18 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Stockton, CA
2-star overall rating with 2-star inspections with 18 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
9289 Branstetter Place, Stockton, CA
(209) 477-5252
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
152
Certified beds
Average residents
142
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Covenant Care
Operator or chain grouping
Approved since
1991-06-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 facilities
Chain averages 3 overall / 3 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
0.66
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.42
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
1.53
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
35%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
5,941
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9884
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.31
Baseline 21.97% · Performance 19.10% · Measure score 5.31 · Achievement 5.03 · Improvement 5.31
Healthcare-associated infections
0
Baseline 7.97% · Performance 7.93% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.76
Baseline 38.04% · Performance 44.23% · Measure score 4.76 · Achievement 4.76 · Improvement 0
Adjusted total nurse staffing
3.74
Baseline 4.23 hours · Performance 4.14 hours · Measure score 3.74 · Achievement 3.74 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.71% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 141 · Observed rate 12.77% · Lower 95% interval 7.83% |
| Discharge to community | 48.95% |
50.57%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 42.37% · Lower 95% interval 38.42% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.51% |
95.27%
0.2 pts better
|
Numerator 85 · Denominator 89 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 89 |
| Discharge self-care score | 58.93% |
53.69%
5.2 pts better
|
Numerator 33 · Denominator 56 |
| Discharge mobility score | 51.79% |
50.94%
0.9 pts better
|
Numerator 29 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 3.37% |
2.29%
1.1 pts worse
|
Numerator 3 · Denominator 89 · Adjusted rate 2.4% |
| Healthcare-associated infections requiring hospitalization | 7.93% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 94 · Observed rate 11.7% · Lower 95% interval 5.41% |
| Staff COVID-19 vaccination coverage | 3.97% |
8.2%
4.2 pts worse
|
Numerator 11 · Denominator 277 |
| Staff flu vaccination coverage | 23.32% |
42%
18.7 pts worse
|
Numerator 97 · Denominator 416 |
| Discharge function score | 67.86% |
56.45%
11.4 pts better
|
Numerator 38 · Denominator 56 |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 22 · Denominator 23 |
| Transfer of health information to patient | 85.37% |
96.28%
10.9 pts worse
|
Numerator 35 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 11.63% |
25.2%
13.6 pts worse
|
Numerator 5 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.3
0.2 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.8 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.0 |
1.6
2.4 pts worse
|
1.8
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 4.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
98.5%
3 pts worse
|
93.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.3% · Q3 92.1% · Q4 91.6% · 4Q avg 95.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
98.2%
4.4 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
1.6%
1 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 2.6% · Q4 0.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
6.8%
4.3 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.9% · Q4 7.2% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
4.1%
0.3 pts worse
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 2.0% · Q3 4.8% · Q4 3.7% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
13.7%
4.5 pts worse
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 17.5% · Q3 18.3% · Q4 22.0% · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
14.2%
10.1 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.4% · Q3 1.2% · Q4 3.6% · 4Q avg 4.1% · 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 | 23.2% |
11.0%
12.2 pts worse
|
16.3%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 36.6% · Q3 32.2% · Q4 17.6% · 4Q avg 23.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
10.7%
0.1 pts worse
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 16.1% · Q3 14.3% · Q4 11.5% · 4Q avg 10.8% · 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 | 0.7% |
1.2%
0.5 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.1% |
10.9%
0.8 pts better
|
19.8%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 10.5% · Q3 10.2% · Q4 12.7% · 4Q avg 10.1% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.7%
0.5 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.1% · Q3 2.8% · Q4 3.3% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.0% |
94.0%
1 pts worse
|
81.7%
11.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 96.6% · Q3 92.9% · Q4 85.9% · 4Q avg 93.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.2%
0.6 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 13.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.5%
1.3 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
93.2%
3.4 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| 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 24.7% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (7 deficiencies)
8 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Top issue: Resident Rights (6 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-03
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-03
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2026-01-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-03
Fire Safety
Conduct testing and exercise requirements.
Corrected 2026-01-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-14
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-14
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-08-20
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-11-13
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-11-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-13
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-11-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-13
Fire Safety
Use approved construction type or materials.
Corrected 2023-11-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-11-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-13
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 2023-11-13
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-11-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-13
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-11-13
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-05
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 2026-01-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-01-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-05
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-05
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 2026-01-05
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-05
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-05
Health
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.
Corrected 2026-01-05
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-19
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-19
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-10-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-08
Health
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.
Corrected 2024-12-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-08
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-08
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-12-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-08
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-12-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-08
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 2024-12-08
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-12-08
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-12-08
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 2024-10-23
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-10-23
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-10-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-23
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-08-09
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-08-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-29
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 2023-11-13
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 2023-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-13
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-11-13
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-11-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-13
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 2023-11-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-13
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-11-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-17
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 2023-07-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-26
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-25
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-03-29
Penalties and ownership
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