Sun City, CA

Menifee Lakes Post Acute

4-star overall rating with 3-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

27600 Encanto Drive, Sun City, CA

(951) 679-6858

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David & Frank Johnson

Operator or chain grouping

Approved since

1978-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 3 overall / 3 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

Hours and turnover

RN hours / resident day

0.46

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

2.78

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.58

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.79

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.84

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.37

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

0.40

CMS adjusted RN staffing hours

Adjusted total hours

3.99

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,924

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

Performance score

22.02

Composite VBP score used to determine payment impact.

Payment multiplier

0.9828

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.31% · Performance 23.31% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 8.03% · Performance 7.92% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.03

Baseline 53.66% · Performance 39.05% · Measure score 6.03 · Achievement 6.03 · Improvement 4.57

Adjusted total nurse staffing

2.78

Baseline 4.15 hours · Performance 3.87 hours · Measure score 2.78 · Achievement 2.78 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.8%
10.72%
1.1 pts worse
No Different than the National Rate · Eligible stays 168 · Observed rate 11.9% · Lower 95% interval 8.72%
Discharge to community 49.76%
50.57%
0.8 pts worse
No Different than the National Rate · Eligible stays 163 · Observed rate 46.01% · Lower 95% interval 43.08%
Medicare spending per beneficiary 1.3
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 204 · Denominator 204
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 204
Discharge self-care score 52.42%
53.69%
1.3 pts worse
Numerator 65 · Denominator 124
Discharge mobility score 50%
50.94%
0.9 pts worse
Numerator 62 · Denominator 124
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 204 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.92%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 117 · Observed rate 8.55% · Lower 95% interval 5.07%
Staff COVID-19 vaccination coverage 22.22%
8.2%
14 pts better
Numerator 40 · Denominator 180
Staff flu vaccination coverage 38.25%
42%
3.8 pts worse
Numerator 70 · Denominator 183
Discharge function score 55.65%
56.45%
0.8 pts worse
Numerator 69 · Denominator 124
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 138 · Denominator 138
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 28.97%
25.2%
3.8 pts better
Numerator 31 · Denominator 107

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
2.3
0.5 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.5 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.6
0.2 pts worse
1.8
About the same
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
98.5%
1 pts better
93.4%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.5%
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 0.0%
1.6%
1.6 pts better
3.3%
3.3 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 who have depressive symptoms 5.9%
6.8%
0.9 pts better
11.4%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 10.6% · Q3 2.1% · Q4 6.7% · 4Q avg 5.9%
Percentage of long-stay residents who lose too much weight 0.6%
4.1%
3.5 pts better
5.4%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.6%
13.7%
12.9 pts worse
19.6%
7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 28.3% · Q3 25.0% · Q4 29.2% · 4Q avg 26.6%
Percentage of long-stay residents who received an antipsychotic medication 12.2%
14.2%
2 pts better
16.7%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.1% · Q3 13.9% · Q4 14.7% · 4Q avg 12.2% · 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 1.3%
11.0%
9.7 pts better
16.3%
15 pts better
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.6%
10.7%
4.1 pts better
14.9%
8.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.0% · Q3 9.5% · Q4 6.5% · 4Q avg 6.6% · 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 0.5%
1.2%
0.7 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 1.1%
10.9%
9.8 pts better
19.8%
18.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 2.1% · 4Q avg 1.1%
Percentage of long-stay residents with pressure ulcers 0.6%
4.7%
4.1 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.9%
94.0%
5.9 pts better
81.7%
18.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.7% · 4Q avg 99.9%
Percentage of short-stay residents who had an outpatient emergency department visit 10.3%
11.2%
0.9 pts better
12.0%
1.7 pts better
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 11.1% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.1%
1.5%
1.4 pts better
1.6%
1.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.1% · 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 22.8%
23.2%
0.4 pts better
23.9%
1.1 pts better
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 24.8% · Expected 25.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

13 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2019-09-19 · Fire 2019-09-19

23 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-03-13

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 2025-03-26

D · Potential for more than minimal harm 2025-03-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-03-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-03-13

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-03-26

C · Minimal harm 2025-03-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-03-26

E · Potential for more than minimal harm 2023-05-18

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-05-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-05-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-06

D · Potential for more than minimal harm 2023-05-18

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-06-06

D · Potential for more than minimal harm 2019-09-19

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-11-19

D · Potential for more than minimal harm 2019-09-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-11-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-08

D · Potential for more than minimal harm 2026-01-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-05-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-03-13

F578 · Resident Rights Deficiencies

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 2025-04-12

E · Potential for more than minimal harm 2025-03-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-13

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 2025-04-12

E · Potential for more than minimal harm 2025-03-13

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-04-12

E · Potential for more than minimal harm 2025-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-13

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-04-12

D · Potential for more than minimal harm 2025-03-13

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 2025-04-12

D · Potential for more than minimal harm 2025-03-13

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 2025-04-12

D · Potential for more than minimal harm 2025-02-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-09-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-07-16

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 2024-07-31

D · Potential for more than minimal harm 2024-06-20

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-07-07

D · Potential for more than minimal harm 2024-02-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-22

D · Potential for more than minimal harm 2023-11-27

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-12-07

D · Potential for more than minimal harm 2023-11-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-05

D · Potential for more than minimal harm 2023-10-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-10-25

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 2023-11-10

D · Potential for more than minimal harm 2023-10-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-10-17

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-30

D · Potential for more than minimal harm 2023-05-25

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-05-18

F578 · Resident Rights Deficiencies

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 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

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 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

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 2023-06-18

D · Potential for more than minimal harm 2023-05-18

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-06-18

D · Potential for more than minimal harm 2023-05-18

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 2023-06-18

D · Potential for more than minimal harm 2023-05-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-25

D · Potential for more than minimal harm 2023-05-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-19

D · Potential for more than minimal harm 2023-04-05

F690 · Quality of Life and Care Deficiencies

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 2023-05-01

D · Potential for more than minimal harm 2023-04-05

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-05-01

E · Potential for more than minimal harm 2019-09-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-10-15

E · Potential for more than minimal harm 2019-09-19

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 2019-10-15

D · Potential for more than minimal harm 2019-09-19

F578 · Resident Rights Deficiencies

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 2019-10-15

D · Potential for more than minimal harm 2019-09-19

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 2019-10-15

D · Potential for more than minimal harm 2019-09-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-09-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-09-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-10-15

D · Potential for more than minimal harm 2019-09-19

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 2019-10-15

D · Potential for more than minimal harm 2019-09-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-15

Penalties and ownership

What sits behind the stars

Ownership

Johnson, David

5% Or Greater Direct Ownership Interest · Individual

50% 42 facilities 2022-08-16
Johnson, Frank

5% Or Greater Direct Ownership Interest · Individual

50% 41 facilities 2022-08-16
Abraham, Michael

W-2 Managing Employee · Individual

0% 3 facilities 2021-11-08
Dehghanmanesh, Adrian

Corporate Officer · Individual

0% 41 facilities 2022-08-16

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Other facilities in reach

#1

Centinela Grand Inc

Perris, CA

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

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#2

Murrieta Health And Rehabilitation Center

Murrieta, CA

2-star overall rating with 2-star inspections with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0
#3

The Village Healthcare Center

Hemet, CA

3-star overall rating with 3-star inspections with $20,046 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$20,046

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