Public Record
Guardian Care and Rehabilitation Center
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 176
- Avg. residents per day
- 94.7
*CMS Five-Star
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California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2024 raw food costs per resident day
$10.52
Filing period: to
California median $8.96 across 825 filers. This facility: 74.3th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 35,213 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 13,525 | $595,140 | $44.00/hour |
| LVN | 39,647 | $1,189,423 | $30.00/hour |
| CNA | 101,978 | $2,039,557 | $20.00/hour |
2023 raw food costs per resident day
$11.66
Filing period: to
California median $8.51 across 892 filers. This facility: 85.3th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 32,700 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 15,166 | $667,343 | $44.00/hour |
| LVN | 38,879 | $1,180,391 | $30.36/hour |
| CNA | 85,440 | $1,708,817 | $20.00/hour |
2022 raw food costs per resident day
$9.63
Filing period: to
California median $8.23 across 896 filers. This facility: 70.9th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 27,362 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 17,908 | $788,038 | $44.00/hour |
| LVN | 22,661 | $687,958 | $30.36/hour |
| CNA | 71,344 | $1,379,777 | $19.34/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 66
- Fire safety findings
- 17
- Inspections on file
- 20
- Last inspection
- 2026-03-19
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Citations
66 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0584Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0688Generalpotential for harm
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.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0761Generalpotential for harm
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.
- 0778Generalpotential for harm
Help the resident make transportation arrangements to and from radiology services.
- 0865Generalpotential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0626Generalpotential for harm
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- 0622Generalpotential for harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0584Generalpotential for harm
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.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0909Generalpotential for harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection2 deficiencies
- Inspection1 deficiency
056216 02/20/2026 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility…
Read full statement of deficiencies - Inspection1 deficiency
056216 02/06/2026 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and…
Read full statement of deficiencies - Inspection1 deficiency
056216 01/06/2026 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies - Inspection2 deficiencies
056216 01/02/2026 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility…
Read full statement of deficiencies - Inspection2 deficiencies
056216 12/23/2025 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection14 deficiencies
056216 08/29/2025 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm Based on interview, and record review, the facility failed to ensure allegations of…
Read full statement of deficiencies - Inspection2 deficiencies
056216 06/24/2025 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food…
Read full statement of deficiencies - Inspection1 deficiency
056216 06/06/2025 Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…
Read full statement of deficiencies
Showing the 10 most recent inspections. 10 earlier inspections are also on record.
FAQ
Questions and answers
- What is Guardian Care and Rehabilitation Center?
- Guardian Care and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Manteca, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 056216.
- What is the CMS rating for Guardian Care and Rehabilitation Center?
- Guardian Care and Rehabilitation Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Guardian Care and Rehabilitation Center have?
- Guardian Care and Rehabilitation Center is certified for 176 beds. It serves an average of 94.7 residents per day.
- How many citations does Guardian Care and Rehabilitation Center have?
- Guardian Care and Rehabilitation Center has 66 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Guardian Care and Rehabilitation Center last inspected?
- Guardian Care and Rehabilitation Center was last inspected on March 19, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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