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Nursing HomeMedicaid Investigative

Cornerstone Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2550 9th Street, Sanger, CA 9365799 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 81 Google reviews

5
4
3
2
1
Cornerstone Care Center Nursing Home in Sanger, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (16 vs median 13.0)

Below average in CA · Below recommended RN staffing · Below chain average · $54,444 in fines

Source: Medicare data

What this means for your family

This facility offers excellent rehabilitation services and has shown significant improvement in cleanliness and nursing professionalism under recent management. However, families must be vigilant regarding the security of personal belongings, as multiple reports of missing clothing and money have been documented.

Google Reviews

Google Reviews

81 reviews on Google
Families considering Cornerstone Care Center will find a facility that has undergone significant recent improvements under new management, with many praising the compassionate nursing staff and effective rehabilitation services. However, there are recurring, serious allegations regarding the loss of residents' personal belongings and inconsistent staffing levels that require close monitoring.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean7.0Activities9.0Meds5.0MemoryN/AComms4.0Value2.0

Strengths

  • Compassionate and attentive nursing staff
  • Effective post-surgery rehabilitation and physical therapy
  • Improved facility cleanliness and recent renovations
  • Responsive Nurse Practitioners and management

Concerns

  • Loss of personal belongings and clothing (mentioned by 4 reviewers)
  • Staffing shortages and high patient-to-CNA ratios (mentioned by 3 reviewers)
  • Inconsistent communication from staff/administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(2)'20(2)'22(8)'24(28)'26(18)

Distribution · 86 analyzed

5
55
4
5
3
0
2
3
1
23
17 reviews posted between Jan 14, 2024Jan 20, 2024 · 15 were 5-star

How They Respond to Reviews

100%response rate
Excellent

The owner provides highly personalized and empathetic responses, frequently using reviewers' names and acknowledging specific details. For negative reviews, they proactively offer direct contact information for leadership and invite one-on-one resolutions.

Questions for Your Tour

  • 1It is wonderful to see the recent renovations and how clean the facility looks; what other recent improvements are being made to the resident experience?
  • 2We noticed some great feedback regarding the responsiveness of your Nurse Practitioners; how do the doctors and nurses coordinate care for a resident's specific medical needs?
  • 3What protocols do you have in place to ensure that residents' personal belongings and clothing are carefully tracked and kept safe?
  • 4How does the facility manage staffing levels during busy shifts to ensure that every resident gets the attentive care they need?
  • 5How does the administration ensure that family members are kept consistently updated on any changes in a resident's health or daily routine?
  • 6What is the process for handling a medical emergency after hours, and how quickly can a physician be reached?

Personalized based on this facility's data


Key Review Excerpts

My grandma was admitted here for a hip fracture and they had her walking again in 3 weeks. The staff is very attentive and everybody addresses all the issues very quickly.

Rehab patient's family · 2026★★★★★

The nurses and caregivers are kind and very attentive! I highly recommend sending your loved ones here for any post op care!

Post-op care family member · 2026★★★★★

The nurses were very diligent in their care of my needs and meds. I have to thank Buda and his team for the daily dressing of my wound. They were professional and made sure I was comfortable with the process.

Rehab patient · 2024★★★★★
Source: 81 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
55%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.4%
CA
11.6%
Fresno
9.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.6%
Mixed vs Avgs
Here
11.6%
US
19.4%
CA
10.7%
Fresno
12.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
15.3%
CA
10.5%
Fresno
12.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Fresno
98.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.4%
Mixed vs Avgs
Here
6.4%
US
12.1%
CA
7.0%
Fresno
5.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.9%
Worse than Avg
Here
15.9%
US
14.4%
CA
10.4%
Fresno
10.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Fresno
93.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Fresno
94.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
CA
1.5%
Fresno
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
2penalties
Above state avg (15.4)
8 complaint-triggered
$54,444 in fines

This facility has significant ongoing deficiencies across multiple areas, with families filing formal complaints that triggered inspections. Medication management problems persist across surveys from 2022 through 2025, including dangerous medication errors and improper drug oversight. The facility also shows recurring issues with safety systems like fire alarms, emergency power, and infection control. While all deficiencies show correction dates, the pattern of repeated violations in critical care areas warrants careful consideration.

Jan 29, 2026Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Dec 30, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

May 1, 2025Routine
24
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

0803Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Jan 22, 2025Complaint
4
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0584Potential for harm · IsolatedCorrected

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.

Oct 28, 2024Complaint
1
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jun 10, 2024Routine
26
0685Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0758Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement 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.

0577Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0687Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Federal Penalties

Fine

Jun 10, 2024

$27,612

Fine

Jun 23, 2023

$26,832

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cornerstone Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Bayshire Senior Communities

Chain Size

12 facilities nationwide

Chain avg rating: 3.1/5 · Rank 9 of 11

Ownership & Management

Owners

Bayshire Central Valley LLC

Owner · Organization

100%

Key personnel

Parrott, JasonOfficer / DirectorBassi, RavneetManagerCarter, BenjaminManagerGrossman, StephenManagerKaur, MandipManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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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