Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Burlington Convalescent Hospital during CMS and state inspections, most recent first.
A resident with ESRD on dialysis and depression refused to complete dialysis and verbalized a desire to die, but the AP was not notified of the significant change in condition. The resident was observed lethargic with a flat affect, poor eye contact, and limited verbal engagement, and also refused meals and morning meds. The MDS nurse confirmed severe cognitive impairment and that no active care plan or new MD orders were in place to address depression or psychosocial needs after the resident returned from the hospital.
Failure to develop and implement a comprehensive, person-centered care plan for a resident with depression, treatment refusal, and psychosocial needs. The resident had ESRD on dialysis, severely impaired cognition, low mood, and refused meals and morning meds; an LVN confirmed the refusals, and the MDS nurse verified antidepressant therapy was being held due to lack of consent and refusal, with no active care plan or new MD orders in place to address depression or non-pharmacological interventions.
A resident with ESRD and depression refused to complete dialysis and made statements indicating a desire to die, but the AP was not notified. The resident was observed with a flat affect, poor eye contact, limited verbal engagement, and statements that he did not care about anything anymore. The LVN reported the resident refused meals and morning meds due to depression, while the MDS nurse verified there were no active orders or care plan interventions for depression or psychosocial needs and that the resident had not been monitored.
Kitchen Food Labeling Deficiency: Kitchen staff failed to label all foods stored in the refrigerator and freezer with the correct food name, delivery date, open date, and best by date. During observation, several items were found unlabeled, including lettuce, drinks, cilantro, and frozen dessert cups, and the DSS stated staff had already been in-serviced on labeling but still did not label all foods. The DSS, DI, and DC all stated labeling is needed to determine whether food is safe to consume and to avoid residents being served spoiled or expired food.
Two residents with severe cognitive impairment signed Advance Directive and POLST forms despite being documented as not capable of making decisions. One resident had cerebral infarction, hemiplegia, and major depressive disorder, and the other had hemiplegia and aphasia. The MDS nurse confirmed both lacked capacity, and the DON stated they should not have signed the forms.
Unsecured PHI Left at Bedside: A resident's hospital identification bracelet containing name, DOB, MRN, admission date, and other identifiers was found on top of the bedside drawer after a recent GACH visit. The IPN stated it was from the resident's acute care stay, and the DON confirmed that resident PII/PHI must be kept confidential and secured under facility policy.
Unclean Resident Room Environment: A resident with schizophrenia, major depressive disorder, and moderate cognitive impairment was observed lying in bed with an uneven brown splash stain on the wall directly in front of the bed and within the resident's line of sight. The IPN and DON both observed the stain and stated they did not know what it was from, noting that the room was not clean and could affect whether the resident felt at home. The facility's Homelike Environment policy called for a clean, sanitary, and orderly environment.
A resident with impaired vision and limited mobility reported that the resident’s only eyeglasses were missing, leaving the resident unable to see well, read, or comfortably do activities. Instead of telling the OPT that the glasses were missing, the SSA emailed that the resident needed replacement glasses because the current glasses were too blurry. The SSA later stated the communication was inaccurate, and the DON confirmed the resident’s vision concern had been misreported.
A resident with dysphagia, moderate cognitive impairment, and NPO status was able to access a cup of milk from unattended meal carts left in the hallway outside the kitchen. The resident picked up the milk from a cart with leftover food while no staff were nearby, and a CNA later stopped the resident and took the cup back. Interviews with the ST, RD, and DON confirmed that access to leftover food on the carts was unsafe for the resident.
Expired loratadine was found in a medication cart during an observation and interview, showing that two residents’ PRN allergy medication remained stored past its expiration date. One resident had severe cognitive impairment and required extensive assistance with care, while the other had intact cognition and needed minimal assistance. Staff stated nurses were responsible for checking carts for expired medications, and the DON confirmed that expired medications should not remain in the cart.
A resident with severe cognitive impairment had a urinal left at the bedside with the same date still on it during repeated observations, while CNA and IPN interviews indicated urinals should be changed weekly or as needed. In a separate event, two meal carts with leftover food were left unattended in the hallway outside the kitchen, and a resident with moderate cognitive impairment picked up a covered cup of milk from the cart before a CNA stopped the resident. Staff stated access to leftover food from other residents' trays was not safe and was an infection issue.
