Fortuna Rehabilitation and Wellness Center, LP
2321 Newburg Road · Fortuna, CA · 95540 · 7077254467
104 certified beds For profit - Partnership Chain: Corporate Interface Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $117,116 in fines in the last 24 months.
- 9 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
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.
$117,116 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 4 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) | 3 · $184,576 |
Inspection citations (67 in the current record)
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Potential for harm · D March 6, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 23, 2025 · Pharmacy Service
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Potential for harm · D November 13, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 8, 2025 · Quality of Life and Care
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Potential for harm · F November 13, 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 December 8, 2025 · Nursing and Physician Services
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Potential for harm · D November 13, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 8, 2025 · Pharmacy Service
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Potential for harm · E November 13, 2025
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 December 8, 2025 · Pharmacy Service
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Potential for harm · E November 13, 2025
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.
Corrected December 8, 2025 · Nutrition and Dietary
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Potential for harm · D November 13, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 8, 2025 · Nutrition and Dietary
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Potential for harm · D November 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2025 · Nutrition and Dietary
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Potential for harm · E November 13, 2025
Provide and implement an infection prevention and control program.
Corrected December 8, 2025 · Infection Control
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Potential for harm · D November 13, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 8, 2025 · Environmental
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Potential for harm · E November 13, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 8, 2025 · Environmental
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Potential for harm · D November 13, 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 December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 13, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 13, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 7, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 27, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 8, 2025 | Fine | $28,730 |
| August 15, 2024 | Fine | $88,386 |
| July 13, 2023 | Fine | $67,460 |
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 056361 · certified since February 22, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.