★★★★★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 cycle16
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$73,295
Beds99
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 |
|---|---|---|---|---|
| Jul 22, 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: Jul 29, 2026 |
| Apr 13, 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 pattern · from a complaint | Corrected: Apr 23, 2026 |
| Apr 13, 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: Apr 23, 2026 |
| Apr 13, 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 isolated · from a complaint | Corrected: Apr 23, 2026 |
| Mar 23, 2026 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread · from a complaint | Corrected: Mar 27, 2026 |
| Mar 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 pattern · from a complaint | Corrected: Mar 27, 2026 |
| Mar 23, 2026 | Administration | Administer the facility in a manner that enables it to use its resources effectively and efficiently. (F0835) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 27, 2026 |
| Mar 23, 2026 | Quality of life and care | Provide medically-related social services to help each resident achieve the highest possible quality of life. (F0745) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 27, 2026 |
Earlier inspections (58)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 25, 2025 | Infection control | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (F0882) | No harm, but a risk of harm widespread · from a complaint | Corrected: Dec 8, 2025 |
| Nov 25, 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: Dec 8, 2025 |
| Sep 10, 2025 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 26, 2025 |
| Sep 10, 2025 | 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 pattern · from a complaint | Corrected: Sep 26, 2025 |
| Sep 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 · from a complaint | Corrected: Sep 26, 2025 |
| Mar 15, 2025 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated | Corrected: Apr 1, 2025 |
| Mar 15, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Apr 1, 2025 |
| Mar 15, 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 isolated | Corrected: Apr 1, 2025 |
| Mar 15, 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: Apr 1, 2025 |
| Mar 15, 2025 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Apr 1, 2025 |
| Mar 15, 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 | Corrected: Apr 1, 2025 |
| Jul 16, 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: Aug 9, 2024 |
| Jul 16, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 9, 2024 |
| Jul 16, 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 9, 2024 |
| Jun 21, 2024 | Resident assessment and care planning | Plan the resident's discharge to meet the resident's goals and needs. (F0660) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 9, 2024 |
| Jun 5, 2024 | 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: Jul 5, 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: Jul 5, 2024 |
| Mar 27, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 10, 2024 |
| Mar 27, 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: May 10, 2024 |
| Mar 27, 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 isolated · from a complaint | Corrected: May 10, 2024 |
| Jan 17, 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) | Actual harm to a resident isolated · from a complaint | Corrected: Feb 14, 2024 |
| Nov 29, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 27, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 22, 2023 | Building and environment | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. (F0920) | No harm, but a risk of harm pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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 widespread | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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 pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 22, 2023 | 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 pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 22, 2023 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm pattern | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 22, 2023 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated | Corrected: Oct 20, 2023 |
| Sep 22, 2023 | 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: Oct 20, 2023 |
| Sep 11, 2019 | 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 | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | 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 isolated | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | Food and nutrition | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (F0800) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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 5, 2019 |
| Sep 11, 2019 | 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: Nov 5, 2019 |
| Sep 11, 2019 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm pattern | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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 | Corrected: Nov 5, 2019 |
| Sep 11, 2019 | 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 5, 2019 |
Fines and payment denials
Federal fines in the last three years: $73,295 (2). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Mar 15, 2025 | Fine | $29,322 |
| Mar 15, 2025 | Payment denial | 7 days |
| Jan 17, 2024 | Fine | $43,973 |
Staffing
| Nurse staff hours per resident per day | 3.89 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.26 | California median: 0.52 |
| Nurse staff hours on weekends | 3.69 | California median: 3.85 |
| Nursing staff who left within a year | 40.7% | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 91.9 |
| Ownership | For-profit, limited liability company |
| Legal business name | Queen River Holdings LLC |
| Chain | Links Healthcare Group (32 homes) |
| In Medicare/Medicaid since | Jan 1, 1967 |
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