Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 California Care Center during CMS and state inspections, most recent first.
A resident was given another resident's medication, leading to hospitalization. The RN monitored the resident instead of notifying the physician immediately, delaying notification until after adverse effects were observed. The DON and physician expected immediate notification of such errors.
A medication error occurred when a resident received another resident's medication due to a mix-up at the dining table. The error was not caught until the resident showed adverse reactions, leading to hospitalization. Staff interviews revealed a lack of communication and verification in the medication administration process.
Failure to Notify Physician of Medication Error
Penalty
Summary
Facility staff failed to notify a resident's physician immediately after a medication error occurred, which resulted in the resident being given another resident's medication. The resident, who was cognitively intact and had active diagnoses of cancer and renal failure, was initially assessed with no changes in condition or behavior. However, later observations noted the resident was lethargic, hypotensive, and bradycardic, leading to an emergency room visit and subsequent hospital admission. The physician was not notified until after the resident was sent to the hospital. Interviews with facility staff revealed that the Registered Nurse (RN) who discovered the error chose to monitor the resident instead of contacting the physician immediately. The Certified Medication Technician (CMT) was not instructed to notify the physician, and the Director of Nursing (DON) stated that staff are expected to contact the physician immediately in such cases. The physician expressed an expectation to be informed of medication errors as soon as they occur, questioning the delay in notification until after the resident experienced adverse effects.
Medication Error Leads to Hospitalization
Penalty
Summary
The facility staff failed to ensure residents were free from significant medication errors when a medication intended for one resident was mistakenly administered to another. This incident occurred when a Certified Medication Technician (CMT) gave a resident their medication at the dining table but did not verify that the medication was taken before leaving. A dietary aide later found the medication cup with pills at the table and mistakenly assumed it belonged to the resident who usually sat there, not realizing the residents had switched seats. The dietary aide handed the medication cup to a Registered Nurse (RN), who then administered the medication to the wrong resident. The resident who received the incorrect medication was cognitively intact and had diagnoses of cancer and renal failure. After receiving the wrong medication, the resident initially showed no changes in condition or behavior. However, later in the day, the resident became lethargic and exhibited hypotension and bradycardia, prompting the RN to call emergency medical services. The resident was subsequently transported to the hospital for further evaluation and treatment. Interviews with the facility staff revealed a breakdown in communication and verification processes. The CMT had already administered the correct medication to the resident earlier in the hallway, but this information was not communicated effectively to the RN. The RN, acting on the assumption that the medication cup contained the resident's missed dose, administered it without verifying the resident's medication history for that day. This series of actions and inactions led to the resident experiencing an adverse reaction and requiring hospitalization.
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Illustrative
What surveyors actually found near you
We read the 71 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near California
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tipton Oak Manor | 12.4 mi | ★★★★★ | 0 | 0 |
| Stonebridge Oak Tree | 18.1 mi | ★★★★★ | 0 | 0 |
| River City Living Community | 18.1 mi | ★★★★★ | 8 | 0 |
| Eldon Nursing & Rehab | 18.8 mi | ★★★★★ | 15 | 0 |
| Jefferson City Manor Care Center | 19.8 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.