★★★★★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 cycle21
Findings with harm or immediate jeopardy, 3 cycles4
Fines, 3 years$205,642
Beds98
Inspection findings
Inspectors recorded 74 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 |
|---|---|---|---|---|
| Feb 5, 2026 | 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 · from a complaint | Corrected: Mar 2, 2026 |
| Feb 5, 2026 | 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 isolated · from a complaint | Corrected: Mar 2, 2026 |
| Jan 21, 2026 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 12, 2026 |
| Jan 8, 2026 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Infection control | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (F0887) | No harm, but a risk of harm pattern | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | 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 isolated | Corrected: Feb 2, 2026 |
| Jan 8, 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 widespread | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | 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: Feb 2, 2026 |
| Jan 8, 2026 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm pattern | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | 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 isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm pattern | Corrected: Feb 2, 2026 |
| Jan 8, 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 pattern | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | 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 | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | 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: Feb 2, 2026 |
| Jan 8, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
| Jan 8, 2026 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Feb 2, 2026 |
Earlier inspections (53)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Sep 16, 2025 | 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 pattern · from a complaint | Corrected: Oct 3, 2025 |
| Sep 16, 2025 | 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 isolated · from a complaint | Corrected: Oct 3, 2025 |
| Jun 18, 2025 | Quality of life and care | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (F0740) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jul 11, 2025 |
| May 27, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 12, 2025 |
| May 21, 2025 | Administration | Employ staff that are licensed, certified, or registered in accordance with state laws. (F0839) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jun 11, 2025 |
| May 1, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 20, 2025 |
| Feb 11, 2025 | 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 · from a complaint | no correction date |
| Feb 11, 2025 | 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) | Actual harm to a resident isolated · from a complaint | no correction date |
| Jan 22, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread · from a complaint | Corrected: Feb 14, 2025 |
| Jan 22, 2025 | 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 isolated · from a complaint | Corrected: Feb 14, 2025 |
| Jan 22, 2025 | Resident rights | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F0585) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 14, 2025 |
| Nov 8, 2024 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | 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 6, 2024 |
| Nov 8, 2024 | Quality of life and care | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. (F0826) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | 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 6, 2024 |
| Nov 8, 2024 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm pattern | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Quality of life and care | 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. (F0688) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | Actual harm to a resident isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | 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 isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | 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 6, 2024 |
| Nov 8, 2024 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | 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 | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Nov 8, 2024 | Resident rights | Allow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553) | No harm, but a risk of harm isolated | Corrected: Dec 6, 2024 |
| Jul 24, 2024 | Pharmacy and medications | 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. (F0758) | Immediate jeopardy pattern · from a complaint | Corrected: Aug 16, 2024 |
| Jul 24, 2024 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 16, 2024 |
| Jul 24, 2024 | 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: Aug 16, 2024 |
| Jul 24, 2024 | 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 · from a complaint | Corrected: Aug 16, 2024 |
| Jun 18, 2024 | 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: Jul 10, 2024 |
| Jun 18, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 10, 2024 |
| Mar 20, 2024 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm pattern · from a complaint | Corrected: Apr 12, 2024 |
| Mar 20, 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) | Immediate jeopardy isolated · from a complaint | Corrected: Apr 12, 2024 |
| Mar 20, 2024 | 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 isolated · from a complaint | Corrected: Apr 12, 2024 |
| Mar 20, 2024 | Resident rights | Allow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 12, 2024 |
| Dec 14, 2023 | Abuse, neglect and exploitation | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (F0943) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 4, 2024 |
| Nov 30, 2023 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Dec 22, 2023 |
| Nov 30, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Dec 22, 2023 |
| Nov 30, 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 widespread | Corrected: Dec 22, 2023 |
| Nov 30, 2023 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm isolated | Corrected: Dec 22, 2023 |
| Nov 30, 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 22, 2023 |
| Nov 30, 2023 | 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 isolated | Corrected: Dec 22, 2023 |
| Nov 30, 2023 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern | Corrected: Dec 22, 2023 |
| Nov 30, 2023 | 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 22, 2023 |
| Nov 30, 2023 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern | Corrected: Dec 22, 2023 |
Fines and payment denials
Federal fines in the last three years: $205,642 (5). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Nov 8, 2024 | Fine | $45,841 |
| Jul 24, 2024 | Fine | $63,993 |
| Mar 20, 2024 | Fine | $90,539 |
| Feb 12, 2024 | Fine | $1,882 |
| Jan 22, 2024 | Fine | $3,387 |
Staffing
| Nurse staff hours per resident per day | 4.47 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.43 | California median: 0.52 |
| Nurse staff hours on weekends | 3.78 | California median: 3.85 |
| Nursing staff who left within a year | 53.6% | California median: 36.0% |
About this home
| Beds | 98 |
| Residents per day, average | 86.4 |
| Ownership | For-profit, limited liability company |
| Legal business name | Dusk Healthcare, Inc. |
| Chain | The Ensign Group (347 homes) |
| In Medicare/Medicaid since | Feb 13, 1968 |
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 · Report an error
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