Nursing home

Rocky Point Care Center

625 16TH Street, Lakeport, CA 95453

★★★★★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 cycles1
Fines, 3 years$0
Beds90
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse. Open this home on Medicare.gov

Inspection findings

Inspectors recorded 43 findings in the last three inspection cycles.

1 Actual harm to a resident42 No harm, but a risk of harm

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 dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 31, 2026Pharmacy and medicationsProvide 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 · from a complaint
no plan of correction on file
Aug 31, 2026Abuse, neglect and exploitationTimely 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
no plan of correction on file
Jul 20, 2026Quality of life and careProvide 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: Aug 7, 2026
Jul 20, 2026Abuse, neglect and exploitationProtect 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: Jul 17, 2026
Apr 2, 2026Resident rightsProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628)No harm, but a risk of harm
pattern · from a complaint
Corrected: Apr 24, 2026
Apr 2, 2026Resident rightsEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 24, 2026
Earlier inspections (37)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Mar 13, 2026Building and environmentProvide 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
widespread
Corrected: May 1, 2026
Mar 13, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: May 1, 2026
Mar 13, 2026Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: May 1, 2026
Mar 13, 2026Pharmacy and medicationsEnsure that residents are free from significant medication errors. (F0760)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 1, 2026
Mar 13, 2026Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: May 1, 2026
Mar 13, 2026Pharmacy and medicationsProvide 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: May 1, 2026
Mar 13, 2026Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, but a risk of harm
isolated
Corrected: May 1, 2026
Mar 13, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: May 1, 2026
Feb 9, 2026Abuse, neglect and exploitationTimely 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: Apr 3, 2026
Feb 9, 2026Abuse, neglect and exploitationProtect 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: Apr 3, 2026
Aug 27, 2025Food and nutritionProcure 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 · from a complaint
Corrected: Sep 18, 2025
Jul 17, 2025Food and nutritionProcure 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 · from a complaint
Corrected: Aug 30, 2025
Jul 17, 2025Resident rightsHonor 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 · from a complaint
Corrected: Aug 30, 2025
May 2, 2025Abuse, neglect and exploitationProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600)Actual harm to a resident
isolated · from a complaint
Corrected: May 31, 2025
Jun 21, 2024Building and environmentMake 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
Corrected: Aug 11, 2024
Jun 21, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
isolated
Corrected: Aug 11, 2024
Jun 21, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2024
Jun 21, 2024Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2024
Jun 21, 2024Food and nutritionProcure 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 11, 2024
Jun 21, 2024Food and nutritionEnsure 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
Corrected: Aug 11, 2024
Jun 21, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2024
Jun 21, 2024Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
pattern
Corrected: Aug 11, 2024
Jun 21, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Aug 11, 2024
Jun 21, 2024Resident assessment and care planningCreate 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
isolated
Corrected: Aug 11, 2024
Jun 21, 2024Abuse, neglect and exploitationTimely 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: Aug 11, 2024
Jun 21, 2024Resident rightsGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F0582)No harm, but a risk of harm
isolated
Corrected: Aug 11, 2024
Nov 1, 2023Quality of life and careProvide 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 17, 2023
Jul 15, 2022Food and nutritionProcure 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: Sep 7, 2022
Jul 15, 2022Food and nutritionEnsure 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
widespread
Corrected: Sep 7, 2022
Jul 15, 2022Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Sep 7, 2022
Jul 15, 2022Food and nutritionEnsure 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: Sep 7, 2022
Jul 15, 2022Pharmacy and medicationsImplement 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: Sep 7, 2022
Jul 15, 2022Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Sep 7, 2022
Jul 15, 2022Resident assessment and care planningDevelop 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: Sep 7, 2022
Jul 15, 2022Resident rightsProvide 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: Sep 7, 2022
Jul 15, 2022Resident rightsHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F0585)No harm, but a risk of harm
pattern
Corrected: Sep 7, 2022
Jul 15, 2022Resident rightsImmediately 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: Sep 7, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.05California median: 4.27
Registered nurse hours per resident per day0.63California median: 0.52
Nurse staff hours on weekends3.67California median: 3.85
Nursing staff who left within a year37.0%California median: 36.0%

About this home

Beds90
Residents per day, average64.6
OwnershipFor-profit, limited liability company
Legal business nameWindflower Holdings, LLC
ChainNAHS (12 homes)
In Medicare/Medicaid sinceJan 1, 1967

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error

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