
0.36
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.78
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.22
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.85
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
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,289
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9858
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.41
Baseline 22.15% · Performance 21.17% · Measure score 1.41 · Achievement 0.56 · Improvement 1.41
Healthcare-associated infections
1.82
Baseline 9.10% · Performance 8.14% · Measure score 1.82 · Achievement 0 · Improvement 1.82
Total nurse turnover
4.34
Baseline 72.60% · Performance 49.48% · Measure score 4.34 · Achievement 3.47 · Improvement 4.34
Adjusted total nurse staffing
4.50
Baseline 4.29 hours · Performance 4.36 hours · Measure score 4.50 · Achievement 4.50 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.39% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 296 · Observed rate 11.82% · Lower 95% interval 9.29% |
| Discharge to community | 52.62% |
50.57%
2 pts better
|
No Different than the National Rate · Eligible stays 316 · Observed rate 45.89% · Lower 95% interval 47.68% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.47% |
95.27%
4.2 pts better
|
Numerator 188 · Denominator 189 |
| Falls with major injury | 2.12% |
0.77%
1.4 pts worse
|
Numerator 4 · Denominator 189 |
| Discharge self-care score | 42.39% |
53.69%
11.3 pts worse
|
Numerator 39 · Denominator 92 |
| Discharge mobility score | 48.91% |
50.94%
2 pts worse
|
Numerator 45 · Denominator 92 |
| Pressure ulcers or injuries, new or worsened | 1.06% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 189 · Adjusted rate 1.02% |
| Healthcare-associated infections requiring hospitalization | 8.14% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 9.04% · Lower 95% interval 5.6% |
| Staff COVID-19 vaccination coverage | 23.88% |
8.2%
15.7 pts better
|
Numerator 32 · Denominator 134 |
| Staff flu vaccination coverage | 96.12% |
42%
54.1 pts better
|
Numerator 124 · Denominator 129 |
| Discharge function score | 48.91% |
56.45%
7.5 pts worse
|
Numerator 45 · Denominator 92 |
| Transfer of health information to provider | 98.48% |
95.95%
2.5 pts better
|
Numerator 130 · Denominator 132 |
| Transfer of health information to patient | 81.48% |
96.28%
14.8 pts worse
|
Numerator 22 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 38.1% |
25.2%
12.9 pts better
|
Numerator 40 · Denominator 105 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.3 · 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 | 3.6% |
1.6%
2 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.0% · Q3 4.2% · Q4 2.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
6.8%
5.1 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.1% · Q3 0.0% · Q4 2.4% · 4Q avg 1.7% |
| 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 0.0% · Q3 2.2% · Q4 2.3% · 4Q avg 1.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
13.7%
2.5 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.2% · Q3 10.6% · Q4 8.9% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
14.2%
1.2 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 12.8% · Q3 13.2% · Q4 14.3% · 4Q avg 13.0% · 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 | 7.2% |
11.0%
3.8 pts better
|
16.3%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.5% |
10.7%
3.8 pts worse
|
14.9%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 18.8% · Q3 13.0% · Q4 14.3% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 30.0% |
10.9%
19.1 pts worse
|
19.8%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 31.7% · Q3 34.3% · Q4 22.7% · 4Q avg 30.0% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
4.7%
3.9 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
94.0%
5.6 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.3% · Q3 99.3% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% |
11.2%
0.8 pts better
|
12.0%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 10.4% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.5%
1.2 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.2% · Q3 4.4% · Q4 3.1% · 4Q avg 2.7% · 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 | 24.0% |
23.2%
0.8 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 24.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (5 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-08
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-03-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-04-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-08
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-03-21
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-03-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-21
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-06-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-25
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-06-25
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-06-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-06-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-25
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-07-21
Fire Safety
Use approved construction type or materials.
Corrected 2021-07-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-07-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-07-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-07-21
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-02-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-11
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2026-01-27
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2026-01-27
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-12-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-04
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-03-31
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 2025-03-31
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-03-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-02
Health
Keep all essential equipment working safely.
Corrected 2025-04-02
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-03-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-28
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-31
Health
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected 2025-03-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-28
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 2025-03-28
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2025-03-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-25
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 2025-02-25
Health
Keep all essential equipment working safely.
Corrected 2024-08-01
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-20
Health
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.
Corrected 2024-04-20
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-01-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-15
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-08-15
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-06-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-17
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2021-08-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-08-17
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 2021-08-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-08-17
Health
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.
Corrected 2021-08-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-08-17
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-08-17
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-08-17
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-08-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-17
Penalties and ownership
Fine · fine $14,814
Fine
Fine · fine $4,938
Fine
Fine · fine $4,235
Fine
Fine · fine $10,586
Fine
General Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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