The Ellison John Transitional Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 299 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.
- Low overall rating (1/5 stars)
- Above-median deficiencies (42 vs median 13.0)
Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in ABBY GL, LLC chain · $189,236 in fines
What this means for your family
This facility is an excellent choice for physical rehabilitation and enjoys a very clean, pleasant environment. However, if your loved one requires high-frequency assistance or has strict medication schedules, you must closely monitor their care, as multiple families have reported significant delays in nursing responses and hygiene assistance.
Google Reviews
Google Reviews
299 reviews on Google“The Ellison John Transitional Care Center receives high praise for its cleanliness, spacious rooms, and a physical therapy team that many families credit with successful recoveries. However, there are serious, recurring allegations regarding nursing neglect, specifically concerning delayed response to call lights and failure to assist with hygiene. Families should be aware of significant discrepancies between the friendly front-end staff and reports of inconsistent care during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Immaculate facility cleanliness
- Effective physical therapy and rehab services
- Friendly and professional administrative staff
- Spacious and well-maintained rooms
Concerns
- Delayed response to call lights and patient buzzers (mentioned by 8 reviewers)
- Neglect regarding hygiene and diaper changes (mentioned by 5 reviewers)
- Inconsistent medication administration (mentioned by 3 reviewers)
- Staffing shortages, particularly on night shifts (mentioned by 4 reviewers)
- Communication gaps between staff and families (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 200 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1The facility looks incredibly clean and well-maintained; what specific cleaning protocols do you have in place to keep the rooms and common areas so immaculate?
- 2How do you ensure that call lights and buzzers are responded to promptly, especially during the overnight hours when staffing levels might change?
- 3What systems are in place to ensure medication administration is consistent and that there are no gaps in the medication schedule?
- 4How do you maintain clear and frequent communication between the nursing staff and family members regarding a resident's daily care and health updates?
- 5Can you tell me more about the hygiene and personal care routines, specifically how the staff manages regular checks for diaper changes and skin integrity?
- 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“The facility was well-maintained inside and outside..The entrance administration and station care giver staff were very professional in assisting questions about visiting ours, meals for our brother.”
“The staff here made such a difference in taking care of my mother. They were so kind and answered all my questions and helped her tremendously!!”
“My husband is currently inpatient due to a fall. He pressed the call light button and it took over an hour for anyone to respond.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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
12
measures
2
measures
2
measures
1
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
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
This facility has a concerning pattern with 52 complaint-triggered deficiencies, indicating families have repeatedly filed reports about care issues. The most persistent problems involve medication management, infection control, and care planning, with these issues recurring across multiple years despite corrections. While all deficiencies show correction dates, the repeated nature of similar problems—particularly medication errors appearing in 2023, 2024, and 2025—suggests ongoing systemic challenges that families should carefully evaluate during visits.
Mar 25, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 20, 2026Complaint5
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 5, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Dec 30, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 26, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 1, 2025Complaint5
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Nov 12, 2025
$15,935
Fine
Nov 20, 2024
$125,220
Payment Denial
Nov 20, 2024
17-day denial
Fine
Dec 17, 2023
$64,016
Payment Denial
Dec 17, 2023
4-day denial
Ownership & Operations
Who Operates This Facility
The Ellison John Transitional Care Center
for profit
Chain Affiliation
Pursue Health
7 facilities nationwide
Chain avg rating: 2.2/5 · Rank 5 of 6 (Worst)
Ownership & Management
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
299 reviews from families & visitors
Official Website
Visit theellisonjohntcc.com
Medicare data downloads
Original nursing home datasets
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