San Luis Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 36 Google reviews
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What this means for your family
This facility offers a highly compassionate nursing team that excels in post-surgical rehabilitation and emotional support. However, families must be extremely vigilant regarding hygiene and skin integrity, as multiple reviewers have reported issues with infrequent bathing and the development of pressure sores.
Google Reviews
Google Reviews
36 reviews analyzed“Families may find comfort in the compassionate nursing and CNA staff, many of whom are praised for going above and beyond during rehabilitation. However, significant concerns exist regarding hygiene standards, such as infrequent bathing and linen changes, as well as instances of severe medical neglect and administrative unresponsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and kind nursing staff
- Effective rehabilitation and therapy services
- Supportive and encouraging environment for recovery
Concerns
- Hygiene and cleanliness issues including odors and infrequent bathing (mentioned by 2 reviewers)
- Staffing shortages and overworked employees (mentioned by 2 reviewers)
- Unprofessional or insensitive administrative behavior (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a small set of highly repetitive templates to respond to all reviews. Positive reviews receive brief, interchangeable pleasantries, while negative reviews receive an identical scripted disclaimer regarding patient privacy and a redirection to a hotline.
Questions for Your Tour
- 1We noticed the management is very active in responding to feedback online; how does the administration involve families in the facility's continuous improvement process?
- 2What specific steps are being taken to ensure the facility remains clean, fresh, and well-maintained for the residents?
- 3How do you ensure that every resident receives consistent, timely assistance with personal hygiene and daily bathing needs?
- 4With the recent health inspection findings, what specific changes have been implemented to address the identified deficiencies?
- 5How does the nursing team manage resident care and communication during busy shifts to ensure no one is overlooked?
- 6Can you tell us more about the daily activities and social opportunities available to help residents stay engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“I was referred to San Luis Care Center after having surgery of my foot. The place is a little outdated and like any other facility (as this), over worked and under-staffed, but let me tell you I am beyond thankful for the nurses and CNA’s at this place.”
“AS soon as i arrived,was made to feel at home. I have 2 herniated disc and am awaiting treatment. Im unable to walk so my life is very dependent on this care center.”
“Had family members at San Luis care center and the care was excellent, nothing but great experience, all the Nurses and CNA'S went above and beyond to help my mother in law”
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 · 17 measures
9
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
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
Families have filed complaints that prompted 8 deficiency citations, including serious concerns about resident protection from abuse and accident hazards as recently as 2024-2025. The facility shows recurring problems with care planning, resident rights, and safety systems across multiple surveys spanning six years. While all violations have correction dates, the pattern of repeated issues in core care areas—particularly around developing proper care plans and maintaining resident safety—suggests ongoing challenges that warrant careful consideration during your visit.
Mar 6, 2026Routine21
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
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
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
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Sep 12, 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.
Aug 8, 2024Routine24
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
May 29, 2024Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 6, 2024Complaint1
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.
Jan 30, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Federal Penalties
Fine
Jan 30, 2024
$46,118
Ownership & Operations
Who Operates This Facility
San Luis Care Center
for profit
Chain Affiliation
Avalon Health Care
13 facilities nationwide
Chain avg rating: 3.6/5 · Rank 9 of 13
Ownership & Management
Owners
Avalon of California LLC
Owner · Organization
Avalon Care LLC
Owner (parent company) · Organization
K-team LLC
Owner (parent company) · Organization
Spencer K Kirton Individual Tr
Owner (parent company) · Organization
Avalon Health Care, INC.
Owner (parent company) · Organization
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
36 reviews from families & visitors
Official Website
Visit avalonhealthcare.com
Medicare data downloads
Original nursing home datasets
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