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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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
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
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Concerns
Rating Trends
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Distribution · 29 analyzed
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
5
measures
4
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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.
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.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Federal Penalties
Payment Denial
Jul 26, 2025
9-day denial
Fine
Jul 26, 2025
$34,772
Payment Denial
Dec 3, 2024
35-day denial
Fine
Dec 3, 2024
$105,240
Fine
Dec 6, 2023
$24,102
Payment Denial
Dec 6, 2023
4-day denial
Payment Denial
Jul 29, 2023
33-day denial
Fine
Jul 29, 2023
$51,774
California Post Acute
for profit
Serrano Group
11 facilities nationwide
Chain avg rating: 2.3/5 · Rank 8 of 11
Owners
Jacobs, Dov
Owner
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
20 reviews from families & visitors
Official Website
Visit capostacute.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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