California Nursing & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 27 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 (1/5 stars)
- Above-median deficiencies (27 vs median 13.0)
- High staff turnover (62%)
- High RN turnover (62%)
Bottom 25% in CA · Critically understaffed (RN) · Worst in PACIFIC HEALTHCARE HOLDINGS chain · $82,845 in fines
What this means for your family
This facility is an exceptional choice for LGBTQ+ seniors seeking a community-focused and culturally affirming environment. The staff's communication with out-of-state families is a standout strength, making it ideal for those who cannot be present daily. While the reviews are overwhelmingly positive, always verify specific clinical capabilities for your loved one's unique medical needs.
Google Reviews
Google Reviews
27 reviews on Google“Stonewall Gardens is highly regarded as a specialized, welcoming community specifically tailored to the needs of LGBTQ+ seniors. Families frequently praise the compassionate, professional staff and the facility's ability to foster social connections and emotional well-being. While the facility excels in social engagement and safety, it is primarily noted for its inclusive atmosphere and attentive care rather than specific clinical or dietary critiques.”
Quality Themes
Tap a score for detailsStrengths
- Inclusive and supportive LGBTQ+ friendly environment
- Compassionate and professional caregiving staff
- Strong focus on social engagement and community building
- Excellent communication with long-distance family members
- Clean and beautiful well-maintained grounds
Rating Trends
Tap a year to see what changed
Distribution · 29 analyzed
How They Respond to Reviews
The owner provides highly personalized responses that frequently use the reviewer's name and reference specific family members or details mentioned in the review. They demonstrate empathy and a strong sense of community pride.
Questions for Your Tour
- 1We've heard wonderful things about how much you focus on community building and social engagement; what kind of daily activities or group events do residents participate in?
- 2It's great to see how much you value communicating with families who live far away; how do you typically keep us updated on our loved one's well-being?
- 3The grounds here look so beautiful and well-maintained; how do you ensure the indoor living areas are kept just as clean and comfortable for the residents?
- 4Could you walk us through your protocols for handling medical emergencies or sudden changes in health during the night?
- 5We are looking for a very consistent level of care; what specific steps are being taken to ensure there is always enough trained staff available for every resident's needs?
- 6How do you ensure that the high level of professional and compassionate care mentioned by other families is maintained across all shifts?
Personalized based on this facility's data
Key Review Excerpts
“The caregivers and med techs are well-trained and highly skilled at what they do. My wife is a resident at Stonewall. She is always made comfortable, kept clean, presented with delicious and attractive meals, and looked after by warm and friendly staff.”
“He’s thriving there. They keep him safe, busy, entertained and happy. They feed him and make sure he takes his meds, etc. I can tell he’s happier than when alone at his house lying in bed looking at his efficient phone all day.”
“As a relative living far away, it’s been a blessing to be kept in the loop about anything to do with my brother’s health, the communication has been exceptional.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
2
measures
8
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing numerous complaints about safety hazards, proper care delivery, and nutrition services. The most recurring problems involve accident prevention, appropriate treatment according to care plans, and food/nutrition services. While all deficiencies show correction dates, the persistent nature of safety and care issues across multiple complaint-driven inspections suggests ongoing challenges in maintaining consistent quality standards.
Mar 9, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 27, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 30, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jun 24, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 17, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 3, 2025Routine32
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Federal Penalties
Fine
Feb 4, 2025
$70,591
Payment Denial
Feb 4, 2025
18-day denial
Fine
Nov 19, 2024
$8,021
Fine
Dec 11, 2023
$4,233
Ownership & Operations
Who Operates This Facility
California Nursing & Rehabilitation Center
for profit
Chain Affiliation
Pacific Healthcare Holdings
15 facilities nationwide
Chain avg rating: 2.3/5 · Rank 11 of 15 (Worst)
Ownership & Management
Owners
Katz Healthcare Investment Partnership
Owner · Organization
Pacific Healthcare Holdings, INC.
Owner · Organization
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
27 reviews from families & visitors
Official Website
Visit stonewallgardens.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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