14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Portola, CA
2-star overall rating with 2-star inspections with $69,450 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
500 First Street, Portola, CA
(530) 832-4277
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
66
Certified beds
Average residents
60
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-09-11
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.83
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.84
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.71
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.87
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.16
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
5.19
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
331
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.89
Composite VBP score used to determine payment impact.
Payment multiplier
1.0237
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
6.41
Baseline 40.00% · Performance 37.50% · Measure score 6.41 · Achievement 6.41 · Improvement 1.15
Adjusted total nurse staffing
8.17
Baseline 5.44 hours · Performance 5.40 hours · Measure score 8.17 · Achievement 8.17 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 5.88% |
8.2%
2.3 pts worse
|
Numerator 4 · Denominator 68 |
| Staff flu vaccination coverage | 64.71% |
42%
22.7 pts better
|
Numerator 22 · Denominator 34 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
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 0.9 · Expected 1.2 · 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 1.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2% |
98.5%
16.3 pts worse
|
93.4%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 84.7% · Q3 74.6% · Q4 70.5% · 4Q avg 82.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
98.2%
0.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
1.6%
1.4 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.7% · Q3 3.4% · Q4 3.3% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
6.8%
3.4 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 3.6% · Q4 6.4% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
4.1%
2.3 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 5.1% · Q3 8.8% · Q4 5.0% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.7% |
13.7%
2 pts worse
|
19.6%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 15.3% · Q3 13.6% · Q4 18.3% · 4Q avg 15.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.4% |
14.2%
7.2 pts worse
|
16.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.2% · Q3 20.4% · Q4 24.5% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.4% |
0.4%
About the same
|
0.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 36.0% |
11.0%
25 pts worse
|
16.3%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 43.1% · 4Q avg 36.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.2% |
10.7%
18.5 pts worse
|
14.9%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 24.6% · Q3 32.0% · Q4 29.2% · 4Q avg 29.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.0%
1.5 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 3.2% · Q4 3.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.1% |
1.2%
3.9 pts worse
|
1.7%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 6.8% · Q3 5.2% · Q4 4.9% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.5% |
10.9%
16.6 pts worse
|
19.8%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 30.5% · Q3 30.4% · Q4 24.5% · 4Q avg 27.5% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
4.7%
2 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.6% · Q3 1.8% · Q4 1.7% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.5% |
94.0%
32.5 pts worse
|
81.7%
20.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 61.5% |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Environmental (2 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-08-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-20
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-08-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-25
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-08-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-20
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-09-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-24
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-09-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-24
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-09-24
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-09-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-09-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-16
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-06-16
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-06-16
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-21
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 2025-08-21
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-21
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 2025-08-21
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 2025-08-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-06
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-15
Health
Implement a program that monitors antibiotic use.
Corrected 2025-01-21
Health
Keep all essential equipment working safely.
Corrected 2024-08-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-12
Health
Put firmly secured handrails on each side of hallways.
Corrected 2024-05-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-16
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-16
Penalties and ownership
Fine · fine $12,438
Fine
Fine · fine $19,338
Fine
Fine · fine $37,674
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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