Walnut Creek, CA

La Casa Via Transitional Care Center

5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1449 Ygnacio Valley Road, Walnut Creek, CA

(925) 939-5820

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

78

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aspen Skilled Healthcare

Operator or chain grouping

Approved since

1974-05-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

34 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 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

Hours and turnover

RN hours / resident day

0.86

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.46

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.56

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.72

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.75

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.80

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

32%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,507

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.41

Composite VBP score used to determine payment impact.

Payment multiplier

1.0033

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.94

Baseline 17.29% · Performance 18.68% · Measure score 5.94 · Achievement 5.94 · Improvement 0

Healthcare-associated infections

6.58

Baseline 5.12% · Performance 5.87% · Measure score 6.58 · Achievement 6.58 · Improvement 0

Total nurse turnover

5.28

Baseline 44.21% · Performance 42.10% · Measure score 5.28 · Achievement 5.28 · Improvement 0.59

Adjusted total nurse staffing

1.96

Baseline 3.64 hours · Performance 3.64 hours · Measure score 1.96 · Achievement 1.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.9%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 362 · Observed rate 7.46% · Lower 95% interval 7.55%
Discharge to community 58.92%
50.57%
8.4 pts better
Better than the National Rate · Eligible stays 365 · Observed rate 58.63% · Lower 95% interval 54.38%
Medicare spending per beneficiary 1
1.02
About the same
Drug regimen review with follow-up 99.58%
95.27%
4.3 pts better
Numerator 236 · Denominator 237
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 237
Discharge self-care score 65.03%
53.69%
11.3 pts better
Numerator 119 · Denominator 183
Discharge mobility score 62.84%
50.94%
11.9 pts better
Numerator 115 · Denominator 183
Pressure ulcers or injuries, new or worsened 1.7%
2.29%
0.6 pts better
Numerator 4 · Denominator 235 · Adjusted rate 1.84%
Healthcare-associated infections requiring hospitalization 5.87%
7.12%
1.2 pts better
No Different than the National Rate · Eligible stays 216 · Observed rate 4.17% · Lower 95% interval 3.77%
Staff COVID-19 vaccination coverage 12.95%
8.2%
4.8 pts better
Numerator 18 · Denominator 139
Staff flu vaccination coverage 70.76%
42%
28.8 pts better
Numerator 121 · Denominator 171
Discharge function score 60.66%
56.45%
4.2 pts better
Numerator 111 · Denominator 183
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 24 · Denominator 24
Transfer of health information to patient 99.47%
96.28%
3.2 pts better
Numerator 186 · Denominator 187
Resident COVID-19 vaccinations up to date 34.38%
25.2%
9.2 pts better
Numerator 44 · Denominator 128

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.3
0.3 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.6
0.2 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · 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 0.5%
1.6%
1.1 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.2%
6.8%
3.6 pts better
11.4%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.3% · Q3 0.0% · Q4 2.1% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight 1.2%
4.1%
2.9 pts better
5.4%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.8%
13.7%
3.9 pts better
19.6%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.6% · Q3 15.9% · Q4 6.5% · 4Q avg 9.8%
Percentage of long-stay residents who received an antipsychotic medication 9.4%
14.2%
4.8 pts better
16.7%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.6% · Q3 13.3% · Q4 14.3% · 4Q avg 9.4% · 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 23.0%
11.0%
12 pts worse
16.3%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.2%
10.7%
0.5 pts worse
14.9%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 17.9% · Q3 15.8% · Q4 7.3% · 4Q avg 11.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.0%
0.7 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · 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 20.4%
10.9%
9.5 pts worse
19.8%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 17.8% · Q3 21.7% · Q4 15.4% · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers 6.9%
4.7%
2.2 pts worse
5.1%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 15.2% · Q3 1.8% · Q4 0.0% · 4Q avg 6.9% · 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 99.6% · Q3 99.5% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit 9.1%
11.2%
2.1 pts better
12.0%
2.9 pts better
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.4%
1.5%
0.9 pts worse
1.6%
0.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.8% · Q3 3.4% · Q4 0.7% · 4Q avg 2.4% · 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 17.7%
23.2%
5.5 pts better
23.9%
6.2 pts better
Short Stay · 20240701-20250630 · Adjusted 17.7% · Observed 15.6% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

10 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2021-11-04 · Fire 2021-11-04

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

16 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-06-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-06-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-26

D · Potential for more than minimal harm 2025-06-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-11

C · Minimal harm 2025-06-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-09

E · Potential for more than minimal harm 2023-11-30

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-02

E · Potential for more than minimal harm 2023-11-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-02

C · Minimal harm 2023-11-30

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-01-02

E · Potential for more than minimal harm 2021-11-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-12-23

E · Potential for more than minimal harm 2021-11-04

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2021-12-23

E · Potential for more than minimal harm 2021-11-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2021-12-23

E · Potential for more than minimal harm 2021-11-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-23

E · Potential for more than minimal harm 2021-11-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K321 · Smoke Deficiencies

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 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-12-23

D · Potential for more than minimal harm 2021-11-04

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-12-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F761 · Pharmacy Service Deficiencies

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 2025-06-30

D · Potential for more than minimal harm 2025-06-05

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-06-30

D · Potential for more than minimal harm 2024-04-09

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2024-04-26

D · Potential for more than minimal harm 2024-04-09

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-04-26

E · Potential for more than minimal harm 2023-11-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-12-19

E · Potential for more than minimal harm 2023-11-30

F803 · Nutrition and Dietary Deficiencies

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 2023-12-19

E · Potential for more than minimal harm 2023-11-30

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-12-19

E · Potential for more than minimal harm 2023-11-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-19

E · Potential for more than minimal harm 2023-11-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-19

D · Potential for more than minimal harm 2023-11-30

F758 · Pharmacy Service Deficiencies

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 2023-12-19

B · Minimal harm 2023-11-30

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-12-19

B · Minimal harm 2023-11-30

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-12-19

D · Potential for more than minimal harm 2023-03-22

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-03-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-03-30

E · Potential for more than minimal harm 2021-11-04

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-12-22

E · Potential for more than minimal harm 2021-11-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-12-22

E · Potential for more than minimal harm 2021-11-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-22

D · Potential for more than minimal harm 2021-11-04

F584 · Resident Rights Deficiencies

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 2021-12-22

D · Potential for more than minimal harm 2021-11-04

F756 · Pharmacy Service Deficiencies

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 2021-12-22

D · Potential for more than minimal harm 2021-11-04

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2021-12-22

Penalties and ownership

What sits behind the stars

Ownership

Brady, Vern

5% Or Greater Indirect Ownership Interest · Individual

32% 28 facilities 2017-09-01
Case, Ryan

5% Or Greater Indirect Ownership Interest · Individual

32% 28 facilities 2017-09-01
Bradshaw, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

22% 29 facilities 2017-09-01
Awcy LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-03-05
Davis, James

Operational/Managerial Control · Individual

0% 6 facilities 2017-09-01
Dhaliwal, Tanveer

Operational/Managerial Control · Individual

0% 1 facilities 2021-07-01
Rawe, Colton

Operational/Managerial Control · Individual

0% 15 facilities 2023-01-01
Shaikh, Zahid

Operational/Managerial Control · Individual

0% 1 facilities 2017-03-01

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#3

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4-star overall rating with 4-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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