Alvarado Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (26 vs median 13.0)
Bottom 25% in CA · Below recommended RN staffing · Low staff turnover (stable workforce) · Worst in HELENE MAYER chain · $52,457 in fines
What this means for your family
This facility shows a concerning downward trend in quality, with recent reviews alleging severe neglect and hygiene issues. While the rehabilitation program has historically been a major strength, families should prioritize an in-person inspection of hygiene standards and medical oversight before committing.
Google Reviews
Google Reviews
44 reviews on Google“Families seeking rehabilitation services may find success here, as several reviewers praise the facility's effectiveness in helping patients return home. However, there are extremely serious allegations regarding patient neglect, hygiene, and staff conduct that should be investigated thoroughly. While some find the staff friendly and the environment clean, others report significant issues with medical oversight and food quality.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and therapy services
- Friendly and attentive nursing staff
- Clean and well-maintained environment
- Welcoming and professional administration
Concerns
- Allegations of patient neglect and hygiene issues (mentioned by 2 reviewers)
- Inconsistent food quality and temperature (mentioned by 3 reviewers)
- Lack of adequate medical/doctor oversight (mentioned by 2 reviewers)
- Unprofessional or rude staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about your rehabilitation and therapy services; could you tell us more about how that program works for new residents?
- 2Since we want to ensure everything is consistent, what is your process for managing daily medications and ensuring they are administered accurately?
- 3How do you ensure that meals are served at the right temperature and that the dining experience is enjoyable for everyone?
- 4What specific steps does your team take to maintain high standards of personal hygiene and daily care for all residents?
- 5In the event of a medical emergency during the night, what is the protocol for getting doctor oversight or immediate care?
- 6We noticed your administration team is very professional; how do you encourage that welcoming atmosphere among the floor staff as well?
Personalized based on this facility's data
Key Review Excerpts
“He had been to three nursing homes prior and the care and attention he received here helped him return home! Staff were very involved in his care and communicated with me constantly.”
“I watched as the staff willingly left patients they didn’t like to sit in their feces and urine. DO NOT SEND YOUR FAMILY HERE.”
“They saved my life, then they showed me how to live it, when my attempts at independence failed they were always there to catch me.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents who lost too much weight
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has 84 deficiencies over 14 surveys with 25 triggered by family complaints, indicating significant care concerns. The most recurring problems involve care planning, medication management, and dining/nutrition services. Issues persist across multiple surveys, including recent complaints about pressure sore care and medication errors. Given the high volume of family-reported problems and ongoing issues with basic care services, families should carefully evaluate other options before considering this facility.
Jan 23, 2026Routine20
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 9, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Sep 5, 2025Complaint4
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 22, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 10, 2025Complaint1
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jun 27, 2025Complaint3
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Aug 22, 2025
$49,200
Payment Denial
Aug 22, 2025
2-day denial
Fine
Jun 26, 2024
$41,400
Ownership & Operations
Who Operates This Facility
Alvarado Care Center
for profit
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit alvaradocc.com
Medicare data downloads
Original nursing home datasets
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