Guardian Care and Rehabilitation Center
410 Eastwood Ave · Manteca, CA · 95336 · 2092391222
176 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (64 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · E March 19, 2026 · 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 April 10, 2026 · Resident Rights
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Potential for harm · D February 20, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · D February 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · D January 6, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D January 2, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 30, 2026 · Resident Rights
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Potential for harm · D January 2, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · E December 23, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 23, 2026 · Nutrition and Dietary
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Actual harm · G August 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
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 September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · D August 29, 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 September 29, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
Help the resident make transportation arrangements to and from radiology services.
Corrected September 29, 2025 · Administration
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Potential for harm · F August 29, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 29, 2025 · Administration
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Potential for harm · D August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 29, 2025 · Infection Control
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Potential for harm · D August 29, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 29, 2025 · 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 September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · F June 24, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 24, 2025 · Nutrition and Dietary
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Potential for harm · F June 24, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected July 24, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 056216 · certified since September 16, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.