Failure to maintain an effective pest control program: A resident with HTN, DM, and anemia was observed with multiple live cockroaches in the nightstand of the room, and CNA confirmed the insects were present. The MS stated cockroaches had also been seen in other resident rooms, and the pest control company placed traps in only a few rooms rather than treating the entire facility. The DON reviewed the pest control report and stated treatment in only some rooms was not effective.
A resident admitted with respiratory failure and COPD, who was dependent for ADLs and confused, did not have documented evidence of nursing or CNA care provided during the initial hours after admission. Staff confirmed that required documentation of rounds and care was missing, resulting in an incomplete and inaccurate medical record.
Failure to Notify Physician of Resident’s Refusal of Dialysis and Suicidal Statements
Penalty
Summary
The facility failed to notify the attending physician when Resident 1 had a significant change in condition after refusing to continue dialysis and verbalizing a desire to die. Resident 1 was admitted with ESRD requiring dialysis and depression, and the MDS indicated severely impaired cognition and dependence on staff for multiple ADLs, with maximal assistance needed for several personal care tasks and supervision for eating. Nursing progress notes documented that the dialysis center reported Resident 1 refused to finish dialysis treatment and made statements indicating a desire to die, and the facility nurse noted the physician was made aware of the refusal of dialysis treatment. During observation, Resident 1 was lying in bed with a flat affect, poor eye contact, limited verbal engagement, and lethargy, and stated he was sleepy and did not care about anything anymore. An LVN reported that Resident 1 had a history of depression and refused breakfast, lunch, and morning medications. The MDS nurse confirmed the depression diagnosis, stated antidepressant medication was being held because Resident 1 could not provide consent and refused medications, and verified there was no active care plan or new physician orders in place after the resident returned from the hospital to address depression or psychosocial needs. The attending physician stated he was not notified that Resident 1 had refused dialysis or verbalized a desire to die, and said that if notified he would have ordered a psychiatric consultation, repeat dialysis treatment, and considered hospital transfer. The DON stated the failure to notify the physician placed Resident 1 at risk for complications related to dialysis and depression, and the facility policy required the nurse to notify the attending physician when there was a significant change in the resident's physical, emotional, or mental condition.
Failure to Develop and Implement Care Plan for Depression and Treatment Refusal
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for one resident to address depression, refusal of treatment, and non-pharmacological interventions for mood and behavioral symptoms. The resident was admitted with diagnoses including end-stage renal disease requiring dialysis and depression. The Minimum Data Set dated 3/9/2026 indicated severely impaired cognition, dependence on staff for multiple activities of daily living, maximal assistance needed for upper body dressing, oral hygiene, and personal hygiene, supervision needed for eating, and that the resident had little interest or pleasure in doing things and was feeling down, depressed, or hopeless. During observation, the resident was lying in bed wearing a gown and covered with blankets, had a flat affect, poor eye contact, limited verbal engagement, appeared lethargic, and stated he was sleepy and did not care about anything anymore. An LVN stated the resident had a history of depression and was refusing breakfast, lunch, and morning medications. The MDS nurse verified that antidepressant medication had been ordered but was being held because the resident was unable to provide consent and refused medications, and that the resident had no responsible party to make health care decisions. The MDS nurse also verified there was no active care plan or new physician orders in place after the resident returned from the hospital to address depression or non-pharmacological interventions for psychosocial needs and depressive symptoms.
