★★★★★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 cycle15
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds99
Inspection findings
Inspectors recorded 45 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 27, 2026 | 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 · from a complaint | Corrected: Jun 7, 2026 |
| May 13, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jun 7, 2026 |
| Apr 17, 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 · from a complaint | Corrected: Apr 27, 2026 |
Earlier inspections (42)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Feb 18, 2026 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 19, 2026 |
| Feb 18, 2026 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 19, 2026 |
| Feb 18, 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 · from a complaint | Corrected: Feb 19, 2026 |
| Feb 18, 2026 | 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 · from a complaint | Corrected: Feb 19, 2026 |
| Jun 26, 2025 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Jul 2, 2025 |
| Jun 26, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jul 2, 2025 |
| Jun 26, 2025 | 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: Jul 2, 2025 |
| Jun 26, 2025 | 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: Jul 2, 2025 |
| Jun 26, 2025 | Quality of life and care | Provide routine and 24-hour emergency dental care for each resident. (F0790) | No harm, but a risk of harm isolated | Corrected: Jul 2, 2025 |
| Jun 26, 2025 | 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: Jul 2, 2025 |
| Jun 26, 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 | Corrected: Jul 2, 2025 |
| Jun 26, 2025 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated | Corrected: Jul 2, 2025 |
| Jun 4, 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: Jun 4, 2025 |
| Apr 22, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 6, 2025 |
| Apr 22, 2025 | Quality of life and care | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (F0741) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 6, 2025 |
| Apr 22, 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 isolated · from a complaint | Corrected: May 6, 2025 |
| Apr 1, 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: Apr 2, 2025 |
| Jan 23, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 23, 2025 |
| Nov 5, 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 isolated · from a complaint | Corrected: Dec 2, 2024 |
| Jul 30, 2024 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 16, 2024 |
| Jul 30, 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 pattern · from a complaint | Corrected: Aug 16, 2024 |
| Jun 4, 2024 | 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: Jun 7, 2024 |
| Apr 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: Apr 30, 2024 |
| Feb 14, 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 pattern · from a complaint | Corrected: Feb 20, 2024 |
| Jan 29, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 8, 2024 |
| Nov 3, 2023 | 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: Nov 24, 2023 |
| Aug 27, 2021 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | Administration | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. (F0777) | No harm, but a risk of harm isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | Administration | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. (F0776) | No harm, but a risk of harm isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | Administration | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (F0773) | No harm, but a risk of harm isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 2021 | 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 isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 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: Sep 23, 2021 |
| Aug 27, 2021 | 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 pattern | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 2021 | 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 isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 2021 | Resident assessment and care planning | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (F0635) | No harm, but a risk of harm isolated | Corrected: Sep 23, 2021 |
| Aug 27, 2021 | 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: Sep 23, 2021 |
| Aug 27, 2021 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Sep 23, 2021 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 5.35 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.66 | California median: 0.52 |
| Nurse staff hours on weekends | 4.79 | California median: 3.85 |
| Nursing staff who left within a year | no data | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 92.4 |
| Ownership | For-profit, limited liability company |
| Legal business name | Stagecoach Healthcare, Inc. |
| Chain | The Ensign Group (347 homes) |
| In Medicare/Medicaid since | Sep 13, 1999 |
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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