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Nursing HomeMedicaid Investigative

Guardian Care and Rehabilitation Center

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

410 Eastwood Ave, Manteca, CA 95336176 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 72 Google reviews

5
4
3
2
1
Guardian Care and Rehabilitation Center Nursing Home in Manteca, CA — Street View
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3/ 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)
  • Above-median deficiencies (26 vs median 13.0)

Below average in CA · Below recommended RN staffing · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility appears to have undergone a major transformation under new management, with recent reviews showing much higher standards of cleanliness and communication. However, because of the severity of historical neglect claims, families should perform an unannounced visit to verify that the current high standards of hygiene and staffing are consistently maintained.

Google Reviews

Google Reviews

72 reviews on Google
Recent reviews from late 2025 suggest a significant positive turnaround under new management, with families praising improved cleanliness, facility updates, and attentive care. However, historical reviews contain very serious allegations of neglect, medical errors, and severe understaffing that should be investigated by any prospective family.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean7.0Activities8.0Meds2.0MemoryN/AComms7.0Value5.0

Strengths

  • Improved facility cleanliness and maintenance
  • Attentive and compassionate nursing staff
  • Effective communication with family members
  • Strong rehabilitation therapy services

Concerns

  • Historical allegations of patient neglect and hygiene issues (mentioned by 5 reviewers)
  • Inconsistent staffing levels (mentioned by 3 reviewers)
  • Medical record inaccuracies and medication errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(7)'19(7)'21(3)'23(5)'25(35)'26(4)

Distribution · 76 analyzed

5
42
4
3
3
1
2
1
1
29
20 reviews posted between Nov 24, 2025Nov 28, 2025 · 20 were 5-star

How They Respond to Reviews

43%response rate
Good

The owner provides personalized and empathetic responses to long-form, emotional reviews, specifically acknowledging the family members' experiences. For shorter, more casual reviews, the responses shift to brief, polite, and templated acknowledgments.

Questions for Your Tour

  • 1I noticed some recent feedback mentioning improvements in cleanliness and maintenance; what specific steps has the team taken to ensure the facility stays well-kept for residents?
  • 2Since medication management is such a critical part of care, what specific protocols do you have in place to ensure accuracy and prevent errors?
  • 3How does the nursing team coordinate with families to ensure we are always kept up-to-date on any changes in our loved one's health?
  • 4Can you tell me more about the daily schedule and what types of social activities or outings are available to keep residents engaged?
  • 5In the event of a medical emergency during the night or over the weekend, what is the immediate process for getting specialized care or physician oversight?
  • 6We want to make sure they are eating well, so could you tell me a bit about the dining experience and how much input residents have regarding their meal options?

Personalized based on this facility's data


Key Review Excerpts

We moved our grandma from a run-down and neglectful SNF in the East Bay where my grandma would be left in her old diaper for hours on end and be begging for water and food. We moved her to Guardian and we couldn't be more happy.

Memory care family member · 2025★★★★★

The building is beautifully maintained and always in excellent condition. The maintenance team, staff, and caregivers take exceptional pride in keeping everything clean, safe, and welcoming.

Long-term resident's family · 2025★★★★★

They got me walking when I couldn't walk. All but one of the nurses was kind and gentle. I loved all of them!

Rehab patient · 2021★★★★★
Source: 72 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
4.44hrs
OK
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
35%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
CA
7.0%
San joaquin
3.0%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.4%
Worse than Avg
Here
19.4%
US
15.3%
CA
10.5%
San joaquin
12.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.3%
Worse than Avg
Here
15.3%
US
14.4%
CA
10.4%
San joaquin
7.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.3%
Better than Avg
Here
12.3%
US
19.5%
CA
13.7%
San joaquin
14.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.3%
Mixed vs Avgs
Here
13.3%
US
19.4%
CA
10.7%
San joaquin
13.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility9.6%
Worse than Avg
Here
9.6%
US
5.3%
CA
4.1%
San joaquin
4.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.0%
Mixed vs Avgs
Here
91.0%
US
79.8%
CA
93.2%
San joaquin
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.7%
Mixed vs Avgs
Here
92.7%
US
81.8%
CA
94.2%
San joaquin
92.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
CA
1.5%
San joaquin
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
Well above state avg (15.4)
24 complaint-triggered

This facility shows concerning patterns with multiple families filing complaints that triggered 22 deficiencies, including recent uncorrected violations for accident prevention and abuse response. Recurring problems span accident prevention, medication management, and care planning, with some issues persisting across multiple surveys despite corrections. Most recently, the facility has deficiencies without correction plans for maintaining safe environments and properly responding to abuse allegations, suggesting ongoing quality concerns families should investigate thoroughly.

Mar 19, 2026Complaint
2
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.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Feb 20, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 6, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 6, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 2, 2026Complaint
2
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Dec 23, 2025Complaint
2
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guardian Care and Rehabilitation Center

Organization Type

for profit

Ownership & Management

Key personnel

Cortez, EdnaW-2 Managing EmployeeJose, JosekuttyOfficer / DirectorJose, JosekuttyOfficer / Director
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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