Failure to Obtain Timely Psychiatric Evaluation for Depressed Resident Refusing Dialysis
Penalty
Summary
The facility failed to provide necessary care and services for one resident with ESRD and depression by not obtaining timely psychiatric evaluation and intervention after the resident refused dialysis and made statements indicating a desire to die. The resident’s admission record listed ESRD requiring dialysis and depression, and the MDS showed severely impaired cognition and dependence on staff for most ADLs, with maximal assistance needed for several personal care tasks and supervision for eating. Nursing progress notes documented that the dialysis center reported the resident refused to finish dialysis and verbalized a desire to die, and the nurse notified the physician of the dialysis refusal. At the time of observation, the resident was lying in bed in a gown under blankets, had a flat affect, poor eye contact, limited verbal engagement, and stated he was sleepy and did not care about anything anymore. The LVN reported the resident had a history of depression, refused breakfast and lunch, and refused morning medications because he was depressed. The MDS nurse verified there were no active orders or care plan interventions to address the resident’s depression or psychosocial needs after return from the hospital, and that the resident had not been monitored. The attending physician stated he was not notified of the dialysis refusal or the resident’s verbalization of wanting to die, and said he would have ordered a psychiatric consultation, repeat dialysis, and considered hospital transfer if notified.
Kitchen Food Labeling Deficiency
Penalty
Summary
The facility failed to ensure kitchen staff labeled all foods stored in the refrigerator and freezer with the correct food name, date of food delivery, date the food container was opened, and best by date. During an observation in the kitchen on 5/11/2026 at 7:55 AM, several food items and drinks in the refrigerator and freezer were found without labels, including iceberg lettuce, clear drinks that appeared to be water, cilantro, frozen food in red-colored dessert cups that could not be identified, and white-colored drinks that appeared to be milk. During a concurrent observation and interview, the Dietary Services Supervisor stated that staff had been in-serviced on labeling but still did not label all foods, and said labeling was important so staff would know whether food was still good to consume and to prevent infection and food poisoning. The dishwasher and dietary cook also stated that labels are important to determine whether food is okay to eat or should be thrown away, and both described that residents could become sick if they consumed unlabeled or expired food. A review of the facility’s in-service education on Dating and Labeling dated 1/22/2026, 2/25/2026, and 4/16/2026 indicated all kitchen staff were in-serviced on when to date and label each food item, and the facility’s policy required items to be properly covered, dated, and labeled with delivery date, open date, and thaw date.
Residents with Severe Cognitive Impairment Signed Advance Directives and POLST Forms
Penalty
Summary
The facility failed to ensure that two residents with severe cognitive impairment did not sign their own Advance Directives and POLST forms. Resident 5 was admitted with diagnoses including cerebral infarction, hemiplegia, and major depressive disorder, and the MDS documented severe cognitive impairment with extensive assistance needed for ADLs. Resident 45 was admitted and readmitted with diagnoses including hemiplegia and aphasia, and the MDS also documented severe cognitive impairment with significant assistance needed for ADLs. Resident 5's Advance Directive stated the resident was not capable of making decisions at that time and referred to the POLST. The POLST indicated the resident signed it and included orders for resuscitation, comfort focused treatment, and no long-term artificial nutrition including feeding tubes. Resident 45's Advance Directive also stated the resident was not capable of making decisions at that time and referred to the POLST. The POLST indicated the resident signed it and included orders for resuscitation, full treatment, and long-term artificial nutrition including feeding tubes. During concurrent interview and record review, the MDS nurse stated both residents did not have capacity to understand the Advance Directive and POLST upon admission. The nurse stated Resident 45 had no family member that could have been contacted and Resident 5 had a family member listed as an emergency contact, but could not remember whether the facility contacted family members. The DON stated both residents did not have the capacity to make decisions or sign a POLST and confirmed that signing these documents without capacity was not a good standard of practice and affected resident rights and preferences. The facility policy stated that if a resident is incapacitated and unable to receive information about advance directive rights, the information may be provided to the resident's legal representative.
Unsecured PHI Left at Bedside
Penalty
Summary
Keep residents' personal and medical records private and confidential was not maintained when a bracelet containing Resident 129's identifiable health information was left unsecured on top of the bedside drawer. The bracelet included the resident's name, age, sex, date of birth, date of admission, medical record number, and visitation number from a general acute care hospital visit. Resident 129 was admitted to the facility with diagnoses including end stage renal disease, fracture of the left pubis, hypertension, cognitive communication deficit, toxic encephalopathy, history of falling, and dependence on dialysis. The resident's H&P dated 5/11/2026 indicated the resident had the capacity to understand and make decisions. During a tour on 5/11/2026 at 11:06 a.m., the bracelet was observed in the resident's room on top of the bedside drawer. During interview, the IPN stated the bracelet was from the resident's recent acute care visit prior to admission and that leaving a resident's personal information at bedside could result in a medical data breach. The DON later stated patient personal identifiable information must be kept confidential and secured and is used only through authorized access as part of medical records. The facility's PHI policy and Resident Rights policy both stated resident information must be managed and protected to prevent unauthorized release or disclosure.
