Coalinga Regional Medical Ctr Dp/Snf
1191 Phelps Ave. · Coalinga, CA · 93210 · 5599356500
99 certified beds For profit - Limited Liability company Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing levels are well below research benchmarks for safe care.
- 4 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (40 in the current record)
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Potential for harm · D February 11, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · F April 10, 2025
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.
Corrected April 12, 2025 · Nursing and Physician Services
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Potential for harm · F April 10, 2025
Post nurse staffing information every day.
Corrected April 12, 2025 · Nursing and Physician Services
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Potential for harm · F April 10, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 12, 2025 · Administration
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Potential for harm · D March 27, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 7, 2024 · found via complaint
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 June 8, 2024 · Resident Rights
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Potential for harm · D January 26, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 25, 2024 · Resident Rights
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Potential for harm · E January 26, 2024
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 February 25, 2024 · Resident Rights
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Potential for harm · E January 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 26, 2024
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 February 25, 2024 · Pharmacy Service
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Potential for harm · D January 26, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected February 25, 2024 · Nutrition and Dietary
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Potential for harm · E January 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 25, 2024 · Nutrition and Dietary
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Potential for harm · F January 26, 2024
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.
Corrected February 25, 2024 · Administration
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Potential for harm · D January 26, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 25, 2024 · Administration
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Potential for harm · D January 26, 2024
Provide and implement an infection prevention and control program.
Corrected February 25, 2024 · Infection Control
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Potential for harm · D November 9, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 23, 2023 · Quality of Life and Care
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Potential for harm · D November 8, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 22, 2023 · Resident Rights
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Actual harm · H October 13, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 1, 2022 · Resident Assessment and Care Planning
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Actual harm · G October 13, 2021
Provide appropriate foot care.
Corrected December 30, 2021 · Quality of Life and Care
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Actual harm · H October 13, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected June 1, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555539 · certified since December 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.