19 health deficiencies
Top issue: Resident Rights (5 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Manteca, CA
2-star overall rating with 2-star inspections with abuse icon flag with 19 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
469 East North Street, Manteca, CA
(209) 823-1788
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
99
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kalesta Healthcare Group
Operator or chain grouping
Approved since
1968-04-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 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
0.39
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.64
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.73
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.83
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
9,633
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.41
Baseline 18.54% · Performance 20.31% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Healthcare-associated infections
0
Baseline 6.85% · Performance 7.82% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.68
Performance 48.65% · Measure score 3.68 · Achievement 3.68 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.13
Baseline 4.08 hours · Performance 3.97 hours · Measure score 3.13 · Achievement 3.13 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.44% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 176 · Observed rate 12.5% · Lower 95% interval 8.52% |
| Discharge to community | 55.48% |
50.57%
4.9 pts better
|
No Different than the National Rate · Eligible stays 169 · Observed rate 48.52% · Lower 95% interval 46.84% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 99.19% |
95.27%
3.9 pts better
|
Numerator 122 · Denominator 123 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 123 |
| Discharge self-care score | 70% |
53.69%
16.3 pts better
|
Numerator 49 · Denominator 70 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 42 · Denominator 70 |
| Pressure ulcers or injuries, new or worsened | 1.63% |
2.29%
0.7 pts better
|
Numerator 2 · Denominator 123 · Adjusted rate 1.16% |
| Healthcare-associated infections requiring hospitalization | 7.82% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 8.26% · Lower 95% interval 4.96% |
| Staff COVID-19 vaccination coverage | 4.55% |
8.2%
3.6 pts worse
|
Numerator 7 · Denominator 154 |
| Staff flu vaccination coverage | 46.45% |
42%
4.5 pts better
|
Numerator 85 · Denominator 183 |
| Discharge function score | 67.14% |
56.45%
10.7 pts better
|
Numerator 47 · Denominator 70 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 50 · Denominator 50 |
| Transfer of health information to patient | 96.55% |
96.28%
0.3 pts better
|
Numerator 56 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 16.95% |
25.2%
8.2 pts worse
|
Numerator 10 · Denominator 59 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.6
0.9 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · 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 | 2.6% |
1.6%
1 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 2.6% · Q4 5.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.2% |
6.8%
0.4 pts worse
|
11.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.4% · Q3 9.6% · Q4 8.3% · 4Q avg 7.2% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
4.1%
About the same
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 10.6% · Q3 4.7% · Q4 0.0% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
13.7%
5.7 pts worse
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 19.4% · Q3 19.4% · Q4 21.4% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
14.2%
6.8 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 2.9% · Q3 8.3% · Q4 10.2% · 4Q avg 7.4% · 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 | 8.8% |
11.0%
2.2 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.6% · Q3 7.4% · Q4 16.4% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.5% |
10.7%
7.2 pts better
|
14.9%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 5.3% · Q4 5.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.0%
0.3 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.6% · Q3 1.4% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.2%
0.9 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.2% |
10.9%
3.7 pts better
|
19.8%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 5.6% · Q3 5.5% · Q4 9.1% · 4Q avg 7.2% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
4.7%
0.4 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.2% · Q3 4.8% · Q4 2.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.0%
5.8 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
11.2%
3.3 pts worse
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.9% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.8% · Q3 1.5% · Q4 1.3% · 4Q avg 1.5% · 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 | 32.5% |
23.2%
9.3 pts worse
|
23.9%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 34.7% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 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 2024-12-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-31
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-12-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-12-31
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-31
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-12-28
Fire Safety
Develop a communication plan.
Corrected 2023-12-28
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-12-28
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-12-28
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-12-28
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-28
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-12-28
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-12-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-28
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-12-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-13
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-01-13
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 2022-01-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-13
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-01-13
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-30
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 2025-04-02
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 2025-05-09
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-20
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 2024-12-20
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 2024-12-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-20
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-20
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 2024-12-20
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-20
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-12-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-12-20
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-12-20
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-12-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-06
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-12-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-06
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-12-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-06
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 2023-12-06
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-12-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-12-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-06
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 2023-12-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-06
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 2023-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-06
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-12-06
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2023-12-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-12-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-12-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-12-17
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 2021-12-17
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-17
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 2021-12-17
Health
Provide appropriate foot care.
Corrected 2021-12-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-17
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-12-17
Penalties and ownership
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
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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