Unclean Resident Room Environment
Penalty
Summary
The facility failed to maintain a clean, sanitary, and homelike environment for one resident. Resident 110 was admitted with diagnoses including schizophrenia and major depressive disorder, and the MDS dated 3/5/2026 indicated moderate cognitive impairment and a need for partial/moderate staff assistance with ADLs, including upper body assistance, personal hygiene, eating setup/cleaning assistance, toileting, lower body dressing, hygiene, and showering. During an observation on 5/11/2026, Resident 110 was lying in bed and an uneven brown splash stain was observed on the wall directly in front of the resident and within the resident's line of sight. On 5/12/2026, the IPN observed the same stain and stated she did not know what it was from, noting that it was right in front of the resident and that the room not being clean would make the resident not feel like it was her home. On 5/14/2026, the DON also observed the stain and stated it could be blood, stool, feeding, coke, or anything, and that it could make the resident not feel like at home. The facility's Homelike Environment policy stated that staff and management maximize characteristics of the facility that reflect a personalized, homelike setting, including a clean, sanitary, and orderly environment.
Inaccurate communication to OPT about missing eyeglasses
Penalty
Summary
The facility failed to ensure staff provided an accurate description of a resident’s vision concern to the optometrist when the resident’s eyeglasses were missing. Resident 101 had multiple diagnoses, including reduced mobility, generalized muscle weakness, and metabolic encephalopathy, and the admission history and physical stated the resident did not have the capacity to make medical decisions and could not make needs known. The resident’s record also showed impaired vision, use of corrective lenses, and a care plan addressing impaired visual functioning with an optometrist consult as needed. Resident 101 reported that the resident’s only eyeglasses, which were bifocal and transition lenses used every day, were missing after being kept in the nightstand. The resident stated the glasses were noticed missing on 5/07/2026, that an exhaustive search did not find them, and that without the glasses it was very hard to see, the resident’s eyes would get wet, and the resident could not read. The resident also stated that a pair of reading glasses previously made available was too blurry and could not be used to read books. Facility documentation showed the SSA emailed the optometrist’s office stating the resident needed replacement eyeglasses because the glasses were too blurry and the resident was unable to see with them. During interview, the SSA stated this was not an accurate communication and explained the resident had two pairs of glasses, one missing pair used every day and another pair that was too blurry to use. The DON stated the SSA should have included that the resident’s eyeglasses were missing, not blurry, and acknowledged the resident was unable to see the surroundings well without eyeglasses. The facility policy stated it was the facility’s responsibility to assist the resident in scheduling appointments and ensuring arrangements to obtain needed services.
Unattended Meal Carts Allowed a NPO Resident to Access Milk
Penalty
Summary
The facility failed to supervise and monitor meal carts and did not immediately attend to them after meals, allowing a resident with dysphagia and moderate cognitive impairment to access leftover food and drink on carts left in the hallway outside the kitchen. Resident 54 was admitted with severe protein-calorie malnutrition and dysphagia, had a G-tube, and was NPO. During observation, two meal tray carts with residents’ eaten leftover food were left unattended with the kitchen doors closed and no staff present nearby. Resident 54, who was ambulating in the hallway, picked up a 4-ounce cup of milk from one of the carts and walked toward his room until a CNA stopped him and took the cup back. Interviews confirmed that the milk could have been consumed by the resident and that access to leftover food on the carts was not safe. The ST stated that Resident 54 is NPO due to dysphagia and that if he had drunk the milk, he would have aspirated; the ST also stated the resident is at risk for silent aspiration and pneumonia. The RD stated that residents should not have access to leftover food in meal trays, and the DON stated that a resident with dysphagia is at risk of aspiration and hospitalization if exposed to unsupervised leftover food. The facility’s policies on dysphagia and safety and supervision were reviewed during the investigation.
