★★★★★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 cycle11
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$9,110
Beds243
Inspection findings
Inspectors recorded 42 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 |
|---|---|---|---|---|
| Mar 3, 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 · from a complaint | Corrected: Mar 13, 2026 |
| Feb 9, 2026 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 7, 2026 |
| Sep 17, 2025 | 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 | Corrected: Sep 30, 2025 |
| Sep 17, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Sep 30, 2025 |
| Sep 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 pattern | Corrected: Sep 30, 2025 |
| Sep 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: Sep 30, 2025 |
| Sep 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: Sep 30, 2025 |
| Sep 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: Sep 30, 2025 |
| Sep 17, 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 isolated | Corrected: Sep 30, 2025 |
| Sep 17, 2025 | Resident rights | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (F0575) | No harm, but a risk of harm pattern | Corrected: Sep 30, 2025 |
| Sep 17, 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 isolated | Corrected: Sep 30, 2025 |
Earlier inspections (31)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 27, 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) | Actual harm to a resident isolated · from a complaint | Corrected: Sep 27, 2025 |
| Mar 19, 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 16, 2025 |
| Aug 28, 2024 | 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: Sep 19, 2024 |
| Aug 27, 2024 | 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: Aug 31, 2024 |
| Jun 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: Jun 28, 2024 |
| Apr 25, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: May 19, 2022 |
| Apr 25, 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 widespread | Corrected: May 19, 2022 |
| Apr 25, 2022 | Nursing and physician services | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (F0710) | No harm, but a risk of harm isolated | Corrected: May 19, 2022 |
| Apr 25, 2022 | 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: May 19, 2022 |
| Apr 25, 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: May 19, 2022 |
| Apr 25, 2022 | 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 | Corrected: May 19, 2022 |
| Apr 25, 2022 | 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: May 19, 2022 |
| Apr 25, 2022 | Resident assessment and care planning | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (F0646) | No harm, but a risk of harm isolated | Corrected: May 19, 2022 |
| Apr 25, 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: May 19, 2022 |
| Oct 19, 2021 | 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 pattern | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm isolated | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | Administration | Have a plan that describes the process for conducting QAPI and QAA activities. (F0865) | No harm, but a risk of harm isolated | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm isolated | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
| Oct 19, 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: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
| Oct 19, 2021 | 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 | Corrected: Nov 30, 2021 |
| Oct 19, 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: Nov 30, 2021 |
| Oct 19, 2021 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm pattern | Corrected: Nov 30, 2021 |
| Oct 19, 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: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
| Oct 19, 2021 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Nov 30, 2021 |
| Oct 19, 2021 | 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: Nov 30, 2021 |
Fines and payment denials
Federal fines in the last three years: $9,110 (1). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Aug 27, 2025 | Payment denial | 3 days |
| Aug 27, 2025 | Fine | $9,110 |
Staffing
| Nurse staff hours per resident per day | 4.74 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.31 | California median: 0.52 |
| Nurse staff hours on weekends | 4.49 | California median: 3.85 |
| Nursing staff who left within a year | 34.9% | California median: 36.0% |
About this home
| Beds | 243 |
| Residents per day, average | 230.1 |
| Ownership | For-profit, limited liability company |
| Legal business name | Laurel Avenue LLC |
| Chain | Madison Creek Partners (13 homes) |
| In Medicare/Medicaid since | Apr 7, 1989 |
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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