California Post Acute
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 20 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (39 vs median 13.0)
- High RN turnover (71%)
Below average in CA · Critically understaffed (RN) · $245,616 in fines · Special Focus Facility (CMS)
What this means for your family
While some families find the facility clean and the admissions staff helpful, the presence of multiple, severe allegations regarding patient abuse and hygiene neglect is a major red flag. If you choose this facility, you must perform frequent, unannounced visits to personally verify the sanitary conditions and the quality of care being provided.
Google Reviews
Google Reviews
20 reviews on Google“Families should approach this facility with significant caution due to severe allegations of patient neglect, including unmanaged pressure sores and lack of hygiene. While some recent visitors praise the cleanliness and the kindness of the admissions and nursing staff, there are deeply concerning reports of physical abuse and poor sanitary conditions.”
Quality Themes
Tap a score for detailsStrengths
- Clean and odor-free environment (noted by some)
- Kind and attentive nursing staff
- Helpful and informative admissions process
- Affordable pricing
Concerns
- Severe patient neglect and hygiene issues (mentioned by 2 reviewers)
- Allegations of patient abuse (mentioned by 2 reviewers)
- Overcrowded patient rooms
Rating Trends
Tap a year to see what changed
Distribution · 29 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some families have mentioned how clean and odor-free the facility feels; what specific cleaning protocols do you have in place to maintain that standard for all residents?
- 2With the recent state inspections, what specific steps has the leadership team taken to address the noted deficiencies and improve the overall quality of care?
- 3How do you ensure that every resident receives consistent, attentive care, especially during busy shifts when the nursing staff is stretched thin?
- 4Can you walk me through your protocol for handling medical emergencies or sudden changes in a resident's condition during the night?
- 5What kind of daily activities or social engagement programs do you offer to keep the residents active and connected with one another?
- 6How do you manage room assignments to ensure that residents have enough personal space and don't feel overcrowded?
Personalized based on this facility's data
Key Review Excerpts
“First time I visited my relative I was amazed that there was no stench, my relative looked and smelled clean. The facility was clean and no stench was detected at all no matter where I walked”
“The smells, the overwhelming stench of urine, old facility that has multiple coats of paint. The staff is underpaid, which explains why it is in the condition it is.”
“I have been a witness to abuse of patients. My father was laying in feces infecting his pressure sores and I believe he died prematurely because of this place.”
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 · 16 measures
8
measures
3
measures
5
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Residents vaccinated for pneumonia
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 serious recurring safety problems, with families filing 68 complaints that triggered federal investigations. The most frequent issues involve accident prevention and resident safety, medication management, and food service quality. Abuse and neglect violations appear repeatedly across multiple surveys, along with persistent problems maintaining safe environments and proper pharmaceutical services. While the facility corrects violations when cited, the pattern of recurring deficiencies in critical care areas suggests ongoing operational challenges that families should carefully consider.
Feb 6, 2026Complaint2
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.
Jan 21, 2026Complaint1
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.
Dec 18, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nov 17, 2025Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nov 13, 2025Complaint1
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Aug 11, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Jul 26, 2025
$34,239
Payment Denial
Jul 26, 2025
9-day denial
Fine
Dec 3, 2024
$105,240
Payment Denial
Dec 3, 2024
35-day denial
Fine
Apr 19, 2024
$11,825
Fine
Dec 6, 2023
$24,102
Payment Denial
Dec 6, 2023
4-day denial
Fine
Jul 29, 2023
$51,774
Payment Denial
Jul 29, 2023
33-day denial
Ownership & Operations
Who Operates This Facility
California Post Acute
for profit
Chain Affiliation
Serrano Group
11 facilities nationwide
Chain avg rating: 2.3/5 · Rank 8 of 11
Ownership & Management
Owners
Jacobs, Dov
Owner
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
20 reviews from families & visitors
Official Website
Visit capostacute.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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