★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle11
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds59
Inspection findings
Inspectors recorded 38 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jun 24, 2026 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 18, 2026 |
| Jun 24, 2026 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 18, 2026 |
| Jun 24, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 18, 2026 |
| Jan 30, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Resident rights | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628) | No harm, but a risk of harm isolated | Corrected: Feb 22, 2026 |
| Jan 30, 2026 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated | Corrected: Feb 17, 2026 |
| Mar 11, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 26, 2025 |
Earlier inspections (26)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Dec 18, 2024 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 6, 2025 |
| Nov 22, 2024 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Dec 12, 2024 |
| Nov 22, 2024 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk pattern | Corrected: Dec 13, 2024 |
| Nov 22, 2024 | Quality of life and care | 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. (F0700) | No harm, but a risk of harm pattern | Corrected: Dec 13, 2024 |
| Nov 22, 2024 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | No harm, but a risk of harm isolated | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Quality of life and care | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693) | No harm, but a risk of harm pattern | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Resident rights | 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. (F0578) | No harm, but a risk of harm pattern | Corrected: Dec 9, 2024 |
| Nov 22, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2024 |
| Dec 3, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm pattern | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2023 |
| Dec 3, 2023 | Food and nutrition | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (F0808) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Quality of life and care | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2023 |
| Dec 3, 2023 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm pattern | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Dec 17, 2023 |
| Dec 3, 2023 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Dec 26, 2023 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 5.23 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.35 | California median: 0.52 |
| Nurse staff hours on weekends | 4.80 | California median: 3.85 |
| Nursing staff who left within a year | 20.3% | California median: 36.0% |
About this home
| Beds | 59 |
| Residents per day, average | 55.9 |
| Ownership | Government, federal |
| Legal business name | Baldwin Gardens Nursing Center Corporation |
| In Medicare/Medicaid since | Feb 1, 1977 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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