Expired Loratadine Left in Medication Cart
Penalty
Summary
The facility failed to remove expired loratadine from the medication cart for two residents. Resident 6 had diagnoses including hypertension, acute kidney failure, and depression, and was severely cognitively impaired, required total care for eating and oral hygiene, substantial to maximum assistance for several activities of daily living, and was non-ambulatory. Resident 64 had diagnoses including hypertension, depression, and anxiety, had intact cognition, required minimal assistance with several activities of daily living, and was able to walk at least 10 feet in a room. Both residents had physician orders for loratadine 10 mg as needed for allergies, and their MARs for 5/2026 indicated they did not receive loratadine. During a concurrent observation and interview with an LVN, the medication cart was inspected and a bottle of loratadine 10 mg tablets with an expiration date of 4/2026 was found in the top drawer of the cart. The LVN stated the nurse in charge of the medication cart was responsible for ensuring there were no expired medications in the cart, and that another LVN checked the carts for outdated or cancelled medications. The LVN stated she would dispose of the expired loratadine and acknowledged that expired medication left in the cart could be administered to residents and would be considered a medication error. An RN supervisor stated that every Sunday a licensed nurse checks all medication carts for expired medications, especially OTC medications, and removes and logs expired or discontinued medications. The DON stated every nurse administering medications must ensure there are no expired medications in the cart, and that a licensed nurse checks the carts weekly while a consultant checks monthly. The facility policy stated drugs and biologicals are to be stored in locked compartments, and discontinued, outdated, or deteriorated drugs or biologicals are to be returned to the dispensing pharmacy or destructed as indicated.
Infection Control Lapses With Urinal Care and Unsecured Meal Carts
Penalty
Summary
Provide and implement an infection prevention and control program was deficient for two sampled residents. Resident 4 was admitted with diagnoses including dementia, cerebral infarction, and hemodialysis, and the MDS indicated severe cognitive impairment with partial/moderate assistance needed for multiple ADLs, including toileting and personal hygiene. During observations on 5/11/2026 and 5/12/2026, Resident 4's urinal was observed at the bedside with the date 4/10/26 still on it. CNA 2 stated the urinal was changed when it looked dirty or had yellow color or a ring in it, and the IPN stated urinals for all residents should be changed once a week or as needed. The IPN and DON stated that leaving a urinal unchanged for a month or longer could lead to infection, including bladder infection, UTI, sepsis, or hospitalization. Resident 54 was admitted with diagnoses including severe protein-calorie malnutrition and dysphagia, and the MDS indicated moderate cognitive impairment with partial/moderate assistance needed for several ADLs, including personal hygiene, oral hygiene, toileting hygiene, and showering. During an observation and concurrent interview on 5/11/2026 at 1:32 pm, two meal tray carts with multiple meal trays were observed in the hallway outside the kitchen with the kitchen doors closed and no staff present. The carts contained residents' eaten leftover food on the meal trays. Resident 54, who was ambulating in the hallway, picked up a covered 4-ounce cup of milk from the meal carts and walked toward the resident's room until a CNA stopped the resident and took the cup back. CNA 3 stated the resident's intention was possibly to drink the milk and that it was not safe for residents to have access to leftover food from the meal cart outside the kitchen. The IPN stated it was not safe for residents to have access to leftover food from other residents' meal trays and described it as an infection issue because no resident should be touching another resident's food or belongings. The DON stated dirty trays do not have clean food and that leftover food from other residents' trays was not safe.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an insect-free building according to its Pest Control policy and procedures for one sampled resident room. Resident 14 was admitted with diagnoses including HTN, DM, and anemia, and the MDS dated 4/14/2026 indicated the resident was cognitively intact and dependent on staff for ADL care. During a concurrent observation and interview on 5/14/2026 at 10:24 A.M. in Resident 14's room, three live cockroaches were seen in the top drawer of the nightstand, one live cockroach was seen on the right hind corner of the nightstand, and two live cockroaches were seen on the left front corner of the nightstand. CNA 1 stated she saw the two live cockroaches on the left front corner of the nightstand drawer and stated that live cockroaches in residents' rooms may cause infection and get into residents' open orifices. During interview on 5/14/2026 at 10:45 A.M., the Maintenance Supervisor stated that the prior week he saw two live cockroaches in two different residents' rooms, called the contracted pest control company, and the technician placed small traps in those rooms and three additional residents' rooms but did not treat the entire facility for cockroaches. During a concurrent interview and record review at 11:16 A.M., the DON reviewed the pest control report dated 4/27/2026, which indicated treatment was provided in only five rooms and not the entire facility. The DON stated that if treatment is done in some rooms, cockroaches may move from one room to the next and that the whole facility needs to receive treatment for it to be effective. The facility's Pest Control policy stated that the facility maintains an ongoing pest control program to ensure the building is kept free of insects and rodents.
