San Luis Care Center
Newman, Stanislaus County, California · CCN 055839 · For-profit (LLC) · part of Avalon Health Care (16 facilities, chain average 3.4 stars)
CMS rates San Luis Care Center 3 of 5 overall as of August 2026. 71 certified beds, 65 residents a day on average. 42 citations on record from the current inspection cycles, 4 involving actual harm; 1 fine totalling $46,118.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.85468 hours per resident per day |
|---|---|
| Registered nurses | 0.39124 hours per resident per day |
| Weekend total | 3.52828 hours per resident per day |
| Nursing staff turnover | 37.5% (registered nurses 60%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-06 | 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 2026-03-30 |
| 2026-03-06 | 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 2026-03-30 |
| 2026-03-06 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-31 |
| 2026-03-06 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2026-03-06 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-30 |
| 2025-09-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-10-03 |
| 2024-08-08 | 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 · tag F0625 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-26 |
| 2024-08-08 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-26 |
| 2024-08-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-26 |
| 2024-08-08 | 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 · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-26 |
| 2024-08-08 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-26 |
| 2024-08-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-26 |
| 2024-05-29 complaint survey |
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 2024-06-24 |
| 2024-05-29 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-24 |
| 2024-05-06 complaint survey |
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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-04 |
| 2024-01-30 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-01-30 complaint survey |
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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2023-12-19 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-15 |
| 2023-10-04 complaint survey |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-14 |
| 2019-05-28 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
| 2019-05-28 | 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 2019-07-15 |
| 2019-05-28 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-07-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-30 | Fine | $46,118 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Avalon Of California LLC Organization | 5% or greater direct ownership interest | 100% | 2003-09-09 |
| Avalon Care LLC Organization | 5% or greater indirect ownership interest | 100% | 2003-09-09 |
| Avalon Health Care Inc. Organization | adp of the snf | — | 2003-12-01 |
| Avalon Health Care Management Inc. Organization | adp of the snf | — | 2003-12-01 |
| Deloitte Tax LLP Organization | adp of the snf | — | 2025-06-04 |
| Eide Bailly LLP Organization | adp of the snf | — | 2025-06-04 |
| Hhc Holdco LLC Organization | adp of the snf | — | 2025-06-04 |
| Omnicare LLC Organization | adp of the snf | — | 2025-06-04 |
| Reliant Pro Rehab LLC Organization | adp of the snf | — | 2025-06-04 |
| Avalon Health Care Inc. Organization | indirect ownership interest | — | 2003-12-01 |
| Avalon Health Care Inc. Organization | operational/managerial control | — | 2003-12-01 |
| Avalon Health Care Management Inc. Organization | operational/managerial control | — | 2003-12-01 |
| Deloitte Tax LLP Organization | operational/managerial control | — | 2020-01-01 |
| Eide Bailly LLP Organization | operational/managerial control | — | 2021-01-01 |
| Hhc Holdco LLC Organization | operational/managerial control | — | 2021-07-01 |
| Omnicare LLC Organization | operational/managerial control | — | 2023-05-01 |
| Reliant Pro Rehab LLC Organization | operational/managerial control | — | 2019-04-01 |
| Borisevich, Maria Individual | adp of the snf | — | 2024-01-08 |
| Hash, Alan Individual | adp of the snf | — | 2017-08-15 |
| Kaur, Rajbir Individual | adp of the snf | — | 2022-12-13 |
| Kirton, Hyrum Individual | adp of the snf | — | 2022-03-29 |
| Sadje, Rose-Ann Individual | adp of the snf | — | 2024-02-05 |
| Smith, Nicole Individual | adp of the snf | — | 2023-03-01 |
| Veerappa, Nandeesh Individual | adp of the snf | — | 2023-01-01 |
| Dangerfield, David Individual | corporate director | — | 2007-04-05 |
| Kirton, Byron Individual | corporate director | — | 2024-08-27 |
| Kirton, Hyrum Individual | corporate director | — | 2024-08-27 |
| Kirton, Spencer Individual | corporate director | — | 2024-08-27 |
| Woltil, Robert Individual | corporate director | — | 2012-05-23 |
| Borisevich, Maria Individual | corporate officer | — | 2024-01-08 |
| Hash, Alan Individual | corporate officer | — | 2017-08-15 |
| Kirton, Hyrum Individual | corporate officer | — | 2022-03-29 |
| Smith, Nicole Individual | corporate officer | — | 2023-03-01 |
| Dangerfield, David Individual | managing control - governing body | — | 2007-04-05 |
| Kirton, Byron Individual | managing control - governing body | — | 2024-08-27 |
| Kirton, Hyrum Individual | managing control - governing body | — | 2024-08-27 |
| Kirton, Spencer Individual | managing control - governing body | — | 2024-08-27 |
| Woltil, Robert Individual | managing control - governing body | — | 2012-05-23 |
| Borisevich, Maria Individual | operational/managerial control | — | 2024-01-08 |
| Hash, Alan Individual | operational/managerial control | — | 2017-08-15 |
| Kaur, Rajbir Individual | operational/managerial control | — | 2022-12-13 |
| Kirton, Hyrum Individual | operational/managerial control | — | 2022-03-29 |
| Sadje, Rose-Ann Individual | operational/managerial control | — | 2024-02-05 |
| Smith, Nicole Individual | operational/managerial control | — | 2023-03-01 |
| Veerappa, Nandeesh Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for San Luis Care Center.
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 Stanislaus County.