9 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fairfield, CA
4-star overall rating with 3-star inspections with $35,493 in total fines with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
2800 Estates Drive, Fairfield, CA
(707) 432-1200
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
30
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1998-07-13
CMS approved date
Coverage
Medicare
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
Staffing
RN hours / resident day
1.70
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.79
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.74
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.76
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.03
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.72
CMS adjusted RN staffing hours
Adjusted total hours
5.88
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
276
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
74.75
Composite VBP score used to determine payment impact.
Payment multiplier
1.0244
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.10
Baseline 18.67% · Performance 18.14% · Measure score 7.10 · Achievement 7.10 · Improvement 2.69
Healthcare-associated infections
3.39
Baseline 5.95% · Performance 6.82% · Measure score 3.39 · Achievement 3.39 · Improvement 0
Total nurse turnover
10
Baseline 22.00% · Performance 20.76% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
9.41
Baseline 4.17 hours · Performance 5.76 hours · Measure score 9.41 · Achievement 9.41 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.63% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 182 · Observed rate 10.99% · Lower 95% interval 8.61% |
| Discharge to community | 69.44% |
50.57%
18.9 pts better
|
Better than the National Rate · Eligible stays 163 · Observed rate 69.94% · Lower 95% interval 63.97% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 85.06% |
95.27%
10.2 pts worse
|
Numerator 148 · Denominator 174 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 174 |
| Discharge self-care score | 39.55% |
53.69%
14.1 pts worse
|
Numerator 53 · Denominator 134 |
| Discharge mobility score | 53.73% |
50.94%
2.8 pts better
|
Numerator 72 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 2.3% |
2.29%
About the same
|
Numerator 4 · Denominator 174 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 6.82% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 5.13% · Lower 95% interval 4.18% |
| Staff COVID-19 vaccination coverage | 45.4% |
8.2%
37.2 pts better
|
Numerator 74 · Denominator 163 |
| Staff flu vaccination coverage | 95.45% |
42%
53.5 pts better
|
Numerator 168 · Denominator 176 |
| Discharge function score | 53.73% |
56.45%
2.7 pts worse
|
Numerator 72 · Denominator 134 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 113 · Denominator 113 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 43.02% |
25.2%
17.8 pts better
|
Numerator 37 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
2.3
1.7 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.6
0.7 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
98.5%
0.1 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · 4Q avg 98.6% |
| 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 | 1.4% |
1.6%
0.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 1.4% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
4.1%
2.1 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.0% |
13.7%
11.3 pts worse
|
19.6%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% |
| 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.3% |
10.7%
22.6 pts worse
|
14.9%
18.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.0%
1.2 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.2%
1.6 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.4% |
10.9%
2.5 pts worse
|
19.8%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · 4Q avg 13.4% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
4.7%
5.6 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
94.0%
5.3 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 100.0% · Q3 99.1% · Q4 100.0% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
11.2%
2.3 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 7.8% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.3% · Q3 1.2% · Q4 0.0% · 4Q avg 1.2% · 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 | 22.3% |
23.2%
0.9 pts better
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 18.1% · Expected 19.3% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-11
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 2025-03-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-11
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2025-03-11
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-03-11
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-03-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-11
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-04-07
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-04-07
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-07
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-04-07
Fire Safety
Use approved construction type or materials.
Corrected 2023-04-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-07
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-04-07
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-04-07
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-07
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-04-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-07-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-30
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2019-07-30
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-07-30
Fire Safety
Provide emergency officials' contact information.
Corrected 2019-07-30
Fire Safety
Provide family notifications of emergency plan.
Corrected 2019-07-30
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-07-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-07-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-07-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-07-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-07-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-07-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-30
Inspection history
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-10
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 2025-03-10
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 2025-03-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-10
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 2025-03-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-03-10
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-03-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-03
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 2024-05-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-07
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 2023-04-07
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 2023-04-07
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-07
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-07
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-07
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 2023-04-07
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-07
Health
Have a Compliance and Ethics Program.
Corrected 2023-04-07
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-04-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-05-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-05-24
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 2019-05-24
Penalties and ownership
Fine · fine $35,493
Fine
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Fairfield, CA
0-star overall rating with 0-star inspections with Special Focus status with $439,127 in total fines with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Fairfield, CA
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Vacaville, CA
4-star overall rating with 4-star inspections with $127,689 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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