The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SAN LUIS CARE CENTER
NEWMAN, CA · Medicare-certified · 71 beds
In good standing
For-profitChain member
2 of 5 overall
SAN LUIS CARE CENTER (NEWMAN, CA) has a 2 out of 5 overall rating, with a 2-star health inspection rating and 3-star staffing and quality ratings. Reported nurse staffing is 3.84 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8371 hrs/resident/day
Quality measures
Last inspection: March 6, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8371.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.59
- Weekend nursing
- 3.59
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.9%Improving
Residents with a fall causing major injury
4.9%Improving
Residents with pressure ulcers (bedsores)
2.6%Improving
Residents with a urinary tract infection
1.4%Worsening
Residents who lost too much weight
5.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.8%Improving
Residents whose ability to walk got worse
20.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
27.5%Improving
Short-stay residents newly given an antipsychotic
1.7%Improving
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
21.1%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
98.3%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98.5%Steady
Short-stay residents given the pneumonia vaccine
99.1%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $46,118 in total fines.
- $46,118
Federal fine
Jan 30, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVALON HEALTH CARE · 15 homes · 3.5 stars avg
- Occupancy
- 63.1 residents on an average day (89% of 71 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 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.