County: San Joaquin

City: Lodi

Arbor Nursing Center
(209) 333-1222 — 900 North Church St. — Lodi, CA 95240


Services
How to interpret services information.

Cap.= 149 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/15/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 48 22.5 52 18.6
2010 0 0 1 52 22.2 70 15.1
2011 0 1 2 6 20.5 36 16.1
2012 0 0 0 20 15.5 18 14
2013 0 0 1 37 16.7 29 14
2014 0 0 0 2 6.3 9 3.3

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City: Lodi

Crescent Court Nursing Home
(209) 367-7400 — 610 So. Fairmont Avenue — Lodi, CA 95240


Services
How to interpret services information.

Cap.= 28 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 6/18/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 25 22.5 9 18.6
2010 0 0 0 18 22.2 9 15.1
2011 0 0 0 33 20.5 14 16.1
2012 0 0 1 13 15.5 1 14
2013 0 0 0 22 16.7 6 14
2014 0 0 0 0 6.3 1 3.3

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City: Lodi

Delta Rehabilitation & Care Center
(209) 334-3825 — 1334 South Ham Lane — Lodi, Ca 95242


Services
How to interpret services information.

Cap.= 74 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 12/7/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 33 22.5 9 18.6
2010 0 0 0 26 22.2 19 15.1
2011 0 0 0 18 20.5 18 16.1
2012 0 0 0 17 15.5 12 14
2013 0 1 2 28 16.7 15 14
2014 0 0 0 0 6.3 0 3.3

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City: Lodi

Fairmont Rehabilitation Hospital
(209) 368-0693 — 950 S. Fairmont Ave — Lodi, CA 95240


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 9/19/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 1 0 20 22.5 5 18.6
2010 0 0 0 24 22.2 3 15.1
2011 0 0 0 8 20.5 7 16.1
2012 0 0 0 12 15.5 2 14
2013 0 0 0 9 16.7 4 14
2014 0 0 0 0 6.3 0 3.3

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City: Lodi

Vienna Nursing And Rehabilitation Center
(209) 368-7141 — 800 So. Ham Lane — Lodi, CA 95240


Services
How to interpret services information.

Cap.= 150 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 11/25/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 16 22.5 7 18.6
2010 0 0 0 50 22.2 4 15.1
2011 0 0 0 18 20.5 7 16.1
2012 0 0 0 2 15.5 4 14
2013 0 0 0 16 16.7 2 14
2014 0 0 0 0 6.3 0 3.3

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City: Lodi

Wine Country Care Center
(209) 334-3760 — 321 W. Turner Road — Lodi, Ca 95240


Services
How to interpret services information.

Cap.= 87 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 7/5/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 14 22.5 6 18.6
2010 0 0 0 30 22.2 9 15.1
2011 0 0 1 22 20.5 15 16.1
2012 0 0 0 24 15.5 9 14
2013 0 0 0 21 16.7 1 14
2014 0 0 0 0 6.3 0 3.3

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City: Manteca

Kaiser Foundation Hospital Manteca D/P SNF
(209) 825-3700 — 1777 West Yosemite Avenue — Manteca, CA 95336


Services
How to interpret services information.

Cap.= 50 Type = D/P SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/23/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 12 22.5 3 18.6
2010 0 0 1 11 22.2 5 15.1
2011 0 0 0 9 20.5 4 16.1
2012 0 0 0 1 15.5 3 14
2013 0 0 0 3 16.7 1 14
2014 0 0 0 0 6.3 0 3.3

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City: Manteca

Manteca Care And Rehabilitation Center
(209) 239-1222 — 410 Eastwood Avenue — Manteca, CA 95336


Services
How to interpret services information.

Cap.= 176 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 12/23/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 23 22.5 16 18.6
2010 0 0 2 22 22.2 21 15.1
2011 0 0 1 16 20.5 21 16.1
2012 0 0 0 0 15.5 13 14
2013 0 0 0 31 16.7 21 14
2014 0 0 0 0 6.3 1 3.3

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City: Manteca

St. Jude Care Center
(209) 823-1788 — 469 East North Street — Manteca, CA 95336


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 3/1/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 2 1 35 22.5 93 18.6
2010 0 0 0 38 22.2 42 15.1
2011 0 0 1 43 20.5 30 16.1
2012 0 0 0 30 15.5 7 14
2013 0 0 1 28 16.7 8 14
2014 0 0 0 0 6.3 0 3.3

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City: Ripon

Bethany Home Society San Joaquin Co.
(209) 599-4221 — 930 West Main Street — Ripon, CA 95366


Services
How to interpret services information.

