★★★★★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 cycle22
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$0
Beds91
Inspection findings
Inspectors recorded 61 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 |
|---|---|---|---|---|
| Aug 20, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 10, 2026 |
| Aug 20, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 10, 2026 |
| Jul 2, 2026 | Administration | Employ staff that are licensed, certified, or registered in accordance with state laws. (F0839) | No harm, but a risk of harm widespread · from a complaint | Corrected: Aug 11, 2026 |
| Jul 2, 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 widespread · from a complaint | Corrected: Aug 11, 2026 |
| Apr 7, 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 · from a complaint | Corrected: May 4, 2026 |
| Apr 7, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 4, 2026 |
Earlier inspections (55)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Dec 3, 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 widespread · from a complaint | Corrected: Feb 12, 2026 |
| Nov 17, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Dec 26, 2025 |
| Nov 17, 2025 | 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 26, 2025 |
| Nov 17, 2025 | Administration | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. (F0836) | No harm, but a risk of harm pattern | Corrected: Dec 26, 2025 |
| Nov 17, 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: Dec 26, 2025 |
| Nov 17, 2025 | 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 widespread | Corrected: Dec 26, 2025 |
| Nov 17, 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: Dec 26, 2025 |
| Nov 17, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Dec 26, 2025 |
| Nov 17, 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 isolated | Corrected: Dec 26, 2025 |
| Nov 17, 2025 | 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 isolated | Corrected: Dec 26, 2025 |
| Nov 17, 2025 | 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 26, 2025 |
| Nov 17, 2025 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated | Corrected: Dec 26, 2025 |
| Nov 17, 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 | Corrected: Dec 26, 2025 |
| Nov 17, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Dec 26, 2025 |
| Nov 17, 2025 | 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 26, 2025 |
| Nov 17, 2025 | Resident rights | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (F0577) | No harm, but a risk of harm widespread | Corrected: Dec 26, 2025 |
| Oct 24, 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: Nov 14, 2024 |
| Aug 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: Sep 24, 2024 |
| Aug 29, 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: Sep 20, 2024 |
| May 16, 2024 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 30, 2024 |
| Jan 12, 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 | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Feb 12, 2024 |
| Jan 12, 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 isolated | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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 widespread | Corrected: Feb 12, 2024 |
| Jan 12, 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 widespread | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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 pattern | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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 widespread | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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 widespread | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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: Feb 12, 2024 |
| Jan 12, 2024 | 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 widespread | Corrected: Feb 12, 2024 |
| Jan 12, 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: Feb 12, 2024 |
| Jan 12, 2024 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | Actual harm to a resident isolated · from a complaint | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Feb 12, 2024 |
| Jan 12, 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 isolated | Corrected: Feb 12, 2024 |
| Jan 12, 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) | Actual harm to a resident isolated · from a complaint | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk pattern | Corrected: Feb 12, 2024 |
| Jan 12, 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: Feb 12, 2024 |
| Jan 12, 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: Feb 12, 2024 |
| Jan 12, 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: Feb 12, 2024 |
| Jan 12, 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 | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Resident assessment and care planning | Provide care by qualified persons according to each resident's written plan of care. (F0659) | No harm, but a risk of harm isolated | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm pattern | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | Resident assessment and care planning | Assure that each resident’s assessment is updated at least once every 3 months. (F0638) | No harm, but a risk of harm pattern | Corrected: Feb 12, 2024 |
| Jan 12, 2024 | 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 pattern | Corrected: Feb 12, 2024 |
| Jan 12, 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: Feb 12, 2024 |
| Jan 12, 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 | Corrected: Feb 12, 2024 |
| Jun 17, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2022 |
| Jun 17, 2022 | 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 18, 2022 |
| Jun 17, 2022 | 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: Jul 18, 2022 |
| Jun 17, 2022 | 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 18, 2022 |
| Jun 17, 2022 | 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: Jul 18, 2022 |
| Jun 17, 2022 | 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: Jul 18, 2022 |
| Jun 17, 2022 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2022 |
| Jun 17, 2022 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated | Corrected: Jul 18, 2022 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 3.89 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.68 | California median: 0.52 |
| Nurse staff hours on weekends | 3.53 | California median: 3.85 |
| Nursing staff who left within a year | 47.4% | California median: 36.0% |
About this home
| Beds | 91 |
| Residents per day, average | 81.8 |
| Ownership | For-profit, individual owner |
| Legal business name | Bilberry Holdings, LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Sep 1, 1972 |
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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