9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Turlock, CA
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1111 E Tuolumne Road, Turlock, CA
(209) 632-7577
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
144
Certified beds
Average residents
128
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Covenant Care
Operator or chain grouping
Approved since
1986-09-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
24 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
RN hours / resident day
0.37
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
1.50
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
2.67
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
2.62
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
2.62
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
6,503
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.48
Baseline 20.34% · Performance 19.36% · Measure score 4.48 · Achievement 4.48 · Improvement 2.47
Healthcare-associated infections
0.74
Baseline 7.96% · Performance 7.61% · Measure score 0.74 · Achievement 0.74 · Improvement 0.69
Total nurse turnover
5.55
Baseline 41.27% · Performance 41.01% · Measure score 5.55 · Achievement 5.55 · Improvement 0
Adjusted total nurse staffing
2.29
Baseline 3.48 hours · Performance 3.73 hours · Measure score 2.29 · Achievement 2.29 · Improvement 0.57
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.83% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 341 · Observed rate 14.08% · Lower 95% interval 10.18% |
| Discharge to community | 55.21% |
50.57%
4.6 pts better
|
No Different than the National Rate · Eligible stays 334 · Observed rate 49.4% · Lower 95% interval 49.45% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 224 · Denominator 224 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 224 |
| Discharge self-care score | 87.5% |
53.69%
33.8 pts better
|
Numerator 112 · Denominator 128 |
| Discharge mobility score | 80.47% |
50.94%
29.5 pts better
|
Numerator 103 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 2.23% |
2.29%
0.1 pts better
|
Numerator 5 · Denominator 224 · Adjusted rate 2.27% |
| Healthcare-associated infections requiring hospitalization | 7.61% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 225 · Observed rate 8% · Lower 95% interval 5.39% |
| Staff COVID-19 vaccination coverage | 5.34% |
8.2%
2.9 pts worse
|
Numerator 11 · Denominator 206 |
| Staff flu vaccination coverage | 33.17% |
42%
8.8 pts worse
|
Numerator 66 · Denominator 199 |
| Discharge function score | 88.28% |
56.45%
31.8 pts better
|
Numerator 113 · Denominator 128 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 157 · Denominator 157 |
| Transfer of health information to patient | 91.18% |
96.28%
5.1 pts worse
|
Numerator 31 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 7.89% |
25.2%
17.3 pts worse
|
Numerator 9 · Denominator 114 |
Quality measures
| 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 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.3 · 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 | 1.5% |
1.6%
0.1 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 1.2% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.1% |
6.8%
6.3 pts worse
|
11.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 18.5% · Q3 9.9% · Q4 10.1% · 4Q avg 13.1% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
4.1%
4.7 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.6% · Q3 14.5% · Q4 11.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.1% |
13.7%
11.4 pts worse
|
19.6%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 29.0% · Q3 23.9% · Q4 18.3% · 4Q avg 25.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.9% |
14.2%
9.3 pts better
|
16.7%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.3% · Q3 7.7% · Q4 1.8% · 4Q avg 4.9% · 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 | 15.4% |
11.0%
4.4 pts worse
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 4.3% · Q4 41.2% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
10.7%
3 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.5% · Q3 7.5% · Q4 15.5% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.2%
0.4 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 3.8% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.8% |
10.9%
3.1 pts better
|
19.8%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 7.1% · Q3 16.1% · Q4 6.9% · 4Q avg 7.8% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
4.7%
1.2 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.7% · Q3 8.7% · Q4 3.2% · 4Q avg 5.9% · 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 99.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| 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 8.8% · Expected 11.1% · 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 0.8% · Q2 0.8% · Q3 1.5% · Q4 1.5% · 4Q avg 1.2% · 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 | 18.4% |
23.2%
4.8 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 16.7% · Expected 21.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-09-16
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-09-16
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-16
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-09-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-16
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-12-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-06
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-12-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-12-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-09-25
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2018-09-25
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2018-09-25
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 2018-09-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-09-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2018-09-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-09-25
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2018-09-25
Fire Safety
Establish emergency prep training and testing.
Corrected 2018-09-25
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-10
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-09-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-06
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 2024-09-06
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
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 2024-06-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
Health
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected 2024-04-30
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2023-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-11-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-11-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-11-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2018-09-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-09-28
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 2018-09-28
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2018-09-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-09-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-09-28
Health
Provide and implement an infection prevention and control program.
Corrected 2018-09-28
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 2018-09-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-09-28
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2018-09-28
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2018-09-28
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2018-09-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2018-09-28
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Turlock, CA
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Turlock, CA
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Turlock, CA
4-star overall rating with 4-star inspections with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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