North Starr Postacute Care

180 Starr Avenue · Turlock, CA · 95380 · 2096321075

31 certified beds For profit - Corporation Chain: Rmg Capital Partners Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 94
Staffing 20% 84
Federal penalties 15% 100
Trend 10% 29
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Actual harm · G August 20, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · E September 13, 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 October 9, 2024 · Resident Rights

  • Potential for harm · D September 13, 2024

    Respond appropriately to all alleged violations.

    Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 13, 2024

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

    Corrected October 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 13, 2024

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

    Corrected October 9, 2024 · Quality of Life and Care

  • Potential for harm · F September 13, 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 October 9, 2024 · Pharmacy Service

  • Potential for harm · F September 13, 2024

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 13, 2024 · 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 October 9, 2024 · Resident Assessment and Care Planning

  • No harm found · C September 13, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected October 9, 2024 · Environmental

  • Potential for harm · D May 6, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 30, 2022 · Resident Rights

  • Potential for harm · D May 6, 2022

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

    Corrected May 30, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E May 6, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 30, 2022 · Pharmacy Service

  • Potential for harm · D May 6, 2022

    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 May 30, 2022 · Pharmacy Service

  • Potential for harm · E May 6, 2022

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

    Corrected May 30, 2022 · Nutrition and Dietary

  • Potential for harm · E May 6, 2022

    Provide and implement an infection prevention and control program.

    Corrected May 30, 2022 · Infection Control

  • No harm found · B May 6, 2022

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected May 30, 2022 · Environmental

  • Potential for harm · E May 13, 2021

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 24, 2021 · Resident Rights

  • Potential for harm · D May 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 24, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D May 13, 2021

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

    Corrected June 24, 2021 · Resident Assessment and Care Planning

  • Potential for harm · F May 13, 2021

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

    Corrected June 24, 2021 · Nutrition and Dietary

  • Potential for harm · D May 13, 2021

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

    Corrected June 24, 2021 · Resident Assessment and Care Planning

  • Potential for harm · F May 13, 2021

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected June 24, 2021 · Administration

  • Potential for harm · F May 13, 2021

    Keep all essential equipment working safely.

    Corrected June 24, 2021 · Environmental

  • Potential for harm · D May 13, 2021

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

    Corrected June 24, 2021 · Environmental

  • No harm found · B May 13, 2021

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected June 24, 2021 · Environmental

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 555347 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.