6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Gridley, CA
4-star overall rating with 4-star inspections with $40,162 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
246 Spruce Street, Gridley, CA
(530) 846-5671
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
82
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
West Harbor Healthcare
Operator or chain grouping
Approved since
2001-12-31
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
RN hours / resident day
0.68
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.04
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
3.61
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.67
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
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
4,269
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9936
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.60
Baseline 17.19% · Performance 20.69% · Measure score 1.60 · Achievement 1.60 · Improvement 0
Healthcare-associated infections
5.95
Baseline 5.23% · Performance 6.06% · Measure score 5.95 · Achievement 5.95 · Improvement 0
Total nurse turnover
4.92
Baseline 32.20% · Performance 43.59% · Measure score 4.92 · Achievement 4.92 · Improvement 0
Adjusted total nurse staffing
3.79
Baseline 4.28 hours · Performance 4.16 hours · Measure score 3.79 · Achievement 3.79 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.88% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 178 · Observed rate 15.17% · Lower 95% interval 9.39% |
| Discharge to community | 59.68% |
50.57%
9.1 pts better
|
Better than the National Rate · Eligible stays 165 · Observed rate 54.55% · Lower 95% interval 51.76% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 135 · Denominator 135 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 135 |
| Discharge self-care score | 49.37% |
53.69%
4.3 pts worse
|
Numerator 39 · Denominator 79 |
| Discharge mobility score | 26.58% |
50.94%
24.4 pts worse
|
Numerator 21 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 1.48% |
2.29%
0.8 pts better
|
Numerator 2 · Denominator 135 · Adjusted rate 1.77% |
| Healthcare-associated infections requiring hospitalization | 6.06% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 4.17% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 32.94% |
8.2%
24.7 pts better
|
Numerator 28 · Denominator 85 |
| Staff flu vaccination coverage | 53.91% |
42%
11.9 pts better
|
Numerator 69 · Denominator 128 |
| Discharge function score | 37.97% |
56.45%
18.5 pts worse
|
Numerator 30 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 41 · Denominator 41 |
| Transfer of health information to patient | 94.34% |
96.28%
1.9 pts worse
|
Numerator 50 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 37.68% |
25.2%
12.5 pts better
|
Numerator 26 · Denominator 69 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
1.6
2.2 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
98.5%
0.7 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.3% · Q4 98.4% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
98.2%
0.3 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
1.6%
0.4 pts worse
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.7% · Q4 4.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 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 who lose too much weight | 6.2% |
4.1%
2.1 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.4% · Q3 6.9% · Q4 7.1% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% |
13.7%
5.4 pts worse
|
19.6%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 15.8% · Q3 23.7% · Q4 20.7% · 4Q avg 19.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.1% |
14.2%
4.1 pts better
|
16.7%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.1% · Q3 10.4% · Q4 10.6% · 4Q avg 10.1% · 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 | 21.8% |
11.0%
10.8 pts worse
|
16.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 10.5% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.5% |
10.7%
12.8 pts worse
|
14.9%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.3% · Q2 22.2% · Q3 8.9% · Q4 12.5% · 4Q avg 23.5% · 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 | 1.7% |
1.2%
0.5 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 3.4% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.0% |
10.9%
2.1 pts worse
|
19.8%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 22.1% · Q3 4.9% · Q4 7.8% · 4Q avg 13.0% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
4.7%
3.2 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 3.9% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
94.0%
0.4 pts worse
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.7% · Q2 93.5% · Q3 91.9% · Q4 95.5% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
11.2%
5 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 16.7% · Expected 11.5% · 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 | 95.7% |
93.2%
2.5 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
23.2%
2.2 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 25.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (3 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-15
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-04-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-10-23
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 2023-10-23
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-10-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-23
Inspection history
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-04-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-16
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-04-10
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-01-30
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-01-30
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 2025-01-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-26
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 2024-03-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-16
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-10-06
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 2023-10-22
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-10-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-06-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-11
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-11
Penalties and ownership
Fine · fine $4,196
Fine
Fine · fine $25,477
Fine
Fine · fine $10,489
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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