The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GUARDIAN CARE AND REHABILITATION CENTER
MANTECA, CA · Medicare-certified · 176 beds
In good standing
For-profit
Data as of July 1, 2026
2 of 5 overall
Guardian Care and Rehabilitation Center in Manteca, CA has a 2-star overall rating, with 2 stars for health inspections and quality measures but 4 stars for staffing. It reports no fines in the last 24 months, and its nurse staffing is 3.96 hours per resident per day, slightly below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.9629 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9629.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.48
- Weekend nursing
- 3.67
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.9%17.5%Worsening
Residents with a fall causing major injury
0%1.2%Worsening
Residents with pressure ulcers (bedsores)
3.5%0.8%Improving
Residents with a urinary tract infection
3.7%2.4%Improving
Residents who lost too much weight
11.8%6.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.9%16.7%No change
Residents whose ability to walk got worse
—23%—
Long-stay residents on antianxiety or sleep medication
13.9%8.3%Improving
Short-stay residents newly given an antipsychotic
3.5%0%Improving
Residents with a long-term catheter
2.2%5.2%Worsening
Residents with new or worsening incontinence
14.9%13.4%Improving
Residents with depressive symptoms
1.2%3.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.8%96.4%Worsening
Short-stay residents given the seasonal flu vaccine
—91%—
Short-stay residents given the pneumonia vaccine
96.6%83.1%Worsening
What the inspectors found
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 1, 2023
Now operated by Guardian Care and Rehab Center, previously Manteca Care & Rehab Center.
- Ownership
- For profit - Corporation
- Occupancy
- 97.8 residents on an average day (56% of 176 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 years
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.