★★★★★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 cycle17
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds66
Inspection findings
Inspectors recorded 38 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 30, 2025 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | no revisit needed |
| May 30, 2025 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm pattern | Corrected: Jun 30, 2025 |
| May 30, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jun 30, 2025 |
| May 30, 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 widespread | Corrected: Jun 30, 2025 |
| May 30, 2025 | 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: Jun 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| May 30, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Jun 30, 2025 |
| May 30, 2025 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm isolated | Corrected: Jun 30, 2025 |
| May 30, 2025 | 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 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| May 30, 2025 | 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 | Corrected: Jun 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| May 30, 2025 | 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 30, 2025 |
| May 30, 2025 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated | Corrected: Jun 30, 2025 |
| May 30, 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: Jun 30, 2025 |
| Feb 26, 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: Mar 26, 2024 |
| Feb 26, 2024 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern · from a complaint | waiver granted |
| Feb 26, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Mar 26, 2024 |
| Feb 26, 2024 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm widespread | Corrected: Mar 26, 2024 |
| Feb 26, 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: Mar 26, 2024 |
| Feb 26, 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 isolated · from a complaint | Corrected: Mar 26, 2024 |
| Feb 26, 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 isolated | Corrected: Mar 26, 2024 |
| Feb 26, 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 | Corrected: Mar 26, 2024 |
| Feb 26, 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: Mar 26, 2024 |
| Feb 26, 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 pattern | Corrected: Mar 26, 2024 |
| Feb 26, 2024 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Mar 26, 2024 |
| Jan 31, 2024 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 2, 2024 |
Earlier inspections (9)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 8, 2022 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, but a risk of harm isolated | Corrected: May 8, 2022 |
| Apr 8, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: May 8, 2022 |
| Apr 8, 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: May 8, 2022 |
| Apr 8, 2022 | 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: May 8, 2022 |
| Apr 8, 2022 | 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 pattern | Corrected: May 8, 2022 |
| Apr 8, 2022 | 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 pattern | Corrected: May 8, 2022 |
| Apr 8, 2022 | 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: May 8, 2022 |
| Apr 8, 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 8, 2022 |
| Apr 8, 2022 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: May 8, 2022 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 4.24 | California median: 4.27 |
| Registered nurse hours per resident per day | 1.18 | California median: 0.52 |
| Nurse staff hours on weekends | 3.66 | California median: 3.85 |
| Nursing staff who left within a year | 41.0% | California median: 36.0% |
About this home
| Beds | 66 |
| Residents per day, average | 63.1 |
| Ownership | For-profit, limited liability company |
| Legal business name | Dakar Holdings LLC |
| Chain | Spyglass Healthcare (14 homes) |
| In Medicare/Medicaid since | Oct 23, 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 · Report an error