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.
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.