★★★★★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 cycle30
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$29,517
Beds148
Inspection findings
Inspectors recorded 66 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 3, 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: Aug 20, 2026 |
| Aug 3, 2026 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm pattern | Corrected: Aug 26, 2026 |
| Aug 3, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Aug 25, 2026 |
| Aug 3, 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: Aug 26, 2026 |
| Aug 3, 2026 | 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 isolated | Corrected: Aug 26, 2026 |
| Aug 3, 2026 | 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 | Corrected: Aug 25, 2026 |
| Aug 3, 2026 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Aug 26, 2026 |
| Aug 3, 2026 | 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: Aug 26, 2026 |
| Aug 3, 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 | Corrected: Aug 24, 2026 |
| Aug 3, 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 | Corrected: Aug 4, 2026 |
| Aug 3, 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: Aug 25, 2026 |
| Aug 3, 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: Aug 26, 2026 |
| Aug 3, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Aug 26, 2026 |
| Aug 3, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: Aug 26, 2026 |
| May 15, 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 pattern · from a complaint | Corrected: Jun 10, 2026 |
| May 15, 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 · from a complaint | Corrected: Jun 10, 2026 |
| May 15, 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: Jun 9, 2026 |
| Apr 23, 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 · from a complaint | Corrected: May 14, 2026 |
| Apr 23, 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 · from a complaint | Corrected: May 11, 2026 |
| Apr 23, 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: May 14, 2026 |
| Apr 23, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 15, 2026 |
Earlier inspections (45)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 8, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 1, 2026 |
| Mar 16, 2026 | Building and environment | Have policies on smoking. (F0926) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 2, 2026 |
| Mar 16, 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 · from a complaint | Corrected: Apr 2, 2026 |
| Mar 16, 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 · from a complaint | Corrected: Apr 2, 2026 |
| Mar 16, 2026 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 2, 2026 |
| Jan 28, 2026 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 14, 2026 |
| Jan 6, 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 pattern · from a complaint | Corrected: Jan 30, 2026 |
| Jan 6, 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 pattern · from a complaint | Corrected: Jan 30, 2026 |
| Jan 6, 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 pattern · from a complaint | Corrected: Jan 30, 2026 |
| Aug 21, 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: Sep 12, 2025 |
| Jul 10, 2025 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Jul 30, 2025 |
| Jul 10, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jul 30, 2025 |
| Jul 10, 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 25, 2025 |
| Jul 10, 2025 | Food and nutrition | Provide special eating equipment and utensils for residents who need them and appropriate assistance. (F0810) | No harm, but a risk of harm isolated | Corrected: Jul 30, 2025 |
| Jul 10, 2025 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk pattern | Corrected: Jul 30, 2025 |
| Jul 10, 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: Jul 30, 2025 |
| Jul 10, 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) | Immediate jeopardy pattern | Corrected: Jul 24, 2025 |
| Jul 10, 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 | Corrected: Jul 30, 2025 |
| Jul 10, 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) | No harm, but a risk of harm pattern | Corrected: Jul 30, 2025 |
| Jul 10, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Jul 30, 2025 |
| Jul 10, 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 | Corrected: Jul 30, 2025 |
| Jul 10, 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 pattern | Corrected: Jul 30, 2025 |
| Apr 7, 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: May 1, 2025 |
| Mar 19, 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 isolated · from a complaint | Corrected: Apr 9, 2025 |
| Feb 5, 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: Mar 3, 2025 |
| Feb 5, 2025 | 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: Mar 3, 2025 |
| Dec 16, 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 7, 2025 |
| Oct 10, 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: Nov 1, 2024 |
| Oct 9, 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 · from a complaint | Corrected: Oct 28, 2024 |
| Jul 19, 2024 | Administration | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (F0849) | No harm, but a risk of harm isolated | Corrected: Aug 8, 2024 |
| Jul 19, 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: Aug 12, 2024 |
| Jul 19, 2024 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk pattern | Corrected: Aug 7, 2024 |
| Jul 19, 2024 | 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 pattern | Corrected: Aug 12, 2024 |
| Jul 19, 2024 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Aug 8, 2024 |
| Jul 19, 2024 | 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 pattern | Corrected: Aug 8, 2024 |
| Jul 19, 2024 | 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 pattern | Corrected: Aug 8, 2024 |
| Jul 19, 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 pattern | Corrected: Aug 8, 2024 |
| Jul 19, 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: Aug 9, 2024 |
| Jul 19, 2024 | 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 pattern | Corrected: Aug 5, 2024 |
| Jul 19, 2024 | 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: Aug 7, 2024 |
| Jul 19, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: Aug 6, 2024 |
| May 17, 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 · from a complaint | Corrected: Jun 14, 2024 |
| May 17, 2024 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | Actual harm to a resident isolated · from a complaint | Corrected: Jun 14, 2024 |
| Mar 8, 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 · from a complaint | Corrected: Mar 27, 2024 |
| Mar 8, 2024 | Nursing and physician services | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 27, 2024 |
Fines and payment denials
Federal fines in the last three years: $29,517 (2). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jul 10, 2025 | Fine | $13,319 |
| May 17, 2024 | Fine | $16,198 |
Staffing
| Nurse staff hours per resident per day | 4.09 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.35 | California median: 0.52 |
| Nurse staff hours on weekends | 3.60 | California median: 3.85 |
| Nursing staff who left within a year | 47.5% | California median: 36.0% |
About this home
| Beds | 148 |
| Residents per day, average | 137.0 |
| Ownership | For-profit, corporation |
| Legal business name | Glimmer Healthcare Inc. |
| Chain | The Ensign Group (347 homes) |
| In Medicare/Medicaid since | Nov 1, 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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