The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PORTOLA, CA · Medicare-certified · 66 beds
3/5 stars overall. Staffing is strong at 5/5 and reported nurse staffing (4.70 hours per resident per day) is above the federal benchmark of 4.1, but quality measures are low at 1/5, the facility had $69,450 in fines in the last 24 months, a recent federal penalty, and recent citations included accident hazards, pain management, and pressure ulcer care.
Health inspections
Staffing
4.702 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.702.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2025 — isolated incident, actual harm.
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure hallways had firmly secured handrails on both sides for residents’ safety. Cited April 2024 — widespread issue, potential for harm.
F-Tag 924 — 42 CFR §483.90 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
A federal fine of $12,438 was recorded.
Health inspection found 7 health deficiencies.
A federal fine of $19,338 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $37,674 was recorded.
On record with Medicare: 3 fines · $69,450 in total fines.
Federal fine
Jul 24, 2025
Federal fine
May 14, 2025
Federal fine
Mar 20, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.