Cap.= 92 Type = SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 8/15/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 9 22.5 2 18.6
2010 0 0 0 0 22.2 1 15.1
2011 0 0 0 15 20.5 0 16.1
2012 0 0 0 10 15.5 0 14
2013 0 1 0 11 16.7 0 14
2014 0 0 0 0 6.3 0 3.3

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City: Stockton

Creekside Care Center
(209) 478-6488 — 9107 N. Davis Road — Stockton, CA 95209


Services
How to interpret services information.

Cap.= 75 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/10/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 24 22.5 10 18.6
2010 0 0 1 21 22.2 7 15.1
2011 1 1 0 15 20.5 5 16.1
2012 0 0 0 12 15.5 7 14
2013 0 0 0 11 16.7 4 14
2014 0 0 0 0 6.3 2 3.3

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City: Stockton

Crestwood Manor
(209) 478-2060 — 1130 Monaco Court — Stockton, CA 95207


Services
How to interpret services information.

Cap.= 190 Type = SNF (IMD) Owner type = Profit Corp Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/29/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 1 34 22.5 33 18.6
2010 0 0 1 30 22.2 17 15.1
2011 0 0 0 23 20.5 23 16.1
2012 0 0 0 22 15.5 16 14
2013 0 0 0 20 16.7 15 14
2014 0 0 0 0 6.3 5 3.3

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City: Stockton

Golden Living Center - Chateau
(209) 477-2664 — 1221 Rose Marie Lane — Stockton, CA 95207


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 1/13/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 25 22.5 49 18.6
2010 0 0 0 25 22.2 46 15.1
2011 0 0 0 24 20.5 29 16.1
2012 0 0 1 8 15.5 17 14
2013 0 0 0 33 16.7 26 14
2014 0 0 0 0 6.3 1 3.3

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City: Stockton

Golden Living Center - Hy-Pana
(209) 477-0271 — 4545 Shelley Court — Stockton, CA 95207


Services
How to interpret services information.

Cap.= 119 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/9/2009:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I L Q R S T
Types of Residents Not Accepted: B J M N O
Languages spoken by direct-care staff: A B I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/8/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 3 22.5 63 18.6
2010 0 0 0 24 22.2 69 15.1
2011 0 0 0 20 20.5 72 16.1
2012 0 0 0 36 15.5 32 14
2013 0 0 1 17 16.7 25 14
2014 0 0 0 0 6.3 2 3.3

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City: Stockton

Golden Living Center - Portside
(209) 466-3522 — 2740 N. California Street — Stockton, CA 95204


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 12/11/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 15 22.5 81 18.6
2010 0 0 0 18 22.2 41 15.1
2011 0 0 0 14 20.5 23 16.1
2012 0 0 0 9 15.5 18 14
2013 0 0 1 23 16.7 9 14
2014 0 0 0 0 6.3 3 3.3

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City: Stockton

Good Samaritan Rehabilitation And Care Center
(209) 948-8762 — 1630 No. Edison Street — Stockton, Ca 95204


Services
How to interpret services information.

Cap.= 98 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 12/5/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 20 22.5 19 18.6
2010 0 0 0 13 22.2 19 15.1
2011 0 0 0 10 20.5 11 16.1
2012 0 0 0 15 15.5 1 14
2013 0 0 0 24 16.7 17 14
2014 0 0 0 0 6.3 0 3.3

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City: Stockton

Kindred Transitional Care & Rehab-Valley Gardens
(209) 957-4539 — 1517 Knickerbocker — Stockton, CA 95210


Services
How to interpret services information.

Cap.= 120 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/16/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 1 0 0 15 22.5 41 18.6
2010 0 1 0 25 22.2 32 15.1
2011 0 0 2 19 20.5 47 16.1
2012 0 0 0 15 15.5 29 14
2013 0 0 1 35 16.7 38 14
2014 0 0 0 0 6.3 7 3.3

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City: Stockton

La Salette Health And Rehabilitation Center
(209) 466-2066 — 537 E. Fulton Street — Stockton, CA 95204


Services
How to interpret services information.

Cap.= 116 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 2/21/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 22 22.5 20 18.6
2010 0 0 0 20 22.2 10 15.1
2011 0 0 0 25 20.5 18 16.1
2012 0 0 0 41 15.5 6 14
2013 0 0 0 31 16.7 19 14
2014 0 1 0 0 6.3 1 3.3

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City: Stockton

Lincoln Square Post Acute Care
(209) 466-5341 — 1032 N. Lincoln Street — Stockton, CA 95203


Services
How to interpret services information.

