Nursing Care Index

Los Banos Post Acute

Los Banos, Merced County, California · CCN 055028 · For-profit (LLC) · part of Kalesta Healthcare Group (19 facilities, chain average 2.4 stars)

CMS rates Los Banos Post Acute 2 of 5 overall as of August 2026. 59 certified beds, 53 residents a day on average. 24 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing4.05749 hours per resident per day
Registered nurses0.31463 hours per resident per day
Weekend total3.60399 hours per resident per day
Nursing staff turnover36.7%
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-08-08 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-18
2025-08-08 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 · tag F0801
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-18
2025-08-08 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · tag F0802
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-18
2025-08-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-18
2025-08-08 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-18
2025-08-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 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 · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Provide appropriate foot care.
Quality of Life and Care Deficiencies · tag F0687
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-18
2025-08-08 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-18
2025-08-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-18
2025-01-06
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-30
2024-08-12
complaint survey
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · tag F0622
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-18
2024-08-01 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-22
2024-08-01 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · tag F0838
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-08-22
2023-11-08
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-14
2019-09-20 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · tag F0838
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2019-11-22
2019-09-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2019-11-22
2019-09-20 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
E No actual harm, with potential for more than minimal harm; pattern Waiver has been granted
2019-11-22
2019-09-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-11-22

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Kalesta Healthcare Group, LLC
Organization
5% or greater direct ownership interest100%2021-11-01
Texas Capital Bank Na
Organization
5% or greater security interest2025-04-17
931 Idaho Avenue, LLC
Organization
adp of the snf2021-11-01
Clawson, Scott
Individual
5% or greater indirect ownership interest48%2021-11-01
Williams, Ryan
Individual
5% or greater indirect ownership interest48%2021-11-01
Devireddy, Karthikeya
Individual
adp of the snf2021-11-01
Sweeney, Braden
Individual
adp of the snf2022-11-21
Fields, Domonique
Individual
corporate director2021-11-01
Flake, Ethan
Individual
corporate director2024-10-07
Hinkle, Cortney
Individual
corporate director2024-01-09
Modi, Ishankumar
Individual
corporate director2021-11-01
Mosher, Steven
Individual
corporate director2024-07-08
Murray, Jeffrey
Individual
corporate director2024-01-08
Soares, Michael
Individual
corporate director2021-11-01
Chen, Kai Shin
Individual
corporate officer2021-11-01
Clawson, Scott
Individual
corporate officer2021-11-01
Jones, Steven
Individual
corporate officer2024-07-01
Williams, Ryan
Individual
corporate officer2021-11-01
Clawson, Scott
Individual
indirect ownership interest2021-11-01
Cardoso, Samuel
Individual
operational/managerial control2025-02-17
Chen, Kai Shin
Individual
operational/managerial control2021-11-01
Devireddy, Karthikeya
Individual
operational/managerial control2021-11-01
Dover Dirlam, Barbara
Individual
operational/managerial control2021-11-01
Fields, Domonique
Individual
operational/managerial control2021-11-01
Flake, Ethan
Individual
operational/managerial control2024-10-07
Gomes, Tanya
Individual
operational/managerial control2021-11-01
Hinkle, Cortney
Individual
operational/managerial control2024-01-09
Jones, Steven
Individual
operational/managerial control2024-07-01
Modi, Ishankumar
Individual
operational/managerial control2021-11-01
Mosher, Steven
Individual
operational/managerial control2024-07-08
Murray, Jeffrey
Individual
operational/managerial control2024-01-08
Soares, Michael
Individual
operational/managerial control2021-11-01
Sweeney, Braden
Individual
operational/managerial control2022-11-21
Thomas, Swapna
Individual
operational/managerial control2021-11-01
Williams, Ryan
Individual
operational/managerial control2021-11-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Merced County.