★★★★★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 cycle23
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$42,528
Beds180
Inspection findings
Inspectors recorded 46 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 |
|---|---|---|---|---|
| May 1, 2026 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: Jun 17, 2026 |
| May 1, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Administration | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (F0847) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 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: Jun 17, 2026 |
| May 1, 2026 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Jun 17, 2026 |
| May 1, 2026 | 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 pattern | Corrected: Jun 17, 2026 |
| May 1, 2026 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm pattern | Corrected: Jun 17, 2026 |
| May 1, 2026 | 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 isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Jun 17, 2026 |
| May 1, 2026 | 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: Jun 17, 2026 |
| May 1, 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: Jun 17, 2026 |
| May 1, 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: Jun 17, 2026 |
| May 1, 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 pattern | Corrected: Jun 17, 2026 |
| May 1, 2026 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| May 1, 2026 | 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: Jun 17, 2026 |
| May 1, 2026 | Abuse, neglect and exploitation | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605) | No harm, but a risk of harm isolated | Corrected: Jun 17, 2026 |
| Dec 4, 2025 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 23, 2026 |
| Dec 4, 2025 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 23, 2026 |
| Dec 4, 2025 | 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: Jan 23, 2026 |
| May 5, 2025 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 21, 2025 |
| May 5, 2025 | 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: May 21, 2025 |
Earlier inspections (21)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 15, 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 pattern · from a complaint | Corrected: May 9, 2025 |
| Oct 24, 2024 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Nov 13, 2024 |
| Oct 24, 2024 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: Nov 13, 2024 |
| Sep 20, 2024 | Resident assessment and care planning | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (F0661) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 7, 2024 |
| May 17, 2024 | 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: Jun 26, 2024 |
| May 17, 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: Jun 26, 2024 |
| Feb 29, 2024 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 19, 2024 |
| Feb 29, 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 · from a complaint | Corrected: Apr 19, 2024 |
| Feb 29, 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: Apr 19, 2024 |
| Jan 25, 2024 | 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: Feb 28, 2024 |
| Jan 25, 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: Feb 28, 2024 |
| Jan 25, 2024 | Resident assessment and care planning | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (F0661) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 28, 2024 |
| Jan 25, 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 · from a complaint | Corrected: Feb 28, 2024 |
| Jan 25, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 28, 2024 |
| Jan 9, 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: Jan 30, 2024 |
| Jan 9, 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: Jan 30, 2024 |
| Jan 9, 2024 | 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 · from a complaint | Corrected: Jan 30, 2024 |
| Jan 9, 2024 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 30, 2024 |
| Jan 9, 2024 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 30, 2024 |
| Jan 9, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 30, 2024 |
| Oct 21, 2021 | 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 3, 2021 |
Fines and payment denials
Federal fines in the last three years: $42,528 (1). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Jan 9, 2024 | Fine | $42,528 |
| Jan 9, 2024 | Payment denial | 22 days |
Staffing
| Nurse staff hours per resident per day | 3.93 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.48 | California median: 0.52 |
| Nurse staff hours on weekends | 3.57 | California median: 3.85 |
| Nursing staff who left within a year | 36.9% | California median: 36.0% |
About this home
| Beds | 180 |
| Residents per day, average | 170.1 |
| Ownership | For-profit, limited liability company |
| Legal business name | Pine Street SNF LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Dec 31, 1971 |
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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