Deficiency timeline

GUARDIAN CARE AND REHABILITATION CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in Manteca, CA. Newest events first.

64 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Apr 10, 2026

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0552: Resident Rights

    Resident rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected Apr 10, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 20, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Feb 26, 2026

  5. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Mar 10, 2026

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Jan 30, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jan 30, 2026

  8. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 23, 2026

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Jan 23, 2026

  10. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Oct 27, 2025

  11. Class IIIPotential for more than minimal harm (F)cms

    F0865: Administration

    Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected Sep 29, 2025

  12. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Sep 29, 2025

  13. Class IIIPotential for more than minimal harm (E)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Sep 29, 2025

  14. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Sep 29, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Sep 29, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Sep 29, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Sep 29, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0740: Quality of Life and Care

    Quality of life & care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected Sep 29, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Sep 29, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Sep 29, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Sep 29, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0778: Administration

    Administration

    Help the resident make transportation arrangements to and from radiology services.

    Corrected Sep 29, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Sep 29, 2025

  24. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 24, 2025

  25. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Jul 24, 2025

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jun 29, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Apr 6, 2025

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0622: Resident Rights

    Resident rights

    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.

    Corrected Apr 10, 2025

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Apr 10, 2025

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0626: Resident Rights

    Resident rights

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected Apr 10, 2025

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0726: Nursing and Physician Services

    Nursing & physician services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected Sep 19, 2024

  32. Class IIIPotential for more than minimal harm (E)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Aug 19, 2024

  33. Class IIIPotential for more than minimal harm (E)cms

    F0726: Nursing and Physician Services

    Nursing & physician services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected Aug 19, 2024

  34. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Aug 19, 2024

  35. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Aug 19, 2024

  36. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Aug 19, 2024

  37. Class IIIPotential for more than minimal harm (D)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Aug 19, 2024

  38. Class IIIPotential for more than minimal harm (D)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Aug 19, 2024

  39. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Aug 19, 2024

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0602: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected Aug 19, 2024

  41. Class IIIPotential for more than minimal harm (D)cms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 19, 2024

  42. Class IIIPotential for more than minimal harm (D)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Aug 19, 2024

  43. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Aug 19, 2024

  44. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Aug 19, 2024

  45. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected Aug 19, 2024

  46. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Aug 19, 2024

  47. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Aug 19, 2024

  48. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected Aug 19, 2024

  49. Class IIIPotential for more than minimal harm (D)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Aug 19, 2024

  50. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Aug 19, 2024

  51. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Mar 26, 2024

  52. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Oct 4, 2023

  53. Class IIIPotential for more than minimal harm (E)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Aug 27, 2023

  54. Class IIIPotential for more than minimal harm (E)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Aug 27, 2023

  55. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Aug 27, 2023

  56. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Aug 27, 2023

  57. Class IIIPotential for more than minimal harm (D)cms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 27, 2023

  58. Class IIIPotential for more than minimal harm (D)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected Aug 27, 2023

  59. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Aug 27, 2023

  60. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Aug 27, 2023

  61. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Aug 27, 2023

  62. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Aug 27, 2023

  63. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected Aug 27, 2023

  64. Class IIIPotential for more than minimal harm (D)cms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Aug 27, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile