Grace Home Inc.

13435 Peach Avenue · Livingston, CA · 95334 · 2093942440

33 certified beds Non profit - Church related

Why this verdict

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

The composite number cleared 72 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

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 100
Staffing 20% 73
Federal penalties 15% 100
Trend 10% 37
Context 5% 100

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.403.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day3.99≈ weekday level
Nursing turnover / year17%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D March 7, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2025

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

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2025

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

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F March 7, 2025

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

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F March 7, 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 1, 2025 · Nursing and Physician Services

  • Potential for harm · F March 7, 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 April 1, 2025 · Pharmacy Service

  • Potential for harm · E March 7, 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 April 1, 2025 · Nutrition and Dietary

  • Potential for harm · F March 7, 2025

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

    Corrected April 1, 2025 · Nutrition and Dietary

  • Potential for harm · E March 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 1, 2025 · Infection Control

  • Potential for harm · E March 7, 2025

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

    Corrected April 1, 2025 · Environmental

  • Potential for harm · D March 1, 2024

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

    Corrected March 21, 2024 · Resident Rights

  • Potential for harm · E March 1, 2024

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

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 1, 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 March 21, 2024 · Pharmacy Service

  • Potential for harm · F March 1, 2024

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

    Corrected March 21, 2024 · Nutrition and Dietary

  • Potential for harm · E March 1, 2024

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

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2024 · Infection Control

  • Potential for harm · E March 1, 2024

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

    Corrected March 21, 2024 · Environmental

  • Potential for harm · D June 30, 2023 · 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 July 12, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 28, 2022

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

    Corrected September 8, 2022 · Nutrition and Dietary

  • Potential for harm · E July 28, 2022

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

    Corrected September 8, 2022 · 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 05A110 · certified since April 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.