★★★★★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 cycle4
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$0
Beds90
Inspection findings
Inspectors recorded 31 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 |
|---|---|---|---|---|
| Jul 13, 2026 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 22, 2026 |
| Dec 22, 2025 | 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 isolated · from a complaint | Corrected: Jan 14, 2026 |
| Mar 13, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Apr 4, 2025 |
| Mar 13, 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: Apr 4, 2025 |
Earlier inspections (27)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 6, 2024 | 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: Nov 14, 2024 |
| Oct 17, 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 isolated · from a complaint | Corrected: Oct 28, 2024 |
| Oct 17, 2024 | 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: Oct 28, 2024 |
| Jan 17, 2024 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 24, 2024 |
| Jan 17, 2024 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | Actual harm to a resident isolated · from a complaint | Corrected: Jan 24, 2024 |
| Oct 20, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: Nov 8, 2023 |
| Oct 20, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Nov 8, 2023 |
| Oct 20, 2023 | Administration | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (F0835) | No harm, but a risk of harm widespread · from a complaint | Corrected: Nov 10, 2023 |
| Oct 20, 2023 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm pattern | Corrected: Nov 10, 2023 |
| Oct 20, 2023 | Food and nutrition | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813) | No harm, but a risk of harm pattern | Corrected: Nov 13, 2023 |
| Oct 20, 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 · from a complaint | Corrected: Nov 7, 2023 |
| Oct 20, 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: Nov 10, 2023 |
| Oct 20, 2023 | Food and nutrition | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801) | No harm, but a risk of harm pattern | Corrected: Nov 10, 2023 |
| Oct 20, 2023 | 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: Nov 9, 2023 |
| Oct 20, 2023 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Nov 21, 2023 |
| Oct 20, 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 pattern | Corrected: Nov 10, 2023 |
| Oct 20, 2023 | Nursing and physician services | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727) | No harm, but a risk of harm widespread | Corrected: Nov 6, 2023 |
| Oct 20, 2023 | 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: Nov 10, 2023 |
| Oct 20, 2023 | 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: Nov 11, 2023 |
| Oct 20, 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: Nov 9, 2023 |
| Oct 20, 2023 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm isolated | Corrected: Nov 10, 2023 |
| Oct 20, 2023 | 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: Nov 8, 2023 |
| Jun 24, 2022 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Jul 15, 2022 |
| Jun 24, 2022 | 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: Jul 15, 2022 |
| Jun 24, 2022 | 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: Jul 15, 2022 |
| Jun 24, 2022 | 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: Jul 15, 2022 |
| Jun 24, 2022 | 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 isolated | Corrected: Jul 15, 2022 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 4.31 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.41 | California median: 0.52 |
| Nurse staff hours on weekends | 4.05 | California median: 3.85 |
| Nursing staff who left within a year | 45.4% | California median: 36.0% |
About this home
| Beds | 90 |
| Residents per day, average | 82.0 |
| Ownership | For-profit, corporation |
| Legal business name | Balboa Island, LLC |
| Chain | Kalesta Healthcare Group (19 homes) |
| In Medicare/Medicaid since | Mar 2, 1995 |
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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