Cap.= 68 Type = SNF Owner type = Profit Corp Medi-Cal: Withdrawn Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 10/21/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 2 34 22.5 35 18.6
2010 0 1 0 21 22.2 11 15.1
2011 0 0 1 19 20.5 14 16.1
2012 0 0 0 6 15.5 7 14
2013 0 0 0 10 16.7 4 14
2014 0 0 0 0 6.3 4 3.3

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City: Stockton

Meadowood A Health & Rehabilitation Center
(209) 956-3444 — 3110 Wagner Heights Road — Stockton, Ca 95209


Services
How to interpret services information.

Cap.= 100 Type = SNF (CCRC) Owner type = Nonprofit Corp Medi-Cal: no Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 1/30/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 17 22.5 8 18.6
2010 0 0 0 7 22.2 8 15.1
2011 0 0 0 6 20.5 16 16.1
2012 0 0 1 3 15.5 6 14
2013 0 0 0 11 16.7 6 14
2014 0 0 0 5 6.3 1 3.3

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City: Stockton

Plymouth Square
(209) 466-4341 — 1319 North Madison — Stockton, CA 95202


Services
How to interpret services information.

Cap.= 38 Type = SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 2/19/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 11 22.5 1 18.6
2010 0 0 0 12 22.2 0 15.1
2011 0 0 0 0 20.5 2 16.1
2012 0 0 0 22 15.5 1 14
2013 0 0 0 7 16.7 0 14
2014 0 0 0 0 6.3 0 3.3

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City: Stockton

Riverwood Healthcare Center
(209) 473-3004 — 5320 Carrington Circle — Stockton, CA 95210


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 2/26/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 51 22.5 24 18.6
2010 0 2 1 36 22.2 20 15.1
2011 0 0 0 41 20.5 15 16.1
2012 0 1 0 28 15.5 37 14
2013 0 0 0 31 16.7 21 14
2014 0 0 0 21 6.3 4 3.3

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City: Stockton

Wagner Heights Nursing And Rehabilitation Center
(209) 477-5252 — 9289 Branstetter Place — Stockton, CA 95209


Services
How to interpret services information.

Cap.= 152 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 1/28/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 1 33 22.5 55 18.6
2010 0 1 1 27 22.2 33 15.1
2011 0 0 1 48 20.5 27 16.1
2012 0 0 1 27 15.5 30 14
2013 0 1 0 23 16.7 36 14
2014 0 0 0 1 6.3 3 3.3

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City: Stockton

Windsor Elmhaven Care Center
(209) 477-4817 — 6940 Pacific Avenue — Stockton, CA 95207


Services
How to interpret services information.

Cap.= 128 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 2/6/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 1 0 65 22.5 42 18.6
2010 0 0 0 11 22.2 38 15.1
2011 0 0 0 33 20.5 54 16.1
2012 0 0 0 28 15.5 35 14
2013 0 0 0 25 16.7 44 14
2014 0 2 0 2 6.3 7 3.3

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City: Stockton

Windsor Hampton Care Center
(209) 466-0456 — 442 Hampton Street — Stockton, CA 95204


Services
How to interpret services information.

Cap.= 120 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 8/8/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 1 30 22.5 35 18.6
2010 0 0 0 4 22.2 26 15.1
2011 0 1 0 24 20.5 24 16.1
2012 0 0 1 13 15.5 28 14
2013 0 0 3 15 16.7 10 14
2014 0 0 0 0 6.3 0 3.3

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City: Tracy

New Hope Post Acute Care
(209) 832-2273 — 2586 Buthmann Road — Tracy, Ca 95376


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 2/18/2014.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 1 0 0 20 22.5 19 18.6
2010 0 0 0 22 22.2 37 15.1
2011 0 0 0 2 20.5 25 16.1
2012 0 0 0 31 15.5 15 14
2013 0 0 0 15 16.7 8 14
2014 0 0 0 9 6.3 3 3.3

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City: Tracy

Tracy Nursing and Rehabilitation Center
(209) 835-6034 — 545 West Beverly Place — Tracy, CA 95376


Services
How to interpret services information.

Cap.= 62 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 3/13/2014;
Citations as of 10/29/2014.
Last DHS Certification Inspection = 9/30/2013.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2009 0 0 0 2 22.5 4 18.6
2010 0 0 0 26 22.2 5 15.1
2011 0 0 0 15 20.5 5 16.1
2012 0 0 0 13 15.5 12 14
2013 0 0 0 16 16.7 4 14
2014 0 0 0 0 6.3 0 3.3

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© 2014

California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171