Incomplete and Inaccurate Medical Record Documentation for New Admission
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for one resident who was newly admitted with diagnoses including respiratory failure and chronic obstructive pulmonary disease (COPD). The resident was admitted in a confused state and was dependent on staff for eating, personal hygiene, grooming, and was incontinent of bowel and bladder. Despite these needs, there was no documentation of assistance with activities of daily living (ADLs) or nursing services provided to the resident from 7 p.m. to 12:30 a.m. on the day of admission. Interviews with facility staff, including a registered nurse supervisor and the director of staff development, confirmed that there was no record of nursing rounds or CNA care for the resident during this period. Both staff members acknowledged that documentation should have been completed to reflect the care provided, such as rounds, assistance with ADLs, and the resident's condition during the shift. The lack of documentation meant that it was unclear what care, if any, was provided to the resident during this time. Facility policies reviewed indicated that all services, observations, and changes in a resident's condition must be documented objectively and completely in the medical record. The policies also specified that residents unable to perform ADLs independently should receive appropriate support and that all such care should be recorded. The failure to document the care and services provided resulted in an incomplete and inaccurate medical record for the resident.
Plan Of Correction
F 842 Accurate and Complete Resident Records Corrective Action: RN responsible for the documentation for resident is no longer employed at the facility. CNA responsible for the ADL documentation for resident 1 is no longer employed at the facility. On 6/26/25, DSD provided in-service to the Licensed nurses and CNAs regarding the importance of accurate, complete, and timely documentation of all care provided including ADL assistance with emphasis on new admissions to prevent inaccurate and incomplete documentation. Identification of Other Residents at Potential Risk: On 6/25/25, Medical Records designee reviewed all new admission charts from the last 30 days to ensure complete, timely, and accurate documentation from the licensed nurses and CNAs to reflect all care and assistance provided. No other gaps or inaccuracies were identified; no other residents were found to be affected or at risk. Measures to Prevent Recurrence: Medical Records designee to audit the medical record of all new admissions within 72 hours to ensure timely, accurate, and complete documentation is in place. The findings will be submitted to the DON or designee for immediate corrective action and re-education as needed. On 6/26/25, DSD provided in-service to the Licensed nurses and CNAs regarding the importance of accurate, complete, and timely documentation of all care provided including ADL assistance with emphasis on new admissions to prevent inaccurate and incomplete documentation. Medical Records designee to conduct a monthly audit of all current resident charts to ensure timely and complete documentation and all necessary assessments are in place including care and ADL assistance. Immediate corrective action and re-education to be provided as needed. ADON or designee to review all new admission charts within 72 hours to ensure residents are provided appropriate ADL care and assistance with accurate documentation in place. Immediate corrective action will be provided as needed. Monitoring of Performance: The DON or designee will conduct weekly audits of 5 random resident charts for 4 weeks then monthly for 2 months, ensuring nursing and ADL care documentation is present, timely, complete, and accurate. The findings from the audit will be reported to the QAPI Committee monthly for 3 months for review and recommendations to ensure compliance is achieved and maintained.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pih Health Good Samaritan Hospital D/p Snf | 0 mi | ★★★★★ | 3 | 0 |
| Mid-wilshire Health Care Cntr | 0.2 mi | ★★★★★ | 35 | 0 |
| Angels Nursing Health Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Bonnie Brae Skilled Nursing | 0.5 mi | ★★★★★ | 9 | 0 |
| California Post Acute | 0.6 mi | ★★★★★ | 9 